Dr. Ahmad Rabb, Cosmetic Medicine At Medical & Cosmetology Centre In Toronto

Connecting with a Canadian physician practicing cosmetic medicine in Toronto, Dr. Ahmad Rabb.

Name: Ahmad Rabb, MD
Clinic: Medical and Cosmetology Centre
Location: Toronto, Canada

That's interesting: Dr. Rabb leads Bio Ethics Seminars for medical Undergraduates at the University of Toronto School of Medicine. He speaks English, Urdu, Punjabi, Sindhi.

You started out in family medicine but then switched to cosmetic medicine. Why did you switch?

It took me couple of years to transition from family medicine into cosmetic medicine. Over the years I realized that non-invasive and non-ablative skin care techniques were becoming increasingly popular and effective in reasonably reversing the adverse affects of different aging types ex. Photo-aging, Intrinsic aging (age related aging) and environmental aging.

Read More

Microderm + Chemical Peel Giveaways As A Marketing Tactic

In our Canyon Lake Med Spa practice, we are always looking for ways to attract new patients, and to give existing patients a “value-added” service. 

We’ve been doing microdermabrasion and chemical peels for many years. April Turner, our medical aesthetic RN, discovered that the 2 procedures done together were mutually complimentary, and could be performed with a minimal amount of time and material cost. We charge $99 for a combination treatment of a microdermabrasion and a medical-grade chemical peel, and do fairly well at this price. But since it is quick and inexpensive to perform, we decided to also make this a “giveaway” at our seminars and marketing events.

This strategy has served us well. We give away this combo treatment to anyone who attends one of our events, or anyone who comes into our surgical or Medical Spa office for a consultation. Some people don’t take advantage of it, but most do. And most of the time they are so happy with the outcome that they follow up the complimentary treatment with regularly scheduled (and paid) future treatments.

We found that this is a great way to attract people to our Med Spa and surgical office events, and it creates an additional revenue source for our business. If you perform these procedures at your facility (and chances are that you do,) you might want to consider this approach for your business.

Dr. Karen B. Vaniver: A Plastic Surgeon in Seattle

Breast cancer advocate, Dr. Karen B. Vaniver is paying it forward from her plastic surgery clinic in Seattle, Washington.

Dr. Karen Vaniver

Name: Karen B. Vaniver, MD, FACS
Clinic: Seattle Plastic Surgery
Location: Seattle, WA
Website: drvaniver.com

That's interesting: Dr. Vaniver's essays on women in plastic surgery and the role of spiritual practice in plastic surgery have been published in the Journal of Plastic and Reconstructive Surgery. She has worked internationally with Interplast, a not-for-profit organization providing free reconstructive surgery for children and facilitates a support group named "Girltalk". She is the creator of Dr. Karen B. Vaniver Breast and Body Recovery Serum.

Read More

Top 5 Medical Spa Treatments In 2011

The top nonsurgical treatments in 2011?

  1. Botox: 5.7 million treatments (up 5% from 2010)
  2. Filler Injections (Juvederm, Restylane, Perlane, etc) 1.9 million treatments (up 5% from 2010)
  3. Laser Hair Removal: 1.1 million (up 15% from 2010)
  4. Chemical Peels: 1.1 million (down 3% from 2010)
  5. Microderm: 900,000 (up 9% from 2010)
Source: American Society of Plastic Surgeons

The Hidden Dangers of Beauty

Normally, I barely listen to the radio when driving in my car, but today on the John Tesh Radio Show (Sunday) my ears perked up when he started to discuss the hidden "dangers" of young girls using makeup too early. Dangers in makeup? Really?

The broadcast was entitled "The Ugly Truth About Young Girls Wearing Makeup". The line that grabbed my attention was "the sooner your daughter starts wearing makeup, the sooner it might kill her!" This was a quote coming from Stacy Malkan, a cosmetic expert who wrote the book Not Just A Pretty Face: The Ugly Side of the Beauty Industry. According to the John Tesh website, Malkan states "by the time most North American girls become teenagers, many have a daily make-up ritual that includes lipstick, mascara, eyeliner, nail polish and perfume, not to mention skin lotion, shampoo, conditioner, and hair color treatments." She goes on to say "in fact, experts estimate that a typical young girl now walks around with at least a dozen layers of beauty products on her body! As the makeup layers add up, so does her exposure to dangerous chemicals, and that’s very bad news for a young girl’s health."

Apparently the culprits are chronic exposure to parabens and phthalates which have been found to disrupt hormone levels during adolescent years which may result in early puberty. Malkin continues to state "one study found that HALF [sic] of all North American girls now begin to show signs of breast development by the age of 10 – which is more than two years sooner than females from our grandmother’s generation. Other studies link those unusual hormone levels to a higher depression rate among young girls, and a higher risk for breast cancer! That’s why experts recommend women of all ages find out exactly what chemicals go into their makeup."

There is a website suggested for reference to verify the ingredients in certain beauty products and cosmetics and it is called the Skin Deep Cosmetic Safety Database. I was instantly intrigued and raced to my Mac when I got home to give it a try! Here's how my products scored:

(Scale: 0-2=Low hazard; 3-6 Moderate Hazard; 7-10 High Hazard).

  • Cleanser: 3 (moderate hazard) 
  • Toner: 7 (high hazard) 
  • Moisturizer: 5 (moderate hazard) 
  • Eye Cream: 6 (moderate hazard) 
  • Lip Cream: 7 (high hazard) 
  • SPF 30: 7 (high hazard) 
  • Concealer: 4 (moderate hazard) 
  • Foundation Primer: 5 (moderate hazard) 
  • Foundation: 9 (high hazard) 
  • Loose Powder: 5 (moderate hazard) 
  • Blush: 7 (high hazard) 
  • Bronzing Powder: 8 (high hazard) 
  • Eyeshadow: 7 (high hazard) 
  • Mascara: 8 (high hazard) 
  • Lipstick 6: (moderate hazard) 

My gosh, I'm a walking carcinogen!!! Like most women, I use an array of products, from medical grade like Obagi, spa grade like SkinCeuticals, high end department stores like Merle Norman, Estee' Lauder and Laura Mercier, right down to drug store brands like Maybelline. It seems no company's products were completely safe. And, makeup is just the beginning for young girls!

More and more young girls are taking their skin care regimens to the next level by having microdermabrasion treatments and chemical peels, with some escalating to laser and injectable therapies. Putting aside the various protocols for acneic adolescents, there has actually been a rise in the U.S. of young girls undergoing laser hair removal, photo facials, dermal filler procedures, even laser lipolysis. Where do we draw the line as clinicians? 21? 18? 16 with parental consent? I know in our medical spa we have been approached by parents inquiring as to what our policy is for treating adolescents for non-medical related conditions. The number one request is laser hair removal for ethic skin types predominately for excess facial hair. Many clinicians feel it is a low-risk procedure which can lift a child's self-esteem. Some clinicians disagree and feel a child is much too young to be exposed to laser therapies.

I'm not a laser expert and am uncertain as to if many aesthetic equipment manufacturers have performed clinical trials on adolescents for laser procedures (other than port wine stains). I'm more apt to believe the answer to this questions will become clearer as the years go on and by remembering the first rule is to "do no harm".

That, and to throw away your teenager's makeup!

Author: Paula D. Young RN runs internal operations and training at Young Medical Spa and is the author of the Medical Spa Aesthetics Course, Study Guide, and Advanced IPL & Laser Training course for medical estheticians and laser technicians.

Submit a guest post and be heard.