| Aesthetic procedures from Botox to ultrasound | | | | overviews of hCG program protocols & best |
| fat reduction will continue to out perform surgical | | | | practices; VLCD/LCD diet programs; meal |
| options in 2010. Beverly Hills Plastic Surgeon, Dr. | | | | replacement diet programs; ketogenic based diet |
| Payman Simoni, agrees. “With no light at the | | | | programs; utilizing B6/B12 injections in weight loss; |
| end of the tunnel for our troubled economy, the | | | | and using prescription appetite suppressants |
| year 2010 will feature a very clear shift toward | | | | & lipase inhibitors in weight loss (Xenical(TM), |
| noninvasive procedures, because these | | | | Meridia(TM), etc.). |
| procedures are lower cost, and the recovery | | | | |
| time is much less. People will be concerned about | | | | 4. Body Shaping: New non-invasive technologies |
| taking too much time off of work in an economy | | | | offer tremendous advancements |
| that isn't synonymous with job security," | | | | In speaking to both Dr. Mitchell Chasin and Jeff |
| emphasizes Dr. Simoni. Therefore, by focusing | | | | Russell, the market for body re-shaping will grow |
| on growth treatment areas, employing proven | | | | significantly in 2010. |
| business marketing techniques and engaging in | | | | Dr. Mitchell Chasin, respected Medical Director of |
| continuing education, medspa doctors can look | | | | the Reflections Center for Skin and Body, believes |
| forward to continued growth in 2010. | | | | that the new year will see a new frontier in body |
| 1. Decline of DIY: Doctors will re-position | | | | shaping. From innovative new uses for ultrasound |
| themselves with professional training | | | | in lipolysis, to the use of cryolipolysis, patients now |
| | | | | have a number of non-surgical options for body |
| The IAPAM’s Aesthetic Medicine Consumer | | | | sculpting. |
| Study, surveyed women across the U.S., ages | | | | Dr. Chasin shares that "there are a slew of |
| 21-60 on their perception of various aesthetic | | | | cutting-edge devises on the horizon, all with the |
| medicine procedures. As an apparent reaction to | | | | ability to bring changes to body and skin |
| the unregulated medical spa industry, 78% of | | | | completely non-invasively. Some of these are |
| women rated medical credentials as very | | | | already surfacing, like the Zeltiq device, which uses |
| important when choosing an aesthetic treatment | | | | cryolipolysis (cooling of the fat cells) to remove |
| provider. “The results clearly indicate that | | | | fat cells from the body without damaging the |
| most women are concerned about their safety | | | | skin, muscles or nerves. Zeltiq is currently FDA |
| when choosing aesthetic procedures, which is a | | | | approved for skin cooling and should soon receive |
| huge opportunity for physicians who wish to | | | | clearance for fat removal. |
| expand their practice with aesthetic | | | | These and other devices will be made widely |
| treatments,” says Jeff Russell, Executive | | | | available this year and represent a clear indication |
| Director of the IAPAM. | | | | of where aesthetics is heading. The two things |
| | | | | my patients are most concerned with are minimal |
| Couple this with the recent rash of DIY disasters | | | | downtime and getting great results. Devices like |
| reported in both the online & print media and | | | | Zeltiq allow us to help them to make a meaningful |
| on television, and the forecast is for more and | | | | difference in their appearance and get on with |
| more patients to seek out trained physicians to | | | | their lives quickly." |
| provide minimally-invasive procedures like: botox, | | | | Jeff Russell, Executive Director of the IAPAM |
| dermal fillers, laser hair removal, chemical peels, | | | | echos Dr. Chasin's forecast, particularly regarding |
| medical microdermabrasion, etc. | | | | fat reduction. Jeff envisons that Syneron |
| | | | | Velashape, as well as the potential new |
| "Incidents like these show the public that these | | | | competitors: Ultrashape and Liposonix, will |
| are medical procedures, and there is no safer | | | | provide "new options for those who have localized |
| place that a properly trained physicians aesthetic | | | | fat deposits and are looking for minor re-shaping |
| practice," says Russell. "That is why in 2010, we | | | | of their body." |
| are increasing the spaces available to training | | | | However, Jeff adds, that for more "effective |
| physicians at our Aesthetic Medicine Symposium's | | | | contouring, the laser-assisted lipolysis machines like |
| and Botox Dermal Filler Bootcamps," continues | | | | the Cynosure SmartLipo, and Palomar SlimLipo |
| Russell. After completing Botox training, of the | | | | and the ultrasound based Vaser, offer the best |
| calibre offered by the IAPAM and other | | | | results." |
| professional associations, doctors are positioned to | | | | "We would all like a "zero-invasive" way to |
| offer these procedures to both their existing | | | | re-shape the body, but the results just aren’t |
| patient base, as well as capturing that growing | | | | there yet with these completely non-invasive |
| portion of the anti-aging market who fear the | | | | options (i.e. Zerona, Ultrashape, VelaShape),” |
| risks associated with DIY medicine. | | | | concludes Russell. |
| | | | | Ultimately, Dr. Chasin and Jeff agree that |
| 2. Cosmetic Injectables: Still the procedures of | | | | technological advancements in fat removal |
| choice over the scalpel | | | | equipment "will allow this treatment to regain its |
| Dr. Theodore Corwin, widely recognized plastic | | | | popularity." From Zeltiq and Zerona to Ultrashape |
| surgeon from California, offers this excellent | | | | and Liposonix, these new, remarkably non-invasive |
| summary regarding the continued success of | | | | options will re-position body trimming as one of |
| injectables. "While cosmetic surgery procedures | | | | the more popular aesthetic medicine treatments. |
| slowed significantly in 2009 and we are not seeing | | | | Dr. Simoni agrees. "Many companies recently have |
| much change for 2010, the minimally invasive | | | | invested in laser liposuctions that promise a less |
| procedures like Botox and fillers, will continue at a | | | | invasive approach than the traditional liposuction. |
| steady pace." Dr. Corwin continues, "in spite of | | | | I believe that new laser [and other technology] |
| the terrible economy patients seem to be able to | | | | assisted liposuction procedures will be able to bring |
| find that few extra dollars for their Botox fix." | | | | liposuction back to the number one plastic surgery |
| Dr. Simoni builds on Dr. Corwin's observation. | | | | procedure spot that it once enjoyed." |
| "The competitive job market may force many | | | | |
| individuals to seek help from cosmetic surgery to | | | | 5. Cosmetic Dentistry: Advancements will |
| look more youthful and refreshed; therein lies the | | | | capture more of the aesthetic medicine market |
| popularity of injectables like Botox." | | | | |
| Interestingly, while Botox is still "king", there is | | | | Dr. Thomas Connelly, renowned NYC cosmetic |
| more competition on the horizon. In 2009, | | | | dentist, sees the a tremendous opportunity for |
| Dysport was approved for cosmetic use in the | | | | dentists to capture some of the market in |
| US, offering a choice to consumers interested in a | | | | aesthetic medicine. "We are seeing rapid |
| botulinum toxin product. Moreover, two more | | | | advancements in tooth whitening. Usually |
| competitive products could be approved in 2010: | | | | oxidizing agents have been suspended in glycerin |
| Purtox and Xeomin. | | | | and applied to tooth enamel. The oxidizing agent |
| | | | | (usually a form of peroxide) diffuses into the |
| Dr. Corwin also adds that, "fillers have been very | | | | enamel from the glycerin. Glycerin is SLOW! |
| successful this year and will probably continue to | | | | We are seeing new methods such as paints, |
| be next year." An interesting change "in fillers is | | | | sprays and new developments in applicators to |
| the amount in the syringe. Radiesse is now | | | | speed up the process of getting the oxidizer into |
| available in 0.4cc, 0.8cc and 1.5cc, so patients can | | | | the enamel quicker. |
| choose whether they want a little touch up or a | | | | |
| big change. Also, Juvederm says they are going | | | | Dr. Connelly also finds that, "with the newer |
| to add a local anesthetic to their filler which will | | | | compositions of porcelain (eMax by Ivoclar) for |
| make the injections a little less painful." | | | | porcelain veneers, crowns and bridges, it [allows |
| | | | | dentists] to make bridges out of all porcelain (no |
| Finally, fillers like the 2009 approved Sculptra, will | | | | metal underneath) that look realer than ever |
| allow doctors to perform virtually non-surgical | | | | before. As more and more dentists perform |
| facelifts. Keith Veseleny, Editor of American | | | | cosmetic procedures, the level of excellence, |
| Health and Beauty believes that, "more non | | | | expected by patients, and provided by the top |
| surgical procedures using fillers will be developed | | | | tier of cosmetic dentists, is staggering. Right |
| so that patients have a non-surgical option for | | | | now I am using a ceramist out of Paris, France, |
| nearly every need." | | | | to stay ahead of my New York competition!" |
| | | | | |
| 3. Medical Weight Loss Management: Key growth | | | | Conclusion |
| area for physicians | | | | A poll of 2,227 U.S. adults released in December |
| Globally, the World Health Organization estimated | | | | 2009, by Harris Interactive on behalf of |
| that 400 million people were obese, and 78 million | | | | RealSelf.com, found that more than half of all |
| Americans are classified as obese. This number | | | | adults (54%) would choose cosmetic work if |
| is projected to increase to 700 million world-wide | | | | money wasn’t a concern. To successfully |
| by the year 2015. To address this universal | | | | capture this market, physicians are advised to |
| epidemic, medical weight management will be | | | | focus on: cosmetic injectables, body contouring |
| offered by more and more physicians | | | | treatments, non-invasive lipolysis technologies, and |
| internationally. People tired of yo-yo diets and | | | | medically supervised weight loss programs, and |
| special meals, are looking to physicians to assist in | | | | they must ensure they are properly trained in all |
| permanent weight loss. So doctors are in a unique | | | | procedures that they offer. |
| position to capture this market with effective | | | | For more information on the IAPAM's 2010 |
| weight loss strategies, since they already have | | | | calender of Aesthetic Medicine Symposiums, |
| the trust of their patients. | | | | Injectables Training, Medical Practice Start-Up |
| | | | | Workshops or Medical Weight Management |
| Therefore, to address this anticipated market | | | | Seminars, please visit contact Jeff Russell, |
| growth, organizations like the IAPAM are | | | | Executive Director, IAPAM, at 1-800-219-5108 ext. |
| proactively offering training to doctors in medical | | | | 705, |
| weight management programs in 2010. Medically | | | | Botox is trademark of Allergan, Inc. |
| supervised programs, like the IAPAM's, include | | | | |