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Aestheticians from the traditional day spa environment who are moving into a new medical spa environment have to learn and understand an entirely new way of documenting information as a ‘client’ transforms into a ‘patient’.

New Medical Estheticians who were used to simply stamping a time and date on treatments with occasional side notes, are now expected to chart anything and everything they say and do during a patient’s entire treatment. In addition to patient charting comes new treatment consent forms, HIPPA Forms, photography consent forms, payments, agreement forms, anatomical charting forms, and more.

Anyone who has contact with a patient, in immediate regards to their treatments, should be charting everything from follow-up phone calls, to letters mailed, to topicals used and the patient’s response, to laser settings and the patient’s response, patch tests, follow up appointments, and patient’s tolerances to therapies.

The once client file has now transformed into a medical record by all standards which could stand up in a court of law. Some aestheticians I have spoken with have not learned the art of charting and feel they should not be required to do so.

Why is it so important you ask? Unfortunately, there have been more horror stories hitting the media than stories of healing and hope, especially when it comes to therapies that involve lasers. These unfortunate circumstances are a catalyst of change to laser laws across the U.S. Whether the MD is on site or off, they (along with the therapist) can be held liable for any legal implications filed by a patient at the hands of a clinician or aesthetician.

While it may seem harsh, even the most skilled and brilliant esthetician should be terminated if they refuse to properly chart and document a patient’s care. The rule of thumb is just this… if you didn’t chart it, it didn’t happen.

If you’re performing medical treatments it’s up to you to know what your facility’s requirements are for charting, and what implications can arise if you fail to comply.

Medical Spa MD is a cosmetic medical community of Plastic Surgeons & Cosmetic Dermatologists with more than 4,200 medical spa members. Medical Spa MD offers medical esthetician training manuals and offers information on nonsurgical cosmetic medical technologies and treatments.

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The rise of laser treatments in laser clinics and med spas has led to accelerating advancements in aesthetic lasers. New and improved cosmetic lasers are entering the cosmetic medical market every few months. This quickening development curve is changing the classification criterion of aesthetic lasers every few months. Understandably, the following information is to be used only as a guideline and can’t be considered to be a current.

Cosmetic lasers that are used by med spas most often have low power outputs and are most commonly placed in the American National Standards Institute (ANSI) Class 2 of lasers. Another organization is the Laser Institute of America (LIA). The majority of cosmetic lasers fall into the ANSI Class 3 or 4 categories with most surgical medical lasers being in Class 4. Those used to perform aesthetic laser treatments are most often classified as Class II or III medical devices.

Class 1

Class 1 lasers are not considered to pose any hazards when operated according to normal conditions and includes lasers which are completely enclosed such as CD players, fiber-optics devices, and printers. These devices cannot have emissions exceeding the maximum permitted exposure (MPE) under any conditions are considered to be class 1 systems.

Still, problems can occur if the laser is outside of the enclosure.

Warning labels are required for this class inside the unit or underneath the cover.

Class 2a Lasers

Not many lasers qualify for this class of low-power, visible light lasers. Any laser in this class is considered to not pose a threat if the beam of light is directly viewed for periods of time less than 1000 seconds (about 16 minutes). Any visible light laser with a total output power less than 1 milliwatt, but greater than a few microwatts, may be class 2.

Class 2

These visible light lasers are intense enough that the cause the normal aversion response. (The aversion response is when the eyelids close, or the head moves in order to avoid the light.)

Class 3a

Class of lasers that includes those emitting ultraviolet or infrared light as well as visible light. All devices within the Class 1 AEL (Allowed Exposure Level) with laser output between .18μm and 1mm fall in this class. Common Laser pointers that are readily available are class 3a laser devices.

Class 3b Lasers

This class includes the same spectrum as class 3a, but increases the output level to that of Class 2 AEL.

Class 4 Lasers

Lasers with any power output that exceeds the Class 2 AEL.

As an aesthetician, you are now crossing the line from treating clients to treating patients. All the components of aesthetic care play an even more important role when designing a post-procedure treatment plan for the patient who just underwent a deep chemical peel for acne scarring. Or, the Rosacea patient who just completed her first intense pulse light treatment. It’s important to remember that you are the skin care expert in your recommendations of skin care products and regimens to your clients. However, you are also a critical adjunct to the physician who has planned an aggressive therapy treatment for his patient.

Medical Spa MD is a cosmetic medical community of Plastic Surgeons, Cosmetic Dermatologists, and Aesthetic Physicians with more than 3,500 physician members. Medical Spa MD offers Medical Esthetician Training and provides information on non-surgical cosmetic medical technologies and treatments.

[I:http://www.uniquearticlewizard.com/extras/pics/jeffbarsonimage16.jpg]Maintaining or improving your looks doesn’t have to mean having surgery. For individuals ready to get a fresh look, or simply correct a few stubborn problems, can have the appearance of their dreams without having to sacrifice excess amounts of money or time. Many laser clinic procedures provide the results that people are seeking without having them resort to complex procedures.

Tattoo removal, the eradication of unwanted body and facial hairs, blemishes or scars are all procedures that can be found at the laser clinic. This means that you can address numerous body areas without having to travel far, spend much, or plan long. Uni-brows can be done away with as can tattoos that turned out to be bad decisions.

Patients with chronic acne can receive treatments here as well. This can be a relief to those individuals that have tried multiple options without success. Stretch marks can be addressed as well. They are often eliminated in their entirety but are generally guaranteed to be significantly reduces. This is phenomenal news just at the start of beach season. Many women find that the multitude of available procedures offer them the confidence to wear their bikinis proudly.

Issues of skin pigmentation such as blotchiness or all around uneven skin tones will find solutions. Treatments can work well on all shades of skin. The benefits of this product see no boundaries based on color or texture of skin.

Treatments such as Botox, Dysport, Fraxel, Thermage, Fotofacial and IPL are available at laser clinics as well. In addition to the licensed laser technicians you will often find dermatologists and plastic surgeons on hand to perform or oversee procedures. Consultations can help you best decide which areas of your body you would like most to focus on.

Very few people will honestly say that they are 100% happy with their looks. There remains, however a huge disparity between the number of people that will, and the number of people that would prefer high risk surgery to far less complex methods. By researching a laser clinic in your are you could be well on the way to the you of your dreams.

Skin Clinic MD is a medspa community of Plastic Surgeons, Cosmetic Dermatologists, and Aesthetic Physicians with more than 4,500 medical spa members world-wide. Medical Spa MD offers physician resources like used cosmetic lasers & IPL listings and offers information on nonsurgical cosmetic medical technologies and treatments for skin clinic & laser clinic patients.

[I:http://www.uniquearticlewizard.com/extras/pics/jeffbarsonimage10.jpg]Everyone wants to be able to feel attractive, and feel like they are putting their best faces forward. This is perhaps the most evident reasons why the influx of people visiting plastic surgeons and a laser clinic has seen a steady increase over time. The road to beauty is a difficult one, however people are always looking for new ways to make themselves appear attractive to themselves and the opposite sex.

Laser clinics do not perform any surgeries, so if your looking for a cosmetic surgery to be performed, you are still going to need to follow up with a plastic surgeon. Most people generally visit a laser clinic because the procedure that they carry out are quick and relatively non-evasive.

The procedures that are performed within these clinics are all done on an outpatient basis. Customers can either schedule an appointment for a desired date, or walk in and schedule their appointment in this type of manner. The procedures that are carried out can help an individual change their appearance, but not in a manner that is extremely noticeable like with surgical procedures.

One popular procedure that is commonly carried out via a laser clinic is known as botox. Botox is a simple injection that can help eliminate wrinkles and also be used to help cease excessive perspiration as well.

Aside from botox, hair removal is also a popular task that is performed in one of these clinical settings. The area where the hair is removed from will be a decision that the customer will need to make. Generally this type of procedure is performed by a dermatologist or a plastic surgeon.

Men and women enjoy these clinics because they can carry out cosmetic tasks without being evasive. Cosmetic procedures are carried out within laser clinic daily. Most of the people that leave the clinics feel like a new person, simply because of the variety of beautifying tasks that these clinics perform.

Laser Clinic MD is a medspa community of Plastic Surgeons, Cosmetic Dermatologists, and Aesthetic Physicians with more than 4,500 medical spa members world-wide. Medical Spa MD offers physician resources like cheap cosmetic lasers and offers information on nonsurgical cosmetic medical technologies and treatments for skin clinic & laser clinic patients.

[I:http://www.uniquearticlewizard.com/extras/pics/jeffbarsonthumb1.jpg]Fractional laser skin resurfacing fans should be seeing and hearing a lot more around the Starlux 1540, Starlux 2940, Fraxel Repair, ActiveFX, and Fractional Skin Rejuvenation .

To figure out the significance of the completely new laser skin resurfacing systems some minimal understanding of the technologies of cosmetic laser skin rejuvenation treatments as well as older aesthetic laser skin treatments may be a good start.

Fraxel Laser Dermis Resurfacings Preceding Devices

CO2 laser resurfacing was considered the earliest non ablative fractional device for a cosmetic medical market. It’s already been upgraded since first getting released and is normally superseded by plenty of other fractional laser skin resurfacing systems such as the Starlux 1540 and 2940 from Palomar Healthcare.

Laser skin rejuvenation is definitely a swiftly progressing industry that intersects aesthetic dermatology and old fashioned cosmetic surgery. Swift enhancements and breakthroughs in technological innovation are developing frequently. The blessing for patients claims to be an increase in the performance of fractional laser procedures and much less down time and likely unwanted effects.

Fractional laser technologies seem to be expanding in to affiliated aesthetic arenas such as skin tightening in which fraxel procedures contend with RF treatment methods similar to Thermage, and eventually to fat and cellulite treatments.

Treating Specific Cosmetic Medical Conditions:

1. Reliants Ultrapulse DeepFx is best for deep vertical lip (smokers) lines, deep and moderate wrinkles, and acne scars. Ultrapulse DeepFx treats deep and stimulates more collagen and ablates more tissue for more tightening.

2. Reliants ActiveFx is better for more superficial pigment and more surface textural problems since it does not penetrate as deeply as the Ultrapulse DeepFx.

3. Stria (Stretch Marks): Use ActiveFx: 80-100 mj, density 1-2 (use Density 2 for thicker Stria). Do NOT use the DeepFx for Stria.

4. Melasma: Medical experts are not sure it will work and do not recommend treating Malasma at this time. This may change however since they’re experimenting with it. Melasma is a whole topic by itself.

5. Tattoos: DeepFx might be good for resistant Tattoos that have resisted other treatments.

Medical Spa MD is a medspa community of Plastic Surgeons, Cosmetic Dermatologists, and Aesthetic Physicians with more than 3,500 medical spa members world-wide. Medical Spa MD offers physician resources like used cosmetic lasers & IPL listings and offers information on nonsurgical cosmetic medical technologies and treatments for skin clinic & laser clinic patients.

[I:http://www.uniquearticlewizard.com/extras/pics/jeffbarsonimage20.jpg]Everyone constantly have the passion to look their best constantly, this could be the reason you’ll notice many more individuals going to go to the local laser clinic now than ever before. Nevertheless, before you actually choose to go to one of these laser centers it’s quite important that you possess a greater awareness of the kinds of nonsurgical aesthetic medical treatments that these laser centers use.

For a start, a medspa can be a medical center which handles non-surgical forms of treatments, in order to help people to achieve their own desired appearance. There are many of different treatments these clinics employ, like IPL laser hair removal, Thermage, CO2 facial resurfacing, Botox injections, Dysport, Juvederm treatments, Restylane, IPL and laser treatments, and even spa treatments such as massage and waxing.

Often the procedures usually are non-invasive and clients having the procedures are usually discharged from the laser center shortly after a treatment. To give you a general idea of the kinds of procedures you would assume to get within one of these laser clinics, you need to go through the following.

Botox is one single treatment that is always going to be found in these types of skin clinics. This kind of treatment can be utilized for a number of distinct aesthetic reasons. Which include, eliminating excess sweat, by injecting regions under the armpits along with reducing lines and crow’s-feet.

Laser hair removal is another widespread process that is performed throughout these facilities. Just as its term signifies, hair removal removes unattractive amounts of hair that individuals don’t like. Mostly, the women which go to these laser clinics will request to have unwanted hair taken off their thighs, armpits and forearms. A man might also request similar procedures.

Both men and women can benefit from consulting one of these medical spas . Almost all aesthetic treatment is normally completed by cosmetic surgeons and also dermatologists to be sure the safety of their patients.

Laser Clinic MD is a medspa community of Plastic Surgeons, Cosmetic Dermatologists with more than 3,500 medical spa members world-wide. Medical Spa MD offers physician resources like cheap cosmetic lasers and offers information on nonsurgical cosmetic medical technologies and treatments for skin clinic & laser clinic patients.

[I:http://www.uniquearticlewizard.com/extras/pics/jeffbarsonthumb19.jpg]Thermage skin tightening procedures produced by Solta are inventing a whole new kind of anti-aging and skin tightening treatments for cosmetic dermatologists, cosmetic surgeons and cosmetic medical practices that adds yet another nonsurgical treatment to any kind of cosmetic medical clinic; RF face tightening. Yet somehow, you’ll find potential troubles that both Thermage and subjects may confront.

Thermage has implemented a new structure that costs the medical spa per Thermage treatment by ‘expiring’ any Thermage procedure tip after a determined number of ‘pulses’ as well as a specific time period, even when the tip is still operational. This leaves a cosmetic physician or plastic surgeon in the situation of owning treatment tips that could still be effective, other than they have already been artificially turned off.

Because of Thermage tips priced at around $800 for getting a single procedure and laser clinics and MDs under rising duress to keep up sales levels, plenty of laser clinics and MDs are looking at third parties to activate these treatment tips for even more use by resetting a timer within the computer chip and successfully reactivating the tip to permit extended use.

According to Thermage, Treatment tips are actually deactivated to guarantee patient safety.

Thermage’s stance about used tips:

“The main research we recognize involving Thermage is a four year research program executed through Weiss,1 and it mainly included 600 patients. What’s more, any claims in the Stevens publication may be largely inconsistent with the enormous quantities of Thermage quality and stability details we have put together on our offerings over the years. We understand for a fact the dielectric membrane layer on the treatment tip may wear out if put through a small fraction of the incessant usage this publication alleges can be done. Dielectric breakdown may result in client injury.

You can get several risks which may happen by treating individuals with impaired tips that might consist of burns or even the break down of underlying body fat which could impart permanent depressions. However, with increasingly more laser clinics and MDs interested in squeeze out income everywhere they can and gray market dealers that may offer reactivated tips for 100’s of dollars less than any list price, such trends could possibly build.

The most current info on Thermage and other nonsurgical cosmetic medical treatments visit the Thermage & Fraxel cosmetic medical forums at Medical Spa MD, a physician community of Plastic Surgeons, Cosmetic Dermatologists, and Aesthetic Physicians with more than 3,500 Members.Medical Spa MD.

[I:http://www.uniquearticlewizard.com/extras/pics/jeffbarsonimage17.jpg]This is really a discussion and review of Zerona lasers, a medical laser treatment that’s becoming more common in laser centers, medspas and physician clinics. This comparison relates to a specific study titled Low Level Laser Therapy Effectiveness For Reducing Pain After Breast Augmentation, American Journal Of Cosmetic Surgery Volume 26, November 3rd, 2009. The complete guide was initial released on Med spa MD.

1. The very first thing they teach you during medical school concerning how to analyze research is who paid a commission for the investigation. In this instance the backer for this research and review was Erchonia the company that makes Zerona lasers.

2. Who wrote the article? In this instance the article appears to happen to have been written by Ryan Maloney. Who is Ryan Maloney? He is not just the medical director of Erchonia he genuinely is one of the owners of the patent in the Zerona laser. Aside from that you don’t recognize his qualifications. We discover he’s not really a PhD or MD. Usually it could be behind his name beneath the authorship of the article. He possesses a special fiscal benefit to publish this content in a impressive light.

3. Eight individuals didn’t feature final measurements. The main dilemma is precisely why? Four were in the treated group and 4 had been from the placebo group. At first that would seem OK, but after you look further within it, they retained all of those test subjects within the study. They took the final measurements for those subjects and brought them forward. Yet again, it appears Ok to begin with but while you start to look at the trend of circumferential loss in the 2 weeks post procedure the sizes are trending back again toward baseline. So when you incorporate all these individual’s last measurement (which incidentally is the very best overall average circumferential loss during the treatments for the treated group) and carry these forward they’re going to artificially reduce the true values fourteen days post treatment. All eight of those individuals should have already been removed from the report.

4. There is no review of aesthetic benefit. To have this be worth a thing you would require before and after photos which are assessed by a group of people who are blinded to what procedure the single participant received. So, put simply, is a three inch reduction aesthetically appreciable.

5. They do not say if members are male or female. So the question is left, will it work as well on guys as it may on females? This may be critical as males have a tendency to have thicker skin. And so, will the laser penetrate as deeply in guys?

These are just a few of the issues. If you’d like to read more, the entire discussion is posted over at Medical Spa MD (medicalspamd.com).

Medical Spa MD is a cosmetic medical community of Plastic Surgeons, Cosmetic Surgeons, and Aesthetic Physicians with more than 4,500 physician members. Medical Spa MD offers reviews on Zerona lasers and provides info on medical treatments.

[I:http://www.uniquearticlewizard.com/extras/pics/jeffbarsonimage0.jpg]There is certainly a new movement happening in aesthetic medicine… wide open forums.

Laser Treatment MD’s plastic surgery and dermatologist forums are the world of an unexpected and open discussion that’s more than just exceptional throughout medical care, it is a first.

Irked by what many physicians see as an incomprehensible and infuriating deficiency of support coming from aesthetic laser and IPL providers, they have taken their wrath public within a kind of free-for-all tongue-lashing that you just rarely find coming from cosmetic surgeons when ‘names are named’ and fingers can be directed right at identified those that are leading prominent laser and IPL technology providers.

Occasionally, whole strings of messages are actually posted detailing discussions and widely embarrassing leading operatives as well as cosmetic surgeons that are luminary spokespeople for some of these businesses. It is as though the physicians have decided to learn tough.

However , there is still a little good sense left. Almost all of the plastic surgeons feedback occur anonymously and so the medical debate forums that host some of these conversations safeguard the cosmetic dermatologists who wish to remain under some level of secrecy.

Keep in mind the websites hosting a majority of these cosmetic surgeons discussion boards have a handful of complications of their own. Medical spa MD was served with several attorney letters and threats for daring to air a majority of these forum conversations in public.

“We’ve obtained well over the usual website’s variety of nasty-grams”, affirms the publisher of Med spa MD, “yet to help censor public discussion just isn’t what we’re about. The physicians on the site are accountable for whatever they publish, and expressing their impression that they’re not obtaining ample support is simply that, their own thoughts and opinions.

The problems tend to be complicated through the assistance which the plastic surgeons seem to be demanding, placing the IPL and cosmetic laser companies in the uncomfortable predicament of alienating their plastic surgeons as potential customers, or dispensing knowledge for procedures that might easily be considered as off-label use by the Food & Drug Administration and open these people up to potentially hazardous liability claims from patients and plastic surgeons.

The topic isn’t very likely to expire anytime soon. Information that can be disseminated through the internet is known for a long life and it is clear that laser companies are taking notice. Sometimes they’ve positively joined inside the discussion forums and proactively tackle problems of individuals from the moment they’re published, providing the feeling of productive customer support. These types of techniques appear to be working as the IPL and laser companies that are active have a dramatically reduced chance of damaging criticism from cosmetic dermatologists which witness their calls for help go unheeded.

Finally, it’s a money game. A great many physicians who are searching for new IPL and cosmetic laser technology find their route to a lot of these community forums and talk to their much more experienced associates to get hints and tips. Intense pulsed light (IPL) and aesthetic laser manufacturers that are not taking part in the activity find it difficult to expect to succeed.

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