Cosmetic Bootcamp Primer Comprehensive Aesthetic Management 1st edition by Kenneth Beer, Mary Lupo, Vic Narurkar 1841846989 9781841846989

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ISBN 10:  1841846989 

ISBN 13: 9781841846989

Author:  Kenneth Beer, Mary Lupo, Vic A. Narurkar 

Minimally invasive aesthetic procedures continue to be popular with patients, so many medical practitioners who have not previously specialized in the field or practiced very widely are either turning to this area or expanding the range of treatments they currently offer. These practitioners require a basic primer to get them up to speed on the details of treatments, as well as expert tips on the idiosyncratic demands involved in running an aesthetic practice. The Cosmetic Bootcamp meetings began as a way for colleagues in dermatology, plastic surgery, ophthalmology, and otorhinolaryngology to teach each other in a collegial environment. The meetings are designed to provide physicians in these specialties a forum to exchange ideas, explore new technologies and techniques, and discuss ways to improve patient care.

Cosmetic Bootcamp Primer Comprehensive Aesthetic Management 1st Table of contents:

1 The role of the aesthetic specialist
2 The size and scope of the aesthetic marketplace
THE AESTHETIC MARKETPLACE
BACKGROUND
CORE SERVICES
Microdermabrasion
Chemical Peels
Medical Facials
Botulinum Toxin
Injectable Fillers
Hair Removal
Photorejuvenation
COMMON SERVICES
Cellulite Reduction
Tissue Tightening
Laser Resurfacing
Injection Lipolysis
CONCLUSION
REFERENCES
3 Aesthetic marketplace economics: Trends and performance of the top performing aesthetic medical procedures
OBJECTIVE ECONOMIC DATA: PARSING THE ASAPS COSMETIC SURGERY NATIONAL DATA BANK STATISTICS
Methodology
Market Overview and Assessment
Breaking Down the Economics of Surgical and Nonsurgical Proceduresa
Breast Augmentationb
Lipoplastyc
Faceliftd
Abdominoplastye
Breast Reduction (Women)
Botoxf
Laser Skin Resurfacing
Hyaluronic Acid (Injectible)g
Laser Hair Removalh
Chemical Peel
CONCLUSION
4 Photography for the aesthetic patient
PRINCIPLES OF PHOTOGRAPHY
Aperture
Shutter Speed
Depth of Field
Focal Length
Single Lens Reflex (SLR)
Through the Lens (TTL)
ISO
DIGITAL CAMERA MODES AND WHAT THEY REPRESENT
Aperture Priority
Shutter Priority Mode
Manual Mode
Program Mode
Symbol of Person Running
Symbol of Mountains
Symbol of a Person’s Profile
Symbol of Flower (Macro Mode)
WHAT TO LOOK FOR IN A DIGITAL CAMERA
Optical Viewfinder on a Digital Compact Camera
Optical Viewfinder on a Digital SLR Camera 
LCD on a Digital Compact Camera 
Electronic Viewfinder (EVF) on a Digital Compact Camera 
Video Capability
Flash Options
CONSIDER THE PATIENT
PATIENT PREPARATION
Photographic Consent
Attention to Detail
Standardized Views
POSITIONING AND ALIGNMENT
Head Positioning: The Frankfort Plane vs. the Natural Horizontal Facial Line
The Frankfort Plane 
The Natural Horizontal Facial Plane 
Lateral Face Alignment
LIGHTING
Generalized Lighting
Facial Lighting
Cellulite Lighting
FOCAL LENGTH AND CAMERA TO SUBJECT DISTANCE
Simplify Background with Backdrop
CONCLUSION
REFERENCES
5 Ergonomics for an aesthetic office
INTRODUCTION
BENEFITS OF ERGONOMIC PRINCIPLES
Comfort
Safety
Accessibility
Quality of Care/Efficiency of Procedures
Reputation and Perception
GROWING IMPORTANCE OF ACCESSIBILITY
CONSIDERATIONS FOR THE AESTHETIC OFFICE
Entrance and Lobby
Exam and Procedure Rooms
Lighting
Physician Stool
Procedure Table or Chair
Casework/Cabinetry
Monitors
Staff Awareness and Training
CONCLUSIONS
6 Interviewing the cosmetic patient
INTRODUCTION
THE MEDICAL INTERVIEW
CONSULTATION SUCCESS STARTS WITH EDUCATION
INTERVIEWING AS PART OF THE COSMETIC CONSULT
MEDICAL HISTORY AS PART OF THE COSMETIC CONSULT
THE FIRST TIME COSMETIC PATIENTS VS. THE EXPERIENCED COSMETIC PATIENT CONSULT
PATIENTS WHO SHOULD NOT HAVE COSMETIC FACIAL REJUVENATION
A PLETHORA OF OPTIONS
REFERENCES
7 Red flag patients
“WHERE CAN I GET IT DONE THE CHEAPEST?”—THE BARGAIN HUNTER
“l WANT TO LOOK EXACTLY LIKE… ” THE PATIENT WITH UNREALISTIC EXPECTATIONS
“HOW ABOUT 10% OFF DOCTOR?”—THE CHEAP PATIENT
“DOCTOR, CAN’T WE GET MY INSURANCE TO PAY FOR IT?”—THE MANIPULATOR
“IT HAS TO BE PERFECT!”—THE PERFECTIONIST
“DOCTOR, I CAN’T MAKE UP MY MIND”—THE INDECISIVE
“DOCTOR, YOU ARE SO GREAT!”—THE SEDUCTIVE PATIENT
“YOU ARE THE ABSOLUTE BEST IN YOUR FIELD”—THE EXCESSIVELY COMPLIMENTARY PATIENT
“DO I HAVE TO SHOWER BEFORE THE PROCEDURE?”—THE PATIENT WITH POOR HYGIENE
“I CAN ONLY COME IN AT NOON FOR JUST 20 MINUTES, TOPS!”— THE VIP PATIENT
“LET ME TELL YOU ABOUT ME”—THE LOQUACIOUS PATIENT
“I KNOW I AM GOOD LOOKING”—THE NARCISSIST
“YOU’RE THE EIGHTH DOCTOR I HAVE SEEN”—THE DOCTOR SHOPPER
“I THINK I NEED ANOTHER PROCEDURE”—THE SURGIHOLIC
“I AM GOING TO SUE THAT QUACK”—THE LITIGIOUS PATIENT
REFERENCES
8 Internal marketing
OVERVIEW
Definition
Advantages of Internal Marketing
Methods Discussed
BUILDING A COSMETIC BRAND
Defining the Cosmetic Brand
Delivering a Cosmetic Brand to Patients
Explicit Brand Building
Implicit Brand Building
CAPTURING PATIENTS WHO ARE PREDISPOSED TO COSMETIC TREATMENTS
Identify Patients Who Want Cosmetic Services
Use a Cosmetic Interest Form at Check-in
Discuss the Cosmetic Form with Patients
Reputation Is Everything
Focus on the Relationship
STIMULATING NEW COSMETIC INTEREST IN EXISTING PATIENTS
Educate Patients About the Offerings of the Practice
Take Polite Advantage of a Captive Audience
Show Off Good Results
Offer Cosmetic Consultations
Host Group Seminars
MAINTAINING STRONG OVERALL RELATIONSHIPS WITH PATIENTS
Newsletters
Digital Marketing
Patient Appreciation
CONCLUSION
Key Lessons from This Chapter
Apply These Lessons in Practice
9 Financial benchmarking for the aesthetic medical practice
FINANCIAL HEALTH OF THE PRACTICE
INSPECT
INTERNAL ASSESSMENT
Evaluate
COSMETIC MEDICAL PRACTICE BENCHMARKS: INCOME
NET COLLECTED REVENUE PER FULL TIME EQUIVALENT PHYSICIAN
REVENUE RATE PER HOUR PER FTE PHYSICIAN
Example
NET COLLECTED REVENUE PER FTE AESTHETICIAN
RETAIL PRODUCT SALES
COSMETIC MEDICAL PRACTICE BENCHMARKS: EXPENSES
OPERATING EXPENSE RATIO
NON-PROVIDER PAYROLL RATIO
Example
RENT EXPENSE RATIO
Example
MARKETING EXPENSE
Example
TACTICAL OPPORTUNITIES
Example
EXTERNAL PROFESSIONALS
Example
EXPENSE CONTROL: NEW OPPORTUNITY
TACTIC: CREATE A BUDGET
SUPPLEMENTAL INFORMATION
10 Forms, forms, forms
PRE-OPERATIVE
FINANCIAL AGREEMENTS
EXAMINATION/PROGRESS NOTES
CONSENT FORMS
POST-OPERATIVE CARE SHEETS
CONCLUSION
11 Skin type classification systems: Cosmetic consideration and planning for procedures
CHANGING GLOBAL DEMOGRAPHICS
ROBERTS SKIN TYPE CLASSIFICATION SYSTEM
Clinical Patient Example 1
Clinical Patient Example 2
Clinical Patient Example 3
PREVENTION OF DYSPIGMENTATION AND SCARRING IN AT RISK PATIENTS
DYSPIGMENTATION
PERIPROCEDURAL INTERVENTION TO AVOID ERYTHEMA AND DYSPIGMENTATION
SCARRING
PERIPROCEDURAL INTERVENTION OF SCARRING
RETINOIDS
SILICONE GEL/SHEETING
IMIQUIMOD
VITAMIN E
ONION EXTRACT
SUMMARY
REFERENCES
12 When non-invasive is not enough: Limits to individual treatments
INTRODUCTION
MECHANISMS AND CLASSIFICATIONS OF AGING
LASER SKIN RESURFACING OR DEEP PEELING
BLEPHAROPLASTY
BROW LIFTING
FACE AND NECK LIFTING
COMBINATION PROCEDURES
INJECTABLES, TOXINS, LASER, AND SKIN CARE POST SURGERY
LONG-TERM RESULTS
CONCLUSION
REFERENCES
13 Complications A to Z
INTRODUCTION
BOTULINUM TOXIN COMPLICATIONS
Non-Specific Complications
Forehead
Glabella
Crow’s Feet
Infraorbital Region
Lower Face
Neck
Other Safety Considerations
INJECTABLE FILLER COMPLICATIONS
Non-Specific Comp6lications
Injector-Dependent Adverse Outcomes
Nodules
Tyndall Effect
Infection
Inflammatory Reactions
Product Migration
Vascular Compromise
Neovascularization
LASER COMPLICATIONS
CONCLUSION
REFERENCES
14 Botulinum toxins type A: Advanced techniques
PHARMACOLOGY
AVAILABLE PREPARATIONS OF BTX-A
DOSING, TOXICITY, AND IMMUNOLOGY
CONTRAINDICATIONS AND PRECAUTIONS
CLINICAL USE OF BOTULINUM TOXIN A
The Upper Face
The Fronto-glabellar Complex
Anatomy and Physiology
Injection Technique
Complications
The Lateral Ocular Canthi
Anatomy and Physiology
Injection Technique
Complications
Midface
Nasolabial Fold
Anatomy and Physiology
Injection Technique
Complications
The Lower Face
Perioral Region
Anatomy and Physiology
Injection Technique
Complications
The Neck
Anatomy and Physiology
Injection Technique
Complications
REFERENCES
15 Botulinum toxin in the management of focal hyperhidrosis
SWEATING
HYPERHIDROSIS
MEASURING HYPERHIDROSIS
THERAPY
BOTULINUM TOXIN THERAPY
AXILLARY HYPERHIDROSIS
PALMAR HYPERHIDROSIS
PLANTAR HYPERHIDROSIS
FACIAL HYPERHIDROSIS
GUSTATORY SWEATING (FREY’S SYNDROME)
OTHER SWEATING DISORDERS
ROSS SYNDROME
Localized Unilateral Hyperhidrosis
USE OF BOTULINUM TOXIN TYPE B FOR HYPERHIDROSIS
FUTURE DIRECTIONS
REFERENCES
16 One syringe wonder
WHEN TO SAY “NO,” HOW TO SAY “THAT IS ALL I CAN DO,” WHY TO SAY “YOU NEED IT HERE INSTEAD”
PRODUCT SELECTION
STRETCH THE ONE SYRINGE
SUMMARY
REFERENCES
17 Hyaluronic acid fillers
INTRODUCTION
SCIENCE OF HYALURONIC ACID FILLERS
hyaluronic acid fillers: options
PRACTICAL APPLICATIONS
COMPLICATIONS
SUMMARY
REFERENCES
18 Calcium hydroxylapatite dermal filler for aesthetic correction of face and hands
INTRODUCTION
COMPOSITION AND MECHANISM OF ACTION
DURABILITY, EFFICACY, AND COMPARABILITY
Collagen
Hyaluronic Acids
Radiesse and Persons of Color
INDICATIONS
PATIENT COUNSELING AND EVALUATION
PRETREATMENT ANESTHESIA AND RADIESSE-LIDOCAINE MIXING
GENERAL GUIDELINES FOR RADIESSE INJECTION TECHNIQUES
TIPS FOR SUCCESSFUL TREATMENT
NASOLABIAL FOLDS
MIDFACE/CHEEKS
SUBMALAR CHEEK HOLLOWS
NASAL SCULPTING
MARIONETTE LINES, ORAL COMMISSURE
PRE-JOWL SULCUS
CHIN RECESSION
CUTANEOUS LIP LINES
HANDS
POST-OPERATIVE TREATMENT
OTHER APPLICATIONS
CONCLUSION
ACKNOWLEDGMENTS
REFERENCES
19 PLLA (Sculptra)
PLLA OVERVIEW
Introduction
Mechanism of Action
Safety History
Duration of Effect
INDICATION: TREATMENT OF LIPOATROPHY IN PATIENTS WITH HIV
Treatment of Lipoatrophy in Patients with HIV
Patient Selection
PLLA-Injection Preparation
Treatment Plan
Injection Technique
Injection Steps
Operative Steps
Results
TREATMENT OF LIPOATROPHY CAUSED BY THE AGING PROCESS IN HEALTHY INDIVIDUALS
Safety and Efficacy History
Patient Selection
PLLA Injection Preparation
Treatment Strategy: The Atrophy/Hypertrophy Model for Aging
Injection Technique
Injection Steps
Results
TREATMENT OF LOCALIZED FACIAL LIPOATROPHY FOR OTHERWISE HEALTHY YOUNG INDIVIDUALS
Patient Selection
Treatment Strategy
Injection Technique
Injection Steps
OFF-LABEL USE: REJUVENATION OF THE HANDS
Legal and Ethical Considerations for Using PLLA Off-Label
Patient Selection
Injection Technique
Injection Steps
OFF-LABEL USE: CORRECTION OF FOOT PROBLEMS
Patient Selection
Injection Steps
SUMMARY
REFERENCES
20 Permanent fillers
LIQUID SILICONE
Mechanism of Action
Indications
Efficacy and Safety
Technique
POLYMETHYLMETHACRYLATE
Mechanism of Action
Indications
Efficacy and Safety
Technique
INVESTIGATIONAL PERMANENT AGENTS: HYDROGEL POLYMERS
Mechanism of Action
Indications
Efficacy and Safety
Technique
REFERENCES
21 Liposuction my way
THE CONSULTATION
PRE-OPERATIVE PHASE
THE DAY OF SURGERY
CASE STUDY A
The Procedure
CASE STUDY B
CASE STUDY C
CASE STUDY D
CASE STUDY E
Misconception 1. If you have liposuction you are going to die.
Misconception 2. Laser-assisted liposuction is a lunch time procedure.
Misconception 3. Liposuction is a method of weight reduction.
Misconception 4. If you have liposuction and gain weight it will grow back in the same place.
CONCLUSION
BIBLIOGRAPHY
22 Chemical peeling
HISTORY
PRE-OPERATIVE PREPARATION FOR CHEMICAL PEELING
PRE-TREATMENT WITH TRETINOIN FOR CHEMICAL PEELS
ALPHAHYDROXY ACIDS
SUNSCREENS
HYDROQUINONE
ANTIVIRAL PROPHYLAXIS
PHOTOGRAPHY
CONSENT
CONSULTATION
SUPERFICIAL CHEMICAL PEELS
Pre-operative Considerations
Post-operative Care
Superficial Peeling Agents
Trichloroacetic Acid 10% to 25%
Jessner’s Solution
Alphahydroxy Acids
Salicylic Acid
Optimizing Outcomes of Superficial Peels
TECHNIQUE MEDIUM DEPTH PEELS
Post-operative Care
Optimizing Outcomes
DEEP CHEMICAL PEELING
Pre-operative Preparation
NON-FACIAL PEELS
COMPLICATIONS 
Pigmentation (Hypopigmentation/Hyperpigmentation)
Milia
Prolonged Erythema
Infection
Scarring
Systemic Complications
REFERENCES

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