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AESTHETICS


It is simply a plastic roller device with many tiny needles. Different rollers have a different number and depth of needles.


Dermarollers consisting of small needles are used to stimulate the production of collagen.


After just one treatment the skin is brighter, plumper and more radiant. And with ongoing treatments, scarring, pigmentation and even stretch marks can be targeted


Chemical peels


A chemical peel is a technique used to improve and smooth the texture of the skin primarily on the face, and scarring can be improved. Chemical peels are intended to remove the outermost layers of the skin.


Glycolic acid is one of the ingredients contained in a chemical peel – a treatment used to increase the skin’s collagen and promote healing


Thread face-lifts


A thread facelift is a convenient, less invasive alternative to traditional facelifts, designed for people experiencing early signs of aging, such as minor facial sagging. This innovative facelift procedure can be performed in just one or two hours.The procedure involves inserting threads into the skin which are then pulled tight, lifting the skin and


underlying muscle to create a tighter, smoother complexion.


Mesotherapy


A procedure in which multiple tiny injections of pharmaceuticals, vitamins etc are delivered into the mesodermal layer of tissue under the skin, to promote the loss of fat or cellulite.


There are also laser and light therapies that are increasing in popularity.


Cosmeceuticals


Cosmeceuticals are professional skincare products, which bridge the gap between cosmetics and pharmaceuticals. Backed by science ‹cosmeceuticals’ provide the most effective active ingredients for improving the skin and treating skin conditions.


Cosmeceuticals contain a variety of ingredients such as hyaluronic acid, retinol and glycolic acid.


SO HOW CAN PHARMACISTS AND PHARMACIES GET INVOLVED? Facial aesthetics can generate a lucrative income with relatively little outlay. The simplest way for a pharmacy to get involved is to provide a base for a clinician.


For the last ten years plus, pharmacies have been required to have a medicine review consultation room, but it’s sometimes unoccupied. In fact, in my experience as a pharmacist,


a pharmacy has generally has unmaximized space that would perfectly serve as a consultation space for clinicians of all specialties and generate profi t through rental.


I used to charge £40 a day for clinicians to use a room in my pharmacy in Essex. Not only did it provide rental income from space that had been previously left empty and unused, it drove more patients into my pharmacy and I noticed an increase in my overall sales.


I was also providing a wider health service to my local community.


If you’d rather be the clinician than the ‘landlord’ then that’s perfectly achievable for a pharmacist too – and even more profi table.


As a pharmacist, I’ve administered more than 600 fl u jabs in my time. Of course, that’s not the same as injecting facial aesthetic treatments, but the experience in injectables certainly gives a pharmacist the edge over others in the market.


What’s more, pharmacists have credibility in medicine and healthcare that patients trust.


Prescribing pharmacists that practise facial aesthetics can also prescribe the treatments, and with a wholesale partner, such as Medfx, the process can be as smooth as your patients’ faces after their treatment.


FACIAL AESTHETICS TREATMENT AREAS EXPLAINED


• Frown lines – relax lines caused by frowning


• Crow’s feet – reduce lines from the outer corner of the eye


• Bunny lines – smooths horizontal lines on the nose


• Apple chin – reduce the appearance of an ‘apple’ chin


• Eyebrow lift – relax muscles that pull the brow line down


• Top lip lines – smooths lines on the upper lip and corners


• Neck lines – removes ‘branding’ in the neck and décolletage


Facial aesthetics is only going to get bigger and more profi table. The question is, as a pharmacy, are you going to lead the competition, or try and catch up to them once you see that they are reaping the fi nancial rewards non-surgical treatments can bring to your pharmacy?


Med-fx supplies market-leading Botulinum T


oxins, Dermal Fillers,


Skin Peels and Cosmeceuticals to clinicians across the UK. Our product range consists of over 1,200 carefully selected products, which are supported by a comprehensive line of surgery consumables.


AS PHARMACISTS BEGIN TO BE TRAINED IN PROVIDING AESTHETIC TREATMENTS, PROFESSOR DONALD CAIRNS, PHARMACIST AND HEAD OF THE SCHOOL OF PHARMACY AND LIFE SCIENCES AT ROBERT GORDON UNIVERSITY, ABERDEEN, TELLS SP WHY PHARMACISTS ARE WELL PLACED TO DO SO.


SHOULD PHARMACISTS BECOME INVOLVED IN THE COSMETIC USE


OF BOTULINUM TOXIN? Botulinum toxin (‘Botox’) is a widely used cosmetic treatment, and concerns have been raised about its widespread availability and ease of supply by non-qualifi ed practitioners. In this article I would therefore like to answer the question, should pharmacists be involved in supply and administration of Botox?


BACKGROUND


Botulinum toxin is a neurotoxic protein (Relative Molecular Mass = 149,000 g mol-1) produced by the bacterium Clostridium botulinum and is the


54 - SCOTTISH PHARMACIST


major cause of the disease called ‘botulism.’


There are actually eight different variants of the toxin (known as BTX-A to H) of which BTX-A is the most widely used (For a review see1


occurring following injection of as little as 2 ng of the substance (2 x 10 -9 of a gram)2


.


The main medical use for the toxin is the treatment of spasticity and excessive muscle tone associated with cerebral palsy (CP) and post- stroke injury although it has been investigated for the treatment of chronic migraine,3


. and refs


therein). Care must be taken when using or handling Botulinum toxin as the substance is regularly named in the literature as ‘the most toxic substance known to science,’ although this accolade is also given to nerve agents and radioactive elements, such as plutonium. The most toxic variant is BTX-H with documented fatalities


Treatment is usually by I/M injection of the toxin into the affected muscle group and is often combined with intense physiotherapy and exercise coupled with orthotic interventions, such as splinting and casting1


. MODE OF ACTION The mode of action of the toxin is via intractable pain,4


and excessive sweating (hyperhidrosis) 5


inhibition of nerves using acetylcholine as a neurotransmitter. The toxin binds specifi cally to the membrane of the nerve cell and is absorbed by endocytosis. Once inside the cell, Botulinum toxin acts to cleave key proteins essential for the release of neurotransmitter. This completely inhibits nerve signalling and the muscles innervated by the nerve become fl accid and paralysed6


. This


effect is temporary and reversible, with normal neural function returning within 12–16 weeks1


often require repeated administration of the injection every few months to maintain the reduction of excessive tone7


. BOTULINUM TOXICITY


Injection of Botulinum toxin is associated with toxicity and side-


> . Patients with CP


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