Aesthetic Practitioner Guide

Today in all areas of professional development and continued education there is a healthy choice of providers. That said in choosing a training provider one should always search for a provider that will provide

At Facial Aesthetic Courses, we are confident that we meet all of the foregoing statements and offer what we deem to be training at the highest level. Training that is fit for purpose, hands on and exceptional value for money.

  • Training that will meet the learning need and training requirements to meet a desired outcome
  • A training Provider that provides a facility of ongoing support and advice
  • A training provider that provides further advanced training to enable continued advanced CPD
  • A training provider that not only offers good value for money but one that also respects and rewards consumer loyalty.

Contents

1 Introduction

  • Introduction to Facial Aesthetic Courses
  • Values & Mission

2 What is Facial Aesthetics?

  • Treatments
  • Patients

3 The Aesthetics Industry

  • Stakeholders, regulators, associations and organisations

4 Getting Started

Introduction

So, who are Facial Aesthetic Courses and what do they do? Founded in 2015 by Dentist’s Dr Andrew Culbard and Dr Peter Mcquillan, Facial Aesthetic Courses was established to provide bespoke facial aesthetics training in the United Kingdom.

Mission Statement:

Our philosophy is to share knowledge, not monopolise it. Our vision is to provide a unique learning platform for professionals; with pre-course e-learning, video tutorials, verifiable online CPD, and most importantly continuing support and advice throughout your practicing career. As such we encourage you to join us not on a one off course, but to become part of an elite network of professionals who share this same vision and enthusiasm. Let us learn and develop together.

The company has four core values:

  • Patient Safety
  • Clinical Excellence
  • Educational Excellence
  • Networking

FAC Values

1. Patient Safety

Patient safety has always been our primary focus not more so than today. In a rapidly expanding industry growing by 15% year on year, the number of non-surgical cosmetic procedures being performed and the risk to patients has grown exponentially.

Our policies that support patient care include:

  • Training restricted to Registered Health Professionals
  • Training Practitioners are registered Health Professionals as well as experienced Aesthetic Practitioners
  • Training that focuses on safe practice and patient Care

2. Networking

At FAC we consider networking with like-minded professionals and supporting industries as a key component to continued success and learning.

We want to connect practitioners with each other, to ensure that our learners don’t practice in isolation and without support.

We want our learners to be part of and engage in our networking hubs to complement and enhance training experiences by connecting, sharing and learning with other practitioners within the industry.

This will also provide an opportunity to engage with those who support the industry. Our network of pharmacies, insurers, distributors provides a full collaborative, collective support facility available to all at every stage of their Aesthetic career.

3. Clinical Excellence

As health care professionals we believe that patient care, high standards of practice, knowledge and training are key components in delivering excellent clinical outcomes.

As an aesthetic training provider we aim to mirror this approach with our focus to deliver training material that meets every component, that promotes and instills the importance of each as well as teaching the necessary skills to deliver successful outcomes.

We will meet this by ensuring that our courses are tailored to the needs of our students, and meet UK regulatory standards as well as endorsing and promoting:

  • High standards of clinical practice on patient care
  • Gold standard treatment protocols developed by industry leaders
  • Focus on patient safety and treatment outcomes

8. Educational Excellence

When starting on our aesthetic training journey we identified a gap in the training market for a more bespoke, hands on training platform.

`Necessity, the mother of invention` fell true and Facial Aesthetic Courses was born.

Today, as the industry has grown, so too has the training market. However, 6 years on FAC confidently believe that our training is second to none and holds a unique position in the training market

Our vision is the same today as it was in the beginning- to provide a unique learning platform for professionals; with pre-course e-learning, video tutorials, verifiable online CPD, and most importantly continuing support and advice throughout a learner’s practicing career.

Our e-learning platform is a forerunner in online aesthetic education providing both measurable and verifiable learning and development.

Our hands on courses are delivered in a methodical, staged approach with low student to lecturer ratio. Live patient models are provided to complete the hands on injecting experience, with diverse injecting experience guaranteed.

What are Facial Aesthetics

Facial Aesthetics is a term used to describe a broad range of minimally invasive non- surgical treatment procedures that are designed to make noticeable but subtle enhancements to a person’s appearance.

There are many other terms used to describe these treatments, such as “Medical Aesthetics, Aesthetic

Medicine, or Non-Surgical Cosmetics.”

Treatments can be divided into subgroups. These include,
but are not limited to:

Skin Treatments

  • Topical & Self Applied
  • Chemical Skin Peels
  • Micro-needling & Mesotherapy
  • Bioremodelling HA Fillers
  • Platelet Rich Plasma (PRP)

Energy & Device Based Treatments

  • Lasers and LED Treatments
  • Cryotherapy
  • Ultrasound & Radiofrequency
  • Plasma & Thermal Treatments
  • PDO Threads

Injectable Treatments

The question is, which treatments should a practitioner offer and where do they begin?

Botulinum Toxin and Hyaluronic Acid Dermal Fillers termed as “the injectables” in the industry, are by far the most popular treatment for patients, and revenue generating for practitioners. As such, many practitioners and training providers focus and limit their services to these aesthetic treatments.

In order to provide a holistic approach for patients, it is essential to base treatment choices on an in-depth consultation, confirming suitability, expected outcome and of course advising of possible post procedural complications while utilising underlying knowledge to
provide advice and a treatment plan.

In recognition of the importance of full consultation and consideration of patient choice our teaching always begins with the underlying essential knowledge of anatomy, tissue physiology, ageing concepts, and product science. This ensures delegates understand the limitations of toxin and fillers, and the benefits of other treatments modalities such
as skin and device based therapies.

FAC currently only provide injectable training, however our business model and company values are much broader. We openly discuss the need to understand all of the options for patients, and advise where practitioners might find training and opportunity to broaden their treatment expertise

Aesthetics Industry

The Industry:

A relatively new industry around 25 years in the making it has developed rapidly in line with technological and product advancements and the subsequent public demand for less invasive treatments.

Once a sub-specialty of industries such as dermatology and plastics, today we can see it has become established as a separate, unique discipline.

Statistically there an an 10,000 healthcare practitioners carrying out treatments in the UK, and roughly the same number on non-medical beauty professionals who offer treatments including skincare and device based therapies such as lasers.

Concern on an over saturated market is negated with a year on year growth of 10-15%.

Regulation.

Currently in the UK, the sector is still unregulated However amongst the regulated and registered practitioners, Facial Aesthetic Courses have criteria for course entry whereby training is only open to registered healthcare professionals.

Across the world, a variety of healthcare practitioners have become providers of aesthetics treatments

  • Health Care Practitioner: ( Doctor, Dentist, Dental Therapist, Registered Nurse, Registered Midwife, Prescribing Pharmacist) ensuring medical training with Undergraduate Bachelors Degree as a minimum
  • Registered with Regulatory Body: ( GMC, GDC, NMC etc) ensuring practitioners are deemed safe and accountable
  • Prescribing Rights: Practitioners either have a prescribing license or work closely with someone who does. Although HA fillers are a medical device, meaning no script is required, emergency drugs and reversal agents are Prescription Only Medications and are
    deemed essential.

The Industry Network & Stakeholders :

It is important for our delegates to have an understanding of how the aesthetics industry works, and know the market leaders.

Botulinum Toxin Manufacturers :

Botulinum Toxin is a prescription only medicine (POM) . POM products have undergone significant research, development and clinic trials to gain FDA approval and EU licensing.

There are 3 Botulinum Toxin products manufactured in Europe and North America;

Allergan – Toxin –Botox

Galderma – Toxin –Azzalure

Merz Aesthetics – Toxin –Bocouture

Each of these companies also manufactures a portfolio of Hyaluronic Acid Dermal Fillers setting them apart as the leadings aesthetic pharmaceutical companies in the world.

Hyaluronic Acid Filler Manufacturers:

In Europe and the UK, fillers are non-prescription medical devices. They require a CE mark, which regulates adherence to production standards, but does not require any demonstration of medical eficacy. As a result, there are over 140 injectable fillers in the UK/European market and only six approved for use in the US where FDA approval is required.

Although not a requirement, gaining FDA approval does show a higher level of research and development, and as such we recommend choosing a filler from one of those companies.

Allergan – Filler –Juvederm

Galderma – Filler –Restylane

Merz Aesthetics – Filler –Belotero

Teoxane – Filler –Teosyal RHA

Medical Cosmetic & Medical Device Companies:

There are hundreds if not thousands of cosmetics and device companies that manufacturer everything from hyaluronic acid fillers and topical cosmeceuticals for the EU and rest of the world from machines such as lasers, radiofrequency, ultrasound, plasma, cryotherapy, injection devices and much more.

Manufacturers use third party distributors to sell their products.

Exceptionally, prescription only medicines (POM) such as Botulinum Toxin can only be obtained through an Aesthetic Pharmacy

Pharmacies:

The leading UK aesthetic pharmacies are

Healthxchange

Wigmore Medical

MedFx

Church Pharmacy

Associations & Voluntary Organisations:

There are various organisations and associations which have been established to help practitioners and unite the industry.

Save Face– List of registered safe practitioners

Aesthetics Complications Expert Group (ACE Group):– The ACE Group was developed as a not for profit organisation to help improve patient safety by producing evidence-based, peer reviewed guidelines for the management of a wide variety of complications that can be caused by non-surgical cosmetic procedures and to provide help and advice for practitioners that run into dificulties

Associations include but are not limited to:
British Academy of Cosmetic Dentists (BACD) British Academy of Cosmetic Nurses (BACN), British College of Aesthetic Medicine (BCAM), British Association of Dermatologists (BAD), British Association of Aesthetic Plastic Surgeons (BAAPS) and British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS)

Joint Council of Cosmetic Practitioners (JCCP)
The Joint Council for Cosmetic Practitioners (JCCP) launched in the House of Lords in February 2018 and is the organisation which has carried forward the Health Education England (HEE) guidelines and oversees education standards. JCCP runs a voluntary register of practitioners who are qualified to the standards outlined by HEE

Regulatory Bodies:

Each practitioner is bound by the professional standards of their statutory regulatory body, ie the General Medical Council (GMC) , General Dental Council (GDC) and Nursing & Midwifery Council (NMWC).

Getting Started

What next? Becoming an experienced practitioner will not happen overnight and will require in depth training and practice together with a forward plan. Now that you know about the industry, it is time to consider where you might fit into all of this. Whether you are just starting out or have been running your aesthetics practice for a while, business planning is key to establishing a sustainable, profitable and successful business. A business plan provides a flexible structure and a framework to refer back to as your business grows. Invest time in creating your own business plan to ensure that you are fully committed to your goals and the strategies through which you are aiming to achieve them. Creating a business plan helps to clarify your business idea, spot potential problems, set out your goals and strategies and measure your progress. It should also inform potential stakeholders of your plans, for example by convincing customers, suppliers and potential employees to support you. Crucially, it is instrumental in securing investment or a loan from the bank.

See our Facial Aesthetic Courses Business Plan Guide on
our website.

Insurance & Indemnity:

As part of your business planning, it is essential to research the type of insurances that you will require to practice. This includes medical indemnity or malpractice insurance to protect yourself from claims.

For practitioners starting up , you will require an individual policy and can choose a broker such as Hamilton Fraser or Cosmetic Insure or a direct Insurer such as Hiscox. For dentists, dermatologists or plastics, you may be able to add certain procedures to your existing Medical or Dental Indemnity policies. Usually this not included as standard,
and will increase policy premiums.

We would recommend contacting as many as possible and comparing the policies and prices to determine which best suits your business.

Moreover, you may require other insurances such as public liability insurance and buildings and contents insurance for your premises.

Clinical Premises:

In Scotland, new regulations were published in 2018 by Healthcare Improvement Scotland (HIS), for the regulation of independent hospitals and clinics. Consequently any private clinic to be established by a health care professional (medical doctor, dentist, dental therapist, nurse, midwife or clinical pharmacist) must register with HIS and undergo an inspection. Registration is fairly straightforward but does come at a price. Practitioners are allocated a reasonable about of time to complete the application while setting up and working on their business. You may also be granted practicing privileges may also be granted at an existing HIS registered clinic.

It is worth remembering NHS premises are exempt (such as NHS Dental or Medical Practices), as they are inspected under an NHS practice inspection scheme.

In England, Wales and Ireland no such regulation currently exist (March 2020), allowing practitioners to establish clinics in premises such as Beauty & Hair Salons, private treatment rooms and even from home. In such cases, you should look toward your local authority for rules and regulation. The Care Quality Commission (CQC) is currently the closet form of regulation in this regard, and may we worth consulting with prior to setting up a clinic. Another option is to apply for a position at an established aesthetics clinic. The added benefit here is that you would be privileged to support and mentoring from the other practitioners at the clinic, and have exposure to a large patient base.

Having a professional CV and portfolio, and training certificates from a reputable training company such as FAC should place you in a favourable position for employment.

Training & Education

The range of training options are vast and can vary from one day fast track “Botox and Filler” courses to two year post graduate university degrees.

As we have already identified, Facial Aesthetic is now a discipline of its own. As such it demands the respect of an adequate in-depth education training standard to support clinical practice.

Currently there is no law or regulation stipulating training qualification for practice. So as you set out on your training journey, how do you choose?

At Facial Aesthetic Courses our training delivers the excellence the aesthetic discipline commands, providing courses of the highest level which are both extremely hands on, educational and exceptional value for money. Our online learning platform offers a wealth of theoretical knowledge delivered in a user friendly manner, and allows delegates to be monitored and tested, covering everything you need to know to become a safe and ethical practitioner. Our hands on courses then allow for practicing the necessary skills and building the confidence require to start treating patients.

We provide a learning path with a tiered training structure that support a journey from foundation to core masterclasses in 4 fundamental treatment areas before progressing to the advanced masterclass courses that are available to those with a full years practical experience. All in all a framework that enables and supports practitioners throughout their continued aesthetics development.

Learning Outcomes

E-Learning – Essential Courses

The aesthetics industry hosts a variety of practitioners from different professional backgrounds including doctors, dentists, nurses, midwives and pharmacists, each bringing their own individual knowledge and skills.

At FAC we want to ensure our learners have a standardised level of knowledge and understanding at the outset. We enable this learning via our e-learning platform that provides mandatory pre-course reading and self tution. Our essential modules; anatomy and complications ensure practitioners have a standardised level of knowledge that prepare and
enabled safer injectors.

1.0 Facial Anatomy Module

(1.1a) Layers of the face and neck
(1.1b) Skeletal Anatomy
(1.1c) Vascular Anatomy
(1.1d) Deep Fat
(1.1e) Superficial Fat
(1.1f) Muscular Anatomy
(1.1g) True and cutaneous ligaments
(1.1h) Skin & Dermal Anatomy
(1.1i) Danger Zones in aesthetic medicine

2.0 Complications Module

(2.1a) Dermal Filler Immediate On Set
(2.1b) Dermal Filler Induced Visual Loss
(2.1c) Vascular occlusion and impending necrosis
(2.1d) Hyaluronidase & Reversal Protocol
(2.1e) Dermal Filler Delayed & Late On Set
(2.1f) Botulinum Toxin Complications
(2.1g) General Medical Emergencies

Level 1 Foundation Courses

3. Botulinum Toxin Foundation Course

3.1 Introduction to Botulinum Toxin
(1a) History & timeline
(1b) Licensing and FDA approval

3.2 The Active Substance Botulinum Toxin
(3.2a) Introduction and History of toxin
(3.2b) Structure and Serotyoes
(3.2c) Mechanism of action and Duration of effect
(3.2d) Products and Dosage
(3.2e) Contraindications
(3.2f) Side effects and Toxicity

3.3 Patient History, Examination, Consent & Documentation
(3.3a) Medical History & Contraindications
(3.3b) Assessment
(3.3c) Documentation & Consent

3.4 The Treatment Protocol
(3.4a) Materials and Accessories
(3.4b) Preparing the Solution
(3.4c) Injection Technique
(3.4d) Pre and Post Treatment of the face
(3.4e) Management of adverse treatment effects

3.5 Anatomy & Ageing
(3.5a) Muscular Anatomy
(3.5b) Vascular Anatomy
(3.5c) Skin Anatomy
(3.5d) Skin Ageing

3.6. Upper Face Treatment Areas
(3.6a) Anatomy overview of the areas
(3.6b) Forehead Lines
(3.6c) Frown Lines
(3.6d) Eyebrows
(3.6e) Lateral Canthal Lines
(3.6f) Bunny Lines

4.0 Hyaluronic Acid Foundation Course

4.1 Hyaluronic Acid Dermal Fillers
(4.1a) The role of Hyaluronic Acid in the body
(4.1b) The science of Hyaluronic Acid Fillers
(4.1c) Manufacturing of Hyaluronic Acid Fillers – crosslinking

4.2 Understanding rheology and filler properties

4.3 Concepts of Facial Ageing
(4.3a) Skin Ageing
(4.3b) Volume Changes & Redistribution

4.4 Facial Anatomy
(4.4a) The Layers
(4.4b) Vascular Anatomy

4.5 The Process
(4.5a) Medical History
(4.5b) Facial Assessment
(4.5c) Treatment planning
(4.5d) Injection Strategies
(4.5e) Case Studies

4.6 Foundation Filler Treatment Areas
(4.6a) Simple Lip Enhancement
(4.6b) Simple Lip Rejuvenation
(4.6c) Perioral Lines & Oral Commisure

Level 2 Core Masterclasses

5.0 Mid Face Masterclass

5.1 Introduction to Midface
(5.1a) Mid face introduction
(5.1b) Mid Face Boundaries

5.2 Midface Assessment
(5.2a) Mid face assessment techniques
(5.2b) Gendre and ethnicity variables
(5.2c) Midface Ageing concepts
(5.2d) Midface Anatomy

5.3 Mid-face treatment strategy
(5.3a) Treatment Areas – NLF, Medical Cheek, Lateral Cheek
(5.3b) Treatment Goals
(5.3c) Injection techniques – Needle & Cannula
(5.3d) Product Indications

5.4 Midface Complications
(5.4a) Mid-face complications & management

6.0 Lip and Perioral Masterclass

6.1 Introduction to Lip and Perioral Area
(6.1a) Lip & perioral introduction
(6.1b) Boundaries

6.2 Lip Assessment
(6.2a) Assessment techniques
(6.2b) Gendre and ethnicity variables
(6.2c) Ageing concepts
(6.2d) Localised Anatomy

6.3 Lip and perioral treatment strategy
(6.3a) Treatment Areas – Lip enhancement, Lip rejuvenation,
Perioral rhytids, oral commissures, Labiomental Fold
(6.3b) Treatment Goals
(6.3c) Injection techniques – Needle & cannula
(6.3d) Product Indications

6.4 Lip & Perioral Complications
(6.4a) Complications & management

7.0 Chin and Jawline Masterclass
7.1 Introduction to Chin and Jawline
(7.1a) Chin and Jawline Introduction
(7.1b) Boundaries

7.2 Lower Face Assessment
(7.2a) Assessment techniques
(7.2b) Gendre and ethnicity variables
(7.2c) Ageing concepts
(7.2d) Localised Anatomy

7.3 Chin & Jawline treatment strategy
(7.3a) Treatment Areas – Chin Projection (AP & Vertical), Marionette, pre-jowl and labiomental fold, Angle of Mandible & Pre-Masseteric, Hammock Technique.
(7.3b) Treatment Goals
(7.3c) Injection techniques – Needle & cannula
(7.3d) Product Indications

7.4 Lower Face Complications
(7.4a) Complications & management

8.0 Advanced Toxin Masterclass

8.1 Introduction to Advanced Toxin
(8.1a) Lower face and neck introduction

8.2. Assessment
(82a) Lower Face Anatomy Revised

8.3 Advanced Toxin Treatment Area
(8.3a) Upper face brow lift
(8.3b) Gummy smiles
(8.3c) Down turned oral commisure & DAO
(8.3d) Cobblestone chin & Mentalis
(8.3e) Perioral – Orbicularis Oris
(8.3f) Jaw slimming & bruxism – Masseter
(8.3g) Jawline Nefertiti & Platysma Banding
(8.3h) Hyperhidrosis – Axillary

Level 3 Advanced Masterclasses

9.0 Tear Trough Masterclass

9.1Introduction to Tear Trough
(9.1a) Introduction to Tear Trough
(9.1b) Boundaries & Limitations

9.2. Tear Trough Assessment
(9.2a) Assessment techniques
(9.2b) Gendre and ethnicity variables
(9.2c) Ageing concepts
(9.2d) Localised Anatomy

9.3 Tear Trough treatment strategy
(9.3a) Treatment Areas – Cheek Projection & Vectoring, Tear
Trough, Later Lid-cheek (3b) Treatment Goals
(9.3c) Injection techniques – Needle & cannula
(9.3d) Product Indications

9.4 Tear Trough Complications
(9.4a) Complications & management

10.0 Non-Surgical Rhinoplasty Masterclass

10.1.Introduction to Non-Surgical Rhinoplasty (NSR)
(10.1a) Introduction to NSR
(10.1b) Boundaries & Limitations

10.2 NSR Assessment
(10.2a) Assessment techniques
(10.2b) Gendre and ethnicity variables
(10.2c) Ageing concepts
(10.2d) Localised Anatomy

10.3 NSR treatment strategy
(10.3a) Treatment Areas – Dorsal Hump Balancing, Radix Elevation, Tip Projection
(10.3b) Treatment Goals
(10.3c) Injection techniques – Needle & cannula
(10.3d) Product Indications

10.4 NSR Complications
(10.4a) Complications & management

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