Botox treatments are extremely varied and not just for cosmetic reasons
An article this week in the Daily Mail has highlighted the many uses of Botox for medical as well as for cosmetic reasons. This amazingly versatile treatment is instrumental in the relief of so many medical conditions.
For example it was firstly used twenty five years ago as a treatment for eye spasms, the active ingredient, botulinum toxin works by blocking the nerve signals that tell muscles to contract, temporarily by paralysing them.
At MBNS and Qutis clinics, after a full medical consultation, we treat our clients for Hyperhidrosis (injections of Botox under the arms to prevent excessive sweating), for Bruxism (also known as teeth grinding), and for Migraine relief.
It has also been used for many years for children with cerebral palsy. Injections behind the knee allowed the muscle to contract and the child to be able to walk again.
The list goes on. We here at MBNS and Qutis Clinics have expertly trained aesthetic nurses and two nurse prescribers, who after a full medical consultation administer this toxin for many more reasons than just for lines and wrinkles. Our nurses treat our clients for Hyperhidrosis (injections of the toxin under the arms to prevent excessive sweating), for Bruxism (also known as teeth grinding), and for migraine relief.
It’s April now, and the weather is actually beginning to get milder after an horrendously wet and windy winter! The days are drawing out, and we all know what that means: We will be out and about enjoying the new season, booking holiday time and generally thinking about what to plan for the summer ahead.
Well here is a question for you:
Q. What should you be thinking about, now that the weather is changing (i.e. it is getting warmer, there are more sunlight hours, and more outdoor activity)?
A. I must make sure I am protecting and looking after my skin!
You will receive ABSOLUTELY FREE, a travel size (60ml) Cleansing Complex, a Hydra Cool Serum 3.75 ml, a 10ml Eclipse SPF 50 and a Regime Booklet.
These skin regime kits will get you on the right path to healthy skin and you will be protected against the damaging effect of the sun and the UV rays that are getting stronger by the day towards their highest point on 21st June. Feeding the skin with antioxidants and protecting it with a good SPF barrier of factor 50 will ensure that you enjoy that sunshine safely.
So why not grab your skin regime kit today? – your skin will thank you for it! You can either order straight from the MBNS online shop, or call us and we will post it to you – the postage is also always FREE!
Cosmetic Injections following PIP Breast Implant Scandal
Marea Brennan Thorns RN NIP MSc
This week we saw the long awaited response by the Department of Health to a review of the cosmetic market by the NHS medical director Prof Sir Bruce Keogh.
Sir Bruce Keogh was asked to review the standards and training within the surgical and non-surgical cosmetic sector following the PIP breast implant scandal. PIP was a French company who were found to be using inferior products in its breast implants. Many women were affected and thousands had to have their breast implants removed and replaced.
Sir Bruce Keogh made a number of recommendations affecting breast implants, plastic surgery and other medical devices and injectables such as dermal fillers and wrinkle treatments.
MBNS was hopeful like many other professional clinics in the industry that the Government would insist on higher standards for everybody, providing dermal fillers and Botox injections. However this does not seem to have been made clear in the latest report.
The original paper with its recommendations was published by Sir Bruce Keogh several months ago and we have been waiting for the government Department of Health to review these recommendations and to support or enhance them, or even to disagree with them.
Department of Health Response to Sir Bruce Keogh’s Report regarding cosmetic injections
So, after several delays the government has finally responded this week. We would like to give you a simple summary of what has been said and perhaps more importantly summarise how MBNS is responding and what steps we already have in place to meet the key recommendations in the report, published in April 2013.
1. The government has not insisted upon a national register for all clinics providing wrinkle treatments and dermal fillers. We believe this is unfortunate and MBNS feels that customers would feel safer with a national body to approve registration of clinics providing wrinkle treatments and dermal fillers.
2. Botulinum Toxin (Botox) is already classified as a prescription only medicine (POM). This gives patients an added level of security and safety when they meet with a nurse prescriber or Doctor face-to-face for a consultation and prescription before any Botox injection can take place. We were hoping that dermal fillers such as Restylane and Juvederm would be treated in exactly the same way by law. MBNS clinic ALREADY treat dermal fillers as prescription only, but this is not enforced by law and this is not the case everywhere.
3. We were hoping that the government would insist that only doctors and nurses are suitably qualified to perform Botox and dermal filler injections. At MBNS this is already the case. However, this is not the law and there are many unregulated, non-healthcare professionals in the UK who are injecting Botox and dermal fillers. We believe this is not a safe position for patients and that the government should insist on better control and training in this area.
4. Health Education England (HEE) are working with the Royal College of Surgeons and other medical professionals and stakeholders to conduct a review of the training and skills needed. We hope this leads to clearer guidelines both on the training of medical professionals within the cosmetic industry and to greater clarity around who is responsible for supervising clinics and practices providing cosmetic injections such as Botox and dermal fillers. We believe that customers expect the government to insist on a national standard for training and that this will bring greater safety for patients.
5. It seems that there may now be a national register of all breast implants. Breast implants are classified as medical devices. We hoped and expected that dermal fillers would be treated in a very similar way but this seems to not be the case.
Overall many in the industry are disappointed with the lack of clarity and standards which being proposed by the government in the area of surgical and non-surgical cosmetic treatments. This view is supported by many including the president of the British Association of Aesthetic Plastic Surgeons (BAAPS), Mr Rajiv Grover who said in response to the recent report;
“Frankly, we are no less than appalled at the lack of action taken – this review, not the first one conducted into the sector, represents yet another thoroughly wasted opportunity to ensure patient safety. With all the evidence provided by the clinical community, choosing not to reclassify fillers as medicines with immediate effect or setting up any kind of compulsory register beggars belief. Legislators have clearly been paying only lip service to the sector’s dire warnings that dermal fillers are a crisis waiting to happen. Most shockingly of all, the fact that there is no requirement for the actual surgeon involved to provide consent for the procedure makes a mockery of the entire process. It’s business as usual in the Wild West and the message from the Government is clear: roll up and feel free to have a stab.”
So in light of all this, what steps does MBNS take to ensure the highest standards of patient safety and quality of treatment for our customers?
Highest Quality Products
We only use the highest standard of Botox and dermal fillers. Allergan, one of our main suppliers, who manufacture Botox and other dermal fillers meet the high standards in the industry, all Allergan fillers (including the JUVÉDERM® range, as well as the SURGIDERM® range) meet the following standards of approval:
MDD 93/42/EEC: Medical Device Directive & latest amendment 2007/47/EC
FDA 21 CFR Part 820: Quality System Regulation
ISO 13485:2003: Quality managements systems – requirements for regulatory purposes
Compliance of Materials to EP/USP monographs
ISO 10993-1: 2009 – Biological evaluation of MDs – for implant devices intended for long term contact duration in tissue/bone”
ICH Guidance for Stability and Validation of Analytical Methods
ISO 17665-1: 2006, EN 556-1: 2001 & ISO 11737-1: 2006 – for the sterilization of MDs
ISO 14644 : Manufacturing and Filling in Class ISO 6 (under Class 5 laminar flow), Sterilization in Class ISO 6 and Packaging in Class ISO 7
Qualified Medical Practitioners
At MBNS all our cosmetic injections are performed by qualified, registered and trained nurses.All our nurses are registered by and are accountable to the Nursing and Midwifery Council (NMC). Most of our nurses also have an advanced practitioner qualification and are also qualified to PRESCRIBE as well as inject Botox and dermal fillers. This is known as the nurse Independent prescriber (NIP) qualification.
Specialist Training and Supervision
All non-surgical procedures are performed under the responsibility of the clinical professional who has gained the accredited qualification to prescribe administer and supervise aesthetic procedures. At MBNS Clinic this professional is Marea Brennan Thorns MSc RN NIP. She is an advanced nurse practitioner in aesthetic medicine (Rotherham School of Nursing 1976, Oxford Brookes University, 2006, 2010).
Laser and IPL treatments are carried out by accredited laser therapists under the supervision of Marea Brennan Thorns MSc RN NIP and Stephanie Green RN, who both have BTec qualifications in Laser Applications to the Skin (Loughborough College 2001).
MBNS Nurses Provide Input
The government’s mandate for Health Education England (HEE) includes the development of appropriate accredited qualifications for providers of non-surgical interventions and it should determine accreditation requirements of the various professional groups. The work already carried out by the British Association of Cosmetic Nurses in 2013 in their published and peer reviewed competency document is being utilised by the HEE. The HEE qualification recommendations should be completed by April 2014. Nurses from Qutis & MBNS Clinics have worked on this document (BACN Competency Framework Document 2013).
MBNS Clinic in Thame, Oxon
Operating from Safe Premises
All MBNS practitioners have a clear understanding of the requirement to operate from a safe premises, and the responsibilities involved. Our training curriculum include topics such as infection control, treatment room safety and adverse incident reporting.
If you have any questions or would like to arrange a consultation with one of our specialist nurses, regarding cosmetic injections, kindly call us on 01844 213007 or complete the form HERE, and we will get back to you swiftly.
A story was reported in the Daily Mail this week about a young woman, Anna Taylor, who had used a sunbed every day for three years and as a result, developed a cancerous tumour which after being removed, has left her scarred for life. To read the full article, click HERE.
From the Daily Mail online
Although Anna had discontinued using sunbeds for over ten years, the damage had already been done, and at 33 she had to have an operation to remove the basal cell carcinoma in her cheek.
NEVER USE A SUNBED!
We here at MBNS Clinic in Thame are experts in keeping your skin healthy and safe from the damaging rays of the sun and UVA and UVB light that sunbeds produce. Much has been written about the affect of sunbed UV light on the skin and there are more than 200,000 cases of this type of cancer a year in the UK.
We advocate use of a good SPF factor 50 along with iS Clinical’s antioxidant serums such as Pro Heal and Super Serum to protect and feed the skin. We advise that you NEVER use a sunbed and when in the real sunshine, always use a good SPF a hat and sunglasses. If you do want a tanned look, then use a fake tan product such as the FAKE BAKE range, you can get the healthy glow….safely!
Recently, the NHS has brought out a very striking poster showing exactly what damage a sunbed can do to the skin…see below – it is shocking!
If you would like to arrange a consultation with one of our nurse specialists regarding the health of your skin, why not ring us on 01844 213007 or fill out the form HERE and we will get back to you quickly.
Do you suffer from uneven pigmentation on your skin? Do you have any brown (age) spots that are the result of sun damage? Would you prefer for your complexion to be more even?
Before and After 5 treatments with IPL and iS Clinical’s White Lightening
Well, here at MBNS in Thame, we have several products and treatments that can help with evening out skin tone and removing sun/age spots on the skin. We have a three pronged approach to this: IPL, White Lightening and SPF
1. INTENSE PULSED LIGHT (IPL) This treatment targets the pigmented areas with a light energy which initially darkens the area and after a few days, the brown spots slough off when washing. We also treat necks, décolletage and hands! You will probably need several treatments to get the best results, but IPL therapy also increases collagen production in the skin making it healthier and fuller, in short, it is a fantastic photo facial.
Available in a complex and a serum
2. Working hand in hand with IPL treatments for uneven pigmentation is a great product by the iS Clinical range called WHITE LIGHTENING™ which is a distinctive formula containing botanical ingredients such as mushroom extract that lightens skin and Norwegian sea kelp that gently exfoliates and prevents new pigment from forming. White Lightening is available in a complex and a serum. On consultation, your nurse will go through which would be the correct product for your skin.
iS Clinical’s SPF 50 – to be used ALL YEAR ROUND!
3. iS Clinical’s SPF Factor 50 is your protection against the sun, your moisturiser AND your prevention from these brown spots from returning. You should be using SPF daily, not just in the summer months!
So, what are the results from combining IPL and White Lightening?
Lighter, brighter skin Reduction of hyperpigmented areas Skin feels moisturised and softer Reduction in fine lines and wrinkles
So if you would like to find out more about IPL Photorejuvenation and iS Clinical’s White Lightening, or any of the other services or treatments we offer at MBNS such as dermal fillers, botox or IPL permanent hair removal, kindly call us on 01844 213007 to book a consultation with one of our nurse specialists, or fill out the form HERE and we will get back to you swiftly.
Also, you can visit our online shop for all the iS Clinical line. So here’s to a New Year and a new you!
Male clientele for aesthetic treatments is up 25% on previous year.
An article in the Daily Mail last week delivered the message that male Botox , or as it is becoming known as ‘Brotox’ is on the substantial rise! You can read the full article HERE.
It states that clinics are reporting an increase in treatments for males by 25% over the previous year, and MBNS clinic in Thame, Oxfordshire would agree to this statistic.
MBNS has been treating both female and male patients for over 17 years. The male perspective is really no different from the female one: both want to look well rested and refreshed, without looking ‘done’. The experienced nurse professionals at MBNS give treatments that provide a natural look, the aim being to make you look your natural best at all times.
It is nice to see the increase of partners coming for Botox treatment together, where maybe in the old days, there was a little more secrecy.
Whether it is Botox for frown lines, hyperhidrosis (underarm sweating) or Bruxism (teeth grinding), this multi faceted medicine is so effective. Coupled with dermal fillers and treatments for the removal of sun damage and age spots, all treatments result in a fresh faced, and above all, natural look. It is nice to see the increase of partners coming for treatment together, where maybe in the old days, there was a little more secrecy.
The regular male clientele are often happy to talk about their experiences also, and MBNS have dedicated an area to their website all about the male perspective, see HERE.
If you would like to make a consultation with one of the nurse professionals, kindly call 01844 213007 or alternatively, fill out the contact us form HERE and we will get back to you swiftly. We look forward to welcoming you and your partner to MBNS.
A beautician was sentenced to 150 hours’ community work yesterday for lying to Botox clients that she qualified at Harley Street. Customers thought they were getting a bargain price at £90 a session but in reality Jamie Winter was using cheap Botox that she had bought on the internet.
MBNS have 5 experienced nurse profesionals who can safely administer wrinkle relaxing treatments.
This story was reported in the Daily Mail today. It details how a beautician (not a medical professional such as an aesthetic nurse or doctor) injected Botox, but was not properly trained to do so. She lied about her qualifications and put her clients’ safety as risk.
I know I have blogged about this subject previously, but it is crucial that when a person is researching where to go for treatment such as Botox or Dermal Fillers that they seek a professional: a nurse or doctor – one who is medically trained to administer the treatment and one who is able provide medical follow up treatment and advice.
We here at MBNS have five experienced nurse practitioners and have been in the aesthetic business for over 17 years. We have over 5000 patients on our database and our nurses train other medical practitioners in this field also.
It is crucial that when a person is researching where to go for treatment such as Botox or Dermal Fillers that they seek an experienced professional
Do be aware that if pricing is low, the expertise of the practitioner is most probably low too! Botox is a POM (prescription only medicine) and you are required to see a nurse prescriber face to face to obtain it. Only after your full medical history is taken and you are fit and well can you go ahead and have treatment. It is not ethical to discount this treatment also.
Do your research, and then do please call us on 01844 213007 to book a consultation with one of our specialist nurse team. Alternatively you can fill out the form by clicking HERE and we will get back to you swiftly.
We look forward to making you look your natural best. Rest assured you are in safe hands at MBNS Clinic in Thame.
From The Consulting Room:Botox beautician pleads guilty in court to five charges of fraud. This week has seen the ongoing story of beautician Jamie Winter, originally from Scarborough, who was arrested in May 2012 and charged with fraud by false representation, having treated several people and claimed to them that she was trained and qualified to inject botulinum toxin; which it transpires she purchased over the Internet. One women treated by her told police that she had suffered a reaction to the procedure which had left her with swollen eyes. The court considered various assault charges, but these were later dropped as at the time her clients were perfectly happy for her to administer the drug. Ms. Winter admitted to Hull Crown Court that she had mislead her customers over the extent of her training and pleaded guilty to five charges of fraud by false representation between July 2011 and August 2012. On leaving the court she is said to have told reporters that she has administered the drug on herself but is not seeking a future career in it. Jamie Winter will be sentenced on 11th November.
Marea Brennan Thorns RN NIP MSc is one of the MBNS Nurses who are also toxin and dermal filler trainers.
Untrained individuals performing Botox and other injectable treatments are becoming more widespread in the UK where the the lure to charge high prices is paramount over the safety of the patient. As you can see from the article above, the person in question was not trained and qualified to inject the toxin and her client suffered as a consequence of her lack of knowledge and training.
Always ask about the training and experience of your practitioner if undergoing any aesthetic treatments.
At MBNS clinic in Thame, rest assured that you will be welcomed and treated by one of five professional nurse practitioners with over 17 years experience in the aesthetic industry. Three of MBNS’ nurses are also trainers in this field and have shared their knowledge teaching plastic surgeons and fellow nurses alike for many years.
If you are considering any aesthetic treatments why not give MBNS a call on 01844 213007 to book a consultation or fill out the form HERE and find out more about our team and the treatments we offer including dermal fillers and permanent hair removal. We look forward to meeting you and helping you look your natural best safely and professionally at all times.
The 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:
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!