Here at MBNS Clinic in Thame, and Qutis Clinics, we have been helping clients get rid of their unwanted hair for over many years with IPL (Intense Pulsed Light) Permanent Hair Removal. The treatment is very straightforward and liberating for those who thought that they would have to shave or wax for the rest of their lives!
1. No active suntan – that includes fake tan such as Fake Bake or sunbed use. This is because the light that removes the hair at the follicle is attracted to the pigment in the hair, but if you have a tan, it will see the whole area as pigment, and you may experience a burn.
2. Avoid usage of St John’s Wort for a month before treatment. This homeopathic anti-stress remedy can make you light sensitive, and again, you could burn.
Treatment for IPL is spaced six weeks apart if the hair being removed is on the face and twelve weeks apart if treatment is on the body. This is the length of a complete hair cycle.
Here below is a video of the treatment itself by one of our nurses – it is quick, easy and effective. You really can say goodbye to unwanted hair for good.
If you would like to find out more about IPL Permanent Hair Removal or any of the other treatments offered at MBNS (01844 213007), Qutis Clinic Witney (01993 704050), or Qutis Clinic Abingdon (01235 533772), kindly call now on to book a consultation with one of our specialist nurses, or fill out the contact form HERE and we will get back to you swiftly. We look forward to welcoming you to our clinics.
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.
We are often asked many questions in consultation here at MBNS Clinic in Thame regarding dermal fillers. Questions such as:
“I’m wary of fillers, but my face is looking gaunt now I am in my late thirties. What advice do you have for a first-timer?”
Judging by the number of ‘pillow faces’ in the press, you’d be forgiven for thinking dermal fillers never looked natural. But the experienced nurses of MBNS say it is a question of less is more. Our nurses are artistic and highly experienced and look at your face in an holistic way. They can work out exactly what is going to suit your face and the correct dermal fillers to use. It is nice to see a picture of the client from ten years ago, or taken in their early twenties. This allows the nurse to respect the natural contours of their face and work in a more bespoke way.
Whether they have had IPL or dermal fillers, or any other treatment we offer, every client who leaves MBNS is a walking advertisement for us
Our nurses ensure that every client has expectations that are managed realistically. Everyone who leaves MBNS is a walking advertisement for the clinic, that is why MBNS’ aim is to make their clients look their natural best whilst still looking like the same person, so the code by which to live by is definitely, LESS IS MORE.
“I’ve heard mixed reports about IPL (Intense Pulsed Light Therapy) Is it a good treatment or not?”
IPL Photorejuvenation is a fantastic treatment for the removal of age spots (hyperpigmentation) and little veins around the nose with no downtime and effective results. It is also popular as a ‘next step photo-facial’ to improve skin tone, boost collagen and minimise pores. It really does keep the skin looking fresh and we hear is a favourite of the many of Hollywood’s actresses! MBNS has five experienced nurses who perform the treatment regularly and safely. In order to have safe, effective treatments, the skin must be free of any active tan, that includes fake tan or a dare I say, a sunbed tan! Usually several treatments are required, 4 to 6 weeks apart for great results.
If you would like to make a consultation with one of our specialist nurses about any of the treatments offered at MBNS, please call us on 01844 213007 or fill out the form HERE and we will get back to you as soon as we can. We look forward to helping you achieve your skin health goals gradually and naturally.
We here at MBNS Clinic in Thame have been helping our clients achieve their skin health goals for over 17 years and during the many consultations that have taken place before treatment, two of the same questions come up time after time to our team of nurse prescribers and specialist nurses. The top two are always about Botox and Lip Fillers.
Q. I would like to have a Botox treatment, how long does it last and how often can I be treated?
Here at MBNS we like to give what we call a “European look” with our wrinkle relaxing treatment. To us, that means that although the areas have been treated with the medicine, you will not be left with a frozen look or ‘deer stuck in headlights’ look as is seen many times over in the USA. A ‘full’ Botox treatment (that is three areas treated: the crows feet, between the eyes and the forehead) will last 12 weeks or longer, and your nurse will advise you of the date when you may safely have another treatment.
For safety sake, and because Botox is a prescribed medicine (POM), you cannot be treated any sooner than 12 weeks apart. You should be fully aware also that this and any injectable treatments should be performed only by a medical professional, and in MBNS’s case, an Aesthetic Nurse Specialist, of which we have five in our busy Thame Clinic.
Q. I want fuller lips, but I don’t want to end up with a trout pout!
We err on the side of caution here at MBNS Clinic. Our patients who want to have a lip enhancement are advised to have a lip hydrator such as Juvederm Volbella. This fantastic treatment adds minimal volume to lips that have lost collagen due to ageing, so the shape of the lips is not changed, they just look softer and more youthful. Gone are the days of the “trout pout” of yesteryear. Again, this treatment is performed by one of our team of highly experienced Specialist Nurses.
This month of February, MBNS has a special offer on Juvederm Volbella. Call us on 01844 213007 to find out more and book your consultation. If you would prefer to send us an email, you can do so HERE and we will get back to as soon as we can.
We look forward to helping you look your natural best and achieve your skin health goals at MBNS.
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!
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: