Title: Course Presentation

Module 1

Setting Up In The Aesthetics Industry

So Why The Aesthetics Industry?

- In the UK, the non-surgical aesthetics industry is said to be worth over £3 billion, according to research by Aesthetic Medicine magazine, the global anti-ageing market is predicted to be worth $421.4 billion (approx. £306bn) by 2030.
- Procedures like botulinum toxin and fillers account for 9 out of 10 of all cosmetic procedures performed in the UK
- What used to be a taboo subject is now widely talked about amongst our peers and embraced
- You can be your own boss, have the flexibility to work around your other commitments

Potential Revenue

- The average injectable patient will bring up to £1,400 per annum based on 4 botox treatments and 1 filler treatment depending on where you live.
- 50 patients will bring you a potential revenue of £70,000
- Add in more filler treatments, skincare and a wider range of treatments to increase turnover.

Pricing

Treatment

Average Cost

Potential Profit

Botulinum Toxin

Dermal Filler

Skin Peels

Microneedling

£85 per vial

£75 per syringe

£10 per treatment

£60 per treatment

£265 (two areas)

£210 (1ml nasolabial folds)

From £55 per treatment

£225 per treatment

Remember to benchmark against your competitors

Competency Framework

The Joint Council for Cosmetic Practitioners (JCCP) was established to support public protection for those accessing non- surgical cosmetic procedures and hair restoration surgery

The JCCP has been set up as a formally constituted charitable body, alongside its sister organisation, the Cosmetic Standards Practice Authority (CPSA).

The aim of the JCCP/CPSA is to further develop standards and guidance to ensure practitioners providing cosmetic treatments, whatever their professional or practice background can evidence their competence, commitment to public safety and agreed standards of practice through registration with the JCCP.

Core Competencies

(Summarised) A full version will be provided in your handbook on your practical training day.

Q: Turn me
A: Determine the patient’s competence to understand the assessment process and their capacity to give valid consent.

Q: Next (2)
A: Undertake a concise and comprehensive cosmetic consultation and assessment

Q: Next (3)
A: Demonstrate appropriate consultation process, using appropriate verbal and  non- verbal communication

Q: Next (4)
A: Understand confidentiality and consent guidance and the General Data Protection Regulation (GDPR).

Q: Next (5)
A: Recognise, respond and refer appropriately in relation to any concerns disclosed or identified such as skin lesions, psychological issues or safeguarding.

Q: Next (6)
A: Document the assessment in line with relevant professional guidelines, including baseline photographs.

Core Competencies - Summarized

Q: Turn me
A: Demonstrate ability to explain clearly to patients, with evidence-based rationale.

Q: Turn me to see the process
A: Elicit and clarify patient’s knowledge and understanding in order to enable informed consent in line with professional guidance about the proposed treatment(s).

Q: Turn me to see the process
A: Seek informed consent in writing for treatment and consent for pre and post images and document appropriately following relevant professional guidance.

Q: Turn me to see the process
A: Demonstrate effective communication skills in negotiating and agreeing a suitable treatment plan and appropriate care for the individual patient using an evidence based /best practice approach.

Q: Turn me to see the process
A: Document the agreed plan of care in line with professional /CPSA guidance.

Q: Turn me to see the process
A: Ensure patient is adequately prepared for the procedure, with opportunity to have a chaperone where requested.

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Demonstrate ability to explain clearly to patients, with evidence-based rationale.

Elicit and clarify patient’s knowledge and understanding in order to enable informed consent in line with professional guidance about the proposed treatment(s).

Seek informed consent in writing for treatment and consent for pre and post images and document appropriately following relevant professional guidance

Demonstrate effective communication skills in negotiating and agreeing a suitable treatment plan and appropriate care for the individual patient using an evidence based /best practice approach.

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Ensure patient is adequately prepared for the procedure, with opportunity to have a chaperone where requested.

Document the agreed plan of care in line with professional /CPSA guidance.

Prepare appropriate equipment and environment for agreed treatment as per CPSA standards.

Prepare appropriate equipment and environment for agreed treatment as per CPSA standards.

Prepare appropriate equipment and environment for agreed treatment as per CPSA standards.

Use universal infection control precautions

Apply knowledge of topical local anaesthetic techniques.

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Dispose of all used equipment safely and appropriately following relevant guidance.

Where applicable, prescribe appropriate treatment in line with prescribing legislation and medicine management guidance or ensure an accountable prescribing practitioner has validly prescribed treatment specifically for the person requesting treatment following a face- to- face consultation.

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Record clearly and contemporaneously treatment provided as per professional guidance.

Provide relevant advice to patients undergoing interventions to encompass; Aftercare required, recognition of complications / adverse reaction and actions to take including who to contact if you are not available, Importance of seeking urgent care, required follow up and monitoring process

Recognise and differentiate between common side effects and adverse events.Use universal infection control precautions

Recognise emergency events and demonstrate ability to provide basic life support.

Manage emergency /adverse events using evidence based protocols.

Recognise when to seek expert /professional guidance for complications/ adverse events.

Record and report adverse events and product safety concerns.

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Demonstrate ability to critically review patient needs and effectiveness of planned treatment(s) against current evidence base and guidelines for practice.

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Evaluate effectiveness of treatment(s) provided.

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Overfilled lips

Public Misconceptions of Aesthetics

Frozen face

Alien features

Unnatural look

Natural Looking Results

The Reality

(well most of the time)

Soft Features

Replaced Volume

Soften Lines

Facial Assessment - The Aging Face

Considerations when assessing the face to select the appropriate treatment for your patient.

- Fine lines and wrinkles: these can be treated using either or a combination of botulinum toxin or dermal filers depending on the area
- Volume loss:  this would be treated using dermal filer
- Gravity changes: this can be treated using either or a combination of dermal fillers or skin boosters.
- Skin quality: there are a number of ways to improve skin quality from skin boosters to medical grade skincare, peels, LED, microneedling and radiofrequency.

Reporting and adverse effects

- Within your practice as medical professionals you will be aware of the MHRA yellow card scheme for reporting any drug adverse side effects.
- This will also apply within your medical aesthetics career if any of your patients were to have a reaction.
- Any reports are made directly via the MHRA (gov) website which ca be found via: https://yellowcard.mhra.gov.uk

Reporting and adverse effects

You will need to include the following information when reporting any drug reactions:

Suspect drug(s) If known,
• route of administration • daily dose, dose frequency and schedule • dates of administration

Suspect reaction(s) If known, it is helpful to include:
• when the reaction occurred • seriousness of the reaction • any treatment given • outcome of reaction

Patient details You need to provide at least one of the following:
• patient sex • patient age at the time of the reaction • if known, please provide the patient’s weight • patient initials

Waste Disposal

- The Environmental Protection Act (1990) places a duty of care on businesses that deal with controlled waste such as sharps and clinical waste.
- The regulations are to guide the safe management of these items to protect people and the environment.
- Rental spaces may offer clinical waste removal as part of the rent, otherwise you will need to arrange this yourself to adhere to these regulations.

Your Journey (after completion of both the theory and practical course)

- Obtain medical malpractice insurance
- Create a business plan
- Find a safe place to practice from carrying out a health and safety assessment
- Create a marketing strategy to obtain patients
- Order products and consumables
- Ensure you have the correct paperwork or create forms using aesthetic clinic management software
- Practice the techniques learned in your practical training day
- Expand your treatment portfolio with new treatments
- Consider joining support organisations such as Save Face and ACE