dr christopher lee - cosmos clinic canberra
TRANSCRIPT
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Treatment Plans of the Face
with Non-Surgical
Treatments:
My personal approach
Dr. Christopher LEE
Cosmetic Physician
Medical Director of Cosmos Clinic Canberra
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Beauty is in the eye of the beholder
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The Golden Number 1.618
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Facial assessment :
Method 1
5 Rs
Relaxation – toxins
Revolumisation – dermal filler
Redraping – thread lift, surgical facelift
Reflection (colour) – light-based treatments (IPL, laser), skincare
Roughness (skin texture) – fractionated laser, MSN, PRP, HIFU, RF
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Method 2
“THIRDS”
Prioritise:
GOLD
SILVER
BRONZE
HARMONY
“FOURTH” – neck/submental
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Method 3
Facial shape:
Oval
Square
Round
“Build the house before you fill it in!”
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…don’t forget about men!
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Method 4
“Vertical Fifths”
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Method 5
Profile
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Method 6, 7, 8,…..
Workshops
Conferences
Apps!
Do-It-Yourself at home (for patients)
CONFUSING!!!
Which is the best?
Why does it work for one person and not the other?
Why do the injectors at conference get better results than I do?
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After a long and arduous journey…
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… it doesn’t end! Or does it?
The journey is as long as you want to make it!
Are you happy with what you know and what you can do?
Do you think you can meet your patient’s expectations?
Difference between a “basic” and “advanced”
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PEARLS OF WISDOM
Or otherwise known as “learn from somebody else’s mistakes!”
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“TRUST YOURSELF!”
Instinct
Reconnaissance
“First impressions”
“Fly by”
Eg. Patient in waiting room
How old does she/he look?
Is she beautiful?
OR she needs a bit of work!
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“Prepare for war"
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Know your weapons
5 Rs
Relaxation – neurotoxins
Revolumisation – dermal filler
Redraping – thread lift
Reflection (colour) – light-based treatments (IPL, laser), skincare
Roughness (skin texture) – fractionated laser, MSN, PRP, HIFU, RF
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“Know your limits”
Know what you CAN do with your treatments
Assess the problem appropriately
Educate patient on limitations of treatment chosen
Know what you CANNOT do with you treatments
Eg Don’t promise a facelift result with a thread lift!
“I was treated with microdermabrasion to increase my collagen and plump my
skin”
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“Combination treatment”
5 Rs
Relaxation – neurotoxins
Revolumisation – dermal filler
Redraping – thread lift
Reflection (colour) – light-based treatments (IPL, laser), skincare
Roughness (skin texture) – fractionated laser, MSN, PRP, HIFU, RF
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Peri-orbital area : often a combination of 3 problems
Volume loss
Skin laxity/loss of elasticity
Pigmentation
Treatment:
Revolumisation
Collagen stimulation
IPL, skincare
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“Prioritise”
List of POTENTIAL treatments – A-Z
Cost-benefit – “bang for your buck”
Listen to your client
Unhappy clientele – “I was concerned with my pigmentation, but he treated me with Botox for my frown! He didn’t listen to me!”
BUILD UP TRUST! Get a license to treat from the client!
“Oh Dr! I ABSOLUTELY LOVE that lift you did for my cheeks! What else should we do now?”
DO NOT LOSE THAT TRUST
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“Walk before you can run”
Do the simple things right before you trying anything advanced
Learn to manage complications e.g. Intravascular injection of filler
Educate yourself
Anatomy
Physiology
Physics/science behind treatments e.g IPL vs Laser
CRAWL!
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PITFALLS
Law of diminishing returns – the more you do, the less the return
Increasing expectations – “it worked better the last time you did it”
“Plateau” – any further treatment will go beyond the boundaries of aesthetic acceptance i.e. TOO MUCH!
Narcissistic personality
Concept of “ACCEPTABLE” VS “UNACCEPTABLE” asymmetry
eg. Midline VS Lateral structures
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Take Home Message
There is a THOUSAND WAYS to skin a cat!
It is up to you to find the easiest, safest, most economical way to do it
Picture your desired outcome, then execute
Be ready to adapt your facial assessment depending on your equipment, ability and skill to suit your patient
Self-Esteem industry – “Make people feel better!” DO NO HARM
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Thank you!