Facing the future

By Amanda Cameron, Dr Mike Comins, Dr Nick Lowe, Dr Sarah Tonks, Mr Adrian Richards and Sharon Bennett / 01 Jan 2014

At the beginning of a new year, we asked the members of our editorial advisory board what they predict will be the most important developments and key trends in aesthetic medicine in 2014

Sharon Bennett

“I hope 2014 will see the government push forward recommendations from the Keogh Report, particularly with regard to education and training of medical aesthetic professionals.

As I write, Health Education England is consulting with representative organisations (BACN, BCAM, BAD etc.), but await a government formal decision on the next stage. Recently, the European Standards Organisation (CEN) approved a new work item: the Non-Surgical Medical Aesthetic Services standard. I am pleased to be leading the British Standards Institute UK committee on this document in 2014, and liaising with our European Colleagues. Once the standard is complete I hope that eventually it will be regarded as the minimum requirement to practice here in the UK.” 

Dr Mike Comins

“I see a lot of changes happening in 2014. Both in respect of regulation, and what we are going to be able to achieve for patients cosmetically. In terms of regulation, I look forward to working with the Department of Health in trying to implement any changes that improve patient safety. I am currently looking at one or two new treatments for body sculpting, in particular a new technique targeting the buttock area. I’m also very excited about revamped thread lifts such as Silhouette Soft. By combining thread lifts with tissue stimulating filler such as Sculptra we can finally tackle the jowls and the neck non-surgically, in a way we could never before. This will make a dramatic difference to the way I approach my non-surgical facial aesthetics.” 

Mr Adrian Richards

“One innovation in particular that I’m interested in for 2014 is a US-based topical botulinum toxin type A topical gel from Revance Therapeutics, for those who are looking for the muscle-relaxing effects of Botox, without the use of needles. It’s likely to be approved in the US and we wait to see when it will be available here, as it’s supposed to be very effective for treating the thin skin of the under-eye area. Another is a new lipolytic injection using deoxycholate, for dissolving localised areas of fat, such as double chins. While fat dissolving injections are already available, this is the first involved in a full-scale drug trial, so the findings, due mid 2014, should be very interesting. I’m hoping the government response to the Keogh report will have positive implications. As more aesthetic practitioners enter the industry, and demand for treatments grows, I believe it’s absolutely crucial to establish a proper regulatory framework to make treatments safer for all.” 

Dr Sarah Tonks

“We are all striving to satisfy our patients’ desires and improve the way they feel
about themselves. For me, female genital rejuvenation is the ultimate expression of this; demonstrating that aesthetic medicine is not all about that which is publically visible. Desirial from Stylage is an example of a brand new dermal filler containing mannitol, specifically designed for the rejuvenation of the intimate region. Currently a doctor-led treatment; it can be used to improve loss of volume in the outer labia and mons. Other non-surgical options for cosmetic gynaecology that I predict will become more popular include the use of platelet rich plasma (PRP) and the use of resorbable sutures to narrow the opening. My final top picks for 2014 include the increasing penetration of PRP into mainstream aesthetics, and an increased interest in mesotherapy for skin rejuvenation.” 

Dr Nick Lowe

“There is a very interesting new gel, Mirvaso, developed for the facial erythema of rosacea. It is based on the eye drops ingredient brimonidine tartrate and looks as though it will be a great help to those suffering from persistently red faces. It has been approved in the US and expected here in early 2014. There are also vascular lasers from Cynosure with a new wavelength so we can treat pigment such as birthmarks without the horrendous bruising that used to be common. I’m looking forward to the arrival of the topical botulinum toxin gel from Revance, which may be useful for sweating and oily skin as well as fine lines. Finally the fat dissolving injectable with deoxycholate could be incredibly useful in a wide range of uses, including as an adjunct to CoolSculpting.” 

Amanda Cameron

“No new launch or trend in 2014 will overshadow the fact that the industry is seeing a substantial and growing shift toward non-invasive treatments. However, as technology progresses, sadly, the regulation in our industry is in reverse. It looks as we cannot rely on government to lead the way. We need all professional bodies to unite and reach agreement on how best to deliver safe treatments, for our future security and prosperity. Knowledge is power! The onus will be on providers to inform and educate and those who o er full and comprehensive consultation together with outstanding professional customer service, and the appropriately trained and qualifed practitioners, will shine.”

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