Only a Nurse or Doctor should only be allowed to inject Dermal Fillers

April 26th, 2013

Marea trainingThe Cosmetic Industry has been all over the news this week, in fact the chief medical officer for of the NHS England, Sir Bruce Keogh has called for an overhaul that includes tougher regulations to the purchasing and injecting of treatments such as Dermal Fillers.

MBNS is still concerned with the outcome of this report.

Although the general outcome is positive for our industry as a whole, as many unqualifed people will be weeded out, a very important area was missed.   The report still states that a Non Healthcare Professional can inject Dermal Fillers and Botox!  This is an area we are greatly opposed to.  MBNS has four Aesthetic Nurse Specialists including two Nurse Prescribers and we have been in clinical practice over 15 years.  Injectibles such as Botox and Dermal Fillers should ONLY be injected by a Nurse or a Doctor, both of which  have a formal qualification and have their names on a professional register.  Elsewhere, non healthcare professionals have been injecting these cosmetic procedures and they DO NOT  have a formal medical or nursing qualification or a thorough and advanced knowledge of the face, the muscles  anatomy and physiology.

This report had the opportunity  to say that only doctors and nurses must do these treatments.  THE OPPORTUNITY WAS MISSED!

All nurses are answerable to a governing body:  The Nursing and Midwifery Council,  but Non Healthcare Professionals are not answerable to a professional governing body, so if they were negligent, they could not be struck off a register.  Our nurses are on the NMC register, as are doctors (GMC). They are accountable to a very strict code of conduct. This code is there to safeguard patients.

This report had the opportunity  to state that only doctors and nurses must perform these treatments.  THE OPPORTUNITY WAS MISSED!   Nurses were not even represented on the review body for this report.  There are over 650, 000 nurses in this country, and within aesthetic medicine, it is thought that  60% of injectors are nurses, a great body of expertise and more importantly advocates for vulnerable patients seeking medical cosmetic treatments, so WHY were there no nurses on the advisory committee?

Our lead Nurse Marea Brennan Thorns spoke on Radio Oxford yesterday to express our views on this important report.  You can listen to the full interview below:

To Botox or not to Botox? – that is the question!

April 23rd, 2013

Anti Ageing Creams are a multi million pound industry
Sales of beauty products, particularly anti-ageing creams are a multi-billion pound global industry, but very few have the medical papers behind them to back up their claims.  It is fair to say that you pay for what you get.  Some creams may provide a temporary tightness to the skin and give the appearance of diminished wrinkles, and many provide just a temporary feel good factor.

“If you are deciding to go ahead and have  Botox treatment, firstly you must do your research”

So what if you are actually interested in Botox but don’t know where to start to look?  Not a day goes by in the press or on TV where someone is not talking about this wrinkle relaxant.  Botox actually does soften wrinkles and makes the skin appear younger, and it is true to say that having treatments regularly (three to four times a year) will prevent new wrinkles from developing.  But with all this competition out there, you must choose your practitioner wisely.

If you are deciding to go ahead and have a Botox treatment, firstly you must do your research.  You must be seen by an experienced professional:  a  Nurse Prescriber or Doctor who can write the prescription for you after your full medical history is taken.  Remember, Botox is a medicine!

Let it be known here that you can have what we at MBNS call a ‘full Botox treatment’ AND still be able to move your facial muscles!”

img-faceliftWe have been treating thousands of our patients with Botox for over 15 years now, and we like to say that the result we achieve is one of a “European Look”.  Many photos are posted daily in the press of celebrities and none celebrities alike who have seemingly ‘gone too far’ with their treatment.   An over-zealous treatment has resulted in  a completely ‘frozen look’.

We here at MBNS do provide what we call a  ‘full Botox treatment’ which gives you a softened look AND you will still be able to move your facial muscles!   We prefer to air on the side of caution so that the change is subtle, not startling!

The fact that we have been in business over 17 years speaks for itself.  We have four experienced Nurse Practitioners who provide anti-ageing treatments six days a week .     Patients return to us regularly as they know they are in safe hands.  The MBNS experience really is second to none.

Why not call us today to make an appointment on 01844 213007 or email us here.  We look forward to answering your questions and inviting you to come and visit us at MBNS.







Age spots? IPL (Intense Pulsed Light) is the spotless solution!

April 19th, 2013

Pigmentation in the form of freckles

A recent survey by Boots has revealed that 36% of women are as concerned with age spots (sometimes called brown marks or freckles) as they are with lines and wrinkles.  The formal name for this skin condition is hyperpigmentation.

There  is a treatment that will successfully remove  these age spots called  IPL (Intense Pulsed Light Treatment).  It is not a new treatment, but a tried and tested one with excellent results.  Treatments combined with good skincare and especially a good SPF will ensure  to keep those age spots at bay.

I liked my freckles as a child, but now I want flawless skin!

We here at MBNS have many patients that come to us with this skin condition.  Freckles and age spots are all signs of unprotected sun exposure.  I must say that  I actually liked the freckles I had as a child , but now as an adult, I want flawless skin!  The fact is –  my freckles  were the early signs of sun damage.  Growing up in the Channel Islands and having many hours on the beach without correct sun protection all played its part!  And that is exactly the point!  The damage is done in our childhood!   Getting sunburned  in our youth can reveal itself as age spots in later life.  The sunburn that you thought had gone away  actually caused damage deeper down under the skin that  goes unnoticed until we get older, our skin gets thinner, and the brown spots rise to the surface in force!

IPL Treatment is successful in removing age spots/freckles/pigmentation

So, if like me you want to be able to have a more peaches and cream complexion, we here at MBNS suggest IPL treatment.    An intense light is applied in a series of gentle pulses over the treatment area. Without damaging the skin, the light penetrates through the skin and is absorbed by the pigmentation. The heat causes damage to the brown patch, and the body begins its natural healing process. The brown patch will darken before it flakes off, or the body absorbs it. You may need up to five treatments.

active serum.150dpi

Active Serum 15ml or 30ml available at the MBNS online shop

To go hand in hand with the IPL, we also recommend the use of a good serum like iS Clinical’s Active Serum.  This helps with the pigmentation, but also is is great for lines and wrinkles too!

If you want to speak to us live about IPL treatment, or any other treatments we offer, please ring us on 01844 213007 or email us here.

Hands like Madonna? We have Radiesse® to the rescue at MBNS!

April 17th, 2013


We here at MBNS clinic in Thame would love to invite Madonna (and you dear reader)  to have a Radiesse® treatment!    A bold statement, but the offer is most definitely open!

Let me explain this outburst more rationally!  On my daily glance through the newspaper, over my first cup of tea of the day, my eyes naturally gravitate towards the latest celebrity dissection!   Whether the focus is on weight loss or gain, fashion label of choice or hair and makeup, I scan with interest!    Well,  it is rather  natural that I look,  I mean, we are in the Aesthetics business!  I have a duty to do so!   MBNS is all about anti-ageing and skin health, and naturally I want to see what or whom is being subjected to the spotlight for the day!

Anyway all disclaimers aside, the Mail ran a story entitled “Women’s biggest beauty worry?  Having hands like Madonna!”   It goes on to say that  although Madonna’s face and body look fabulous for a woman of 54, her veiny hands give her age away!

Hands do age due to a depletion in collagen and leaves them looking older, veiny and boney.  So in that nano second of judgement glance between hands and face a person is subconsciously aged sometimes beyond the years they wish to admit to!   This is all sad but true, however what the article does NOT mention adequately,  is that there IS a fantastic  treatment for this that plumps up the skin and makes the hands look more youthful again!

Hand Rejuvenation with Radiesse Collagen Stimulator

Hand Rejuvenation with Radiesse Collagen Stimulator

Radiesse® is a collagen stimulator that restores the youthfulness of your hands.

The treatment is called Radiesse® and is a collagen stimulator that replaces the volume that is lost over time in the hands as we age. The hands are injected firstly with a local anesthetic to ensure the procedure is comfortable. This is followed by a Radiesse® injection which works with your own natural collagen and results in new elasticity and plumpness of the skin. Generally the effect of the treatment lasts up to a year for most patients.

Our experienced nurses  have been treating for many years here at MBNS, and many of our patients fit  this treatment in annually  between  their regular botoxdermal filler or IPL treatments.

If you want to speak to us live about this or any other treatments at MBNS, (or Madonna, if you too would like to get in touch!) call us now on 01844 213007 or contact us here


Wanting treatment with Dermal Fillers? Then choose your clinic wisely.

April 12th, 2013

Dermal Fillers – a word that is now commonplace among women (and many men) of a certain age wanting to enhance their cheeks to replenish the volume that has been lost through ageing.  Dermal fillers, or just filler, as it is often referred to,  is an Aesthetic cosmetic procedure that injects either a Hyaluronic Acid (HA) or a collagen stimulator that gives the cheeks a more youthful appearance  thus bringing back the apple cheeks of youth. This procedure, however, is a fine art and a patient needs to be treated by  an experienced Aesthetic Professional only.

steph consult

Let our experienced nurses guide you with the correct choice of dermal fillers

We here at MBNS pride oursleves in making our patients look their natural best and that really is the ethos and aim of all our team.   We have been in business for over seventeen years and  throughout these years we have grown and developed our range of treatments, looking ahead to new trends but also being careful not to jump on the next cosmetic bandwagon so ensuring that there are good medical papers behind each new treatment.

Everyone who walks out of our clinic is our advertisement

Our patients are at the heart of what we believe in,  and each and every one  walks out of our clinic as our own advertisement.   Due to our careful and experienced injection techniques,  the feedback we get from our patients from their friends are remarks such as   “Oh you look well!  Have you been on holiday?”  NOT “What HAVE you had done!”

They leave our clinic with a natural lift that enhances their appearance

Many of the patients we see through the busy doors of MBNS in a week do come in for cheek enhancement, but the results they get from  Dermal Fillers, such as Volbella, Restylane, Juvederm, Voluma or a Collagen Stimulating injection such as Radiesse, will be expertly injected leaving subtle and natural looking results.  They leave us with a natural lift that enhances their cheeks,  NOT an inflated unnatural look.

Here is a sample of one of our patient’s “before and after” treatment with Dermal Fillers

Lewis Before

Before Dermal Fillers Treatm

After Lewis

After Dermal Fillers Treatment






If you would like to arrange a consultation with one of our specialist team of nurses, call us on 01844 213007 or fill out our online form here and we will get back to you promptly.



FIVE most frequently asked questions regarding Botox (Botulinum Toxin)

April 9th, 2013


1)  What is Botulinum Toxin? (sometimes known as Botox)

Botulinum toxin is a protein found in nature. Botox treatments work by temporarily blocking the release of acetylcholine which is a nerve transmitter. When acytylcholine is blocked the nearby muscle is then relaxed and the corresponding wrinkle is reduced or softened.

2)  Is Botox only used to treat wrinkles?

Botox has been used for multiple purposes by medical professionals since the 1980’s. It can be used to improve severe spasm or involuntary blinking of the eyelid (blepharospasm) as well as for severe underarm sweating, known as ‘axillary hyperhidrosis’.

3)  Can anyone have treatment with Botox?

There are a few but important conditions that are considered unsafe for the use of Botox. For example Botox may not be used if rare neurological conditions pre-exist and may not be given when a few medications are taken such as some unusual antibiotics. In addition there have been no clinical studies on pregnant or breast feeding woman and these patients will not be treated. MBNS will always veer on the cautious side to ensure patient safety. During your consultation your practitioner will go through your medical history and any medication you may be taking to qualify whether you are able to have treatment.

4)  How long do the results last?

Although each patient is different, treatments can last from three to six months. At MBNS we always offer FOC follow-up appointments to all patients, allowing patients to return anytime from 14-21 days post treatment.

5)  Can anyone inject Botulinum Toxin?

Botulinum Toxin is a prescription only medicine and therefore requires a prescription by either a doctor, dentist, or a nurse prescriber. Because Botulinum Toxin is a drug it should be administered by a qualified medical professional.

Medical practitioners have a firm understanding of both the facial muscles and how they work in relationship with each other. In addition only medical practitioners can manage any complication which whilst only occurring in extremely rare circumstances, may need another prescription remedy. There are over 50 different muscles in the human face, should the wrong one be ‘relaxed’ the results could cause unwanted short term effects such as asymmetry to the face.

Within the MBNS/ Qutis group, all of our nurses are advanced practitioners with years of experience behind them – in fact they are trainers themselves in the field of Medical Aesthetics, in particular the use of Botulinum Toxin.

Two of the MBNS nurse team were recognised as aesthetic nurse of the year at the recent British Journal of Nursing awards – both in 2013 and 2104.   And all our nurses contributed to the award status – we believe you are safe in the care of our nurses!


Our patients are at the heart of all we do, says Marea Brennan Thorns

April 5th, 2013

BJN Awards 22/3/13

Marea Brennan Thorns accepting her award from the BJN

“Our patients are at the heart of all we do” A strong positive statement without a doubt!  This has led me to the decision that I think Fridays should be positive comments day!

Recently, our own Aesthetic Nurse Specialist, Marea Brennan Thorns director of MBNS and Qutis Clinics won a very prestigious award indeed – the British Journal of Nursing‘s Aesthetic Nurse of the Year – we are of course extremely proud of her, and her peers are too, but not surprised.  Marea has built her career on keeping  her patients’ needs focused at the heart of her business.   This positivity shines out like a beacon amidst the latest negative press the Nursing profession has come under as of late.

Recently an article in the  Nursing Standard by Zeba Ari outlined this negativity very succinctly:

He writes:  It is one thing holding individual nurses accountable for poor practice, but another for the media to make generalisations about the profession that the public buys into.

Nursing has changed substantially over the past three decades.

The picture painted by the national press is so lopsided. It thrives on headlines involving anguished relatives venting about how family members were treated by NHS caregivers, principally nurses.

Nursing has changed substantially over the past three decades. We now have a profession that requires considerable academic study, has significant scientific and technical aspects, and grows more demanding by the day as patients’ needs become more complex.

So for every negative comment regarding nursing, there should be a positive experience that is eager to push itself to the forefront.   As Marea mentioned in her acceptance speech:

“Our patients are at the heart of all we do”


“thank you for this award which I accept on behalf of all independent nurses committed to good nursing practice.  The field of Aesthetic Medicine is full of extraordinary nurse entrepreneurs, many of whom have religiously stuck with the vision that nurses can be leaders, nurses can be business owners and nurses can combine all of these things and still have their patients at the heart of all that they do.”

And Marea’s fellow nurse peers agree:

“My heart jumped with joy for your amazing achievement and recognition for a life time of such hard work and dedication – so pleased for you.”      Helena Collier BSc RGN DNC PGDp (Medical Aesthetics) – Independent Prescriber and Medical Aesthetic Practitioner.

“Congratulations. it is my pleasure to be working alongside such a professional and outstanding Clinician. I’m delighted your peers have acknowledged your work in the industry.”           Lorraine Mcloughlin.  Aesthetics Account Manager. MERZ Aesthetics