Non-surgical Aesthetics Research Articles

Regenerative Aesthetics: A Genuine Frontier or Just a Facet of Regenerative Medicine: A Systematic Review.

Regenerative aesthetics claims to enhance cosmetic outcomes through advanced biological interventions like Stem cell and Exosome therapy, Polydeoxyribonucleotide (PDRN), Photobiomodulation, bioactive peptides and treatment for cellular senescence yet lacks substantial scientific and regulatory validation. To evaluate the scientific and clinical foundations of regenerative medicine techniques in non-surgical aesthetics and assess the legitimacy of regenerative aesthetics as a medical specialty. A systematic review was conducted according to PRISMA guidelines, searching databases including PubMed, Scopus, and Web of Science for studies published in the last ten years. We included 19 studies, comprising 14 randomized controlled trials (RCTs) and 5 prospective studies, focusing on interventions that purportedly use regenerative medicine principles in aesthetic applications. The review highlights a prevalent gap in molecular and clinical evidence supporting the efficacy and safety of regenerative aesthetics. Despite the robust design of the included RCTs and prospective studies, there remains a significant lack of consistent, high-quality evidence proving the effectiveness of these interventions. Issues such as inadequate reporting, unclear molecular mechanisms, and absence of long-term safety data were common. The field of regenerative aesthetics lacks the necessary scientific rigour and regulatory compliance to be recognized as a legitimate medical specialty. This review underscores the need for stringent scientific validation and regulatory oversight to ensure patient safety and treatment efficacy before these techniques can be recommended for clinical use. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Generational Exploration on Aesthetic Medicine Products: Influence of Social Media, Reviews, and Brand Identity-GEMS Bond Survey.

The study investigates the impact of social media reviews and brand identity on consumer preferences in the non-surgical aesthetics products across different generations. It highlights the evolving landscape of aesthetic medicine and surgery, driven by technological advancements and a cultural shift towards individual well-being. The research aims to explore the interplay between generational preferences, the influence of social media, and the role of brand identity in shaping consumer decisions. A cross-sectional study design was employed, with a sample size of > 5000 participants stratified across various generational cohorts. The study utilized an online questionnaire to capture both quantitative and qualitative insights into consumer behaviour, with statistical analysis performed to identify patterns and relationships. Analysis of 5850 responses revealed distinct generational preferences and behaviours. Social media engagement varied significantly across generations, with younger cohorts placing a higher emphasis on online reviews. The study also found that brand identity's influence is diminishing in decision-making processes, with consumers increasingly relying on peer reviews and social media content. The findings highlight a pivotal shift in the non-surgical aesthetics consumer market, emphasizing the growing importance of social media and peer reviews over traditional brand identities. Importantly, the study underscores the critical need for integrating patient safety and evidence-based practice within marketing strategies. As consumer preferences evolve towards valuing transparency and authenticity, non-surgical aesthetics providers must prioritize these elements, ensuring that their services are not only appealing but also grounded in safety and scientific validity. "This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 ."

Who Posts on Instagram? Using Natural Language Processing to Assess the Relationship Between Training Background and Content of 700,000 Posts.

Instagram (Menlo Park, CA) is a major platform for the dissemination of plastic surgery (PS) information, but the training background of users is difficult to ascertain. We sought to better characterize the source and content of PS-related posts on Instagram. Metadata from publicly available Instagram posts containing PS relevant hashtags was collected from December 2018 to August 2020 using Node.js (Node.js Foundation, San Francisco, CA). The data was characterized by account type, and post topics were analyzed using a custom dictionary of PS procedures applied with natural language processing. All data analyses were performed with R (The R Foundation, Vienna, Austria). Board-certified plastic surgeons account for 38% of posts on Instagram, followed by organizations (31%), nonplastics-trained physicians (19%), facial plastics (5%), oculoplastics (1%), and nonphysician providers (5%). Oculoplastics had the highest engagement rate with their posts (3.7 ± 5.1), whereas plastic surgeons had the lowest (2.7 ± 4.2). Breast aesthetics was the predominant topic posted by plastic surgeons (42%, P < .001), and board certification phrases distinguished their posts from other account types (23%, P < .001). Nonphysician posts focused on nonsurgical aesthetics like Botox and fillers (80%). However, nonplastics-trained physicians and organizations significantly contributed to procedural subcategories in a similar distribution to plastic surgeons. Board-certified plastic surgeons are not the predominant source of PS content on Instagram. Furthermore, posts by plastic surgeons have the lowest rate of engagement out of all account types studied. Although declarations of board certification distinguish content from plastics disciplines, they are only used in 21% of posts.

Design and Validation of an integrated Objective Structured Clinical Examination (i-OSCE) for a non-surgical aesthetics postgraduate program.

Introduction: The Objective Structured Clinical Examination (OSCE) is a popular and practical method for evaluating future clinicians’ competence and suitability for independent clinical practice. The present study aimed to develop and validate an integrated objective structured clinical examination to assess aesthetic physicians’ critical thinking and clinical competency. Methods: Initially, an expert panel consisting of five Aesthetic Practitioners with over 15 years of experience and a senior clinical academic were invited to develop a blueprint for the integrated objective structured clinical examination. Through this blueprint, the essential qualities and skills were identified for assessment. In addition, training workshops for examiners and simulated patients were organized to ensure process standardization. The final integrated objective structured clinical examination consisted of 12 stations (four clinical, four critical thinking, and four rest stations lasting 180 min). Results: The Interclass correlation coefficient between the station checklist items was 0.946 (average upper bound 0.916, lower bound 0.968; p&lt;0.00), which was considered significant. The Inter-Item Correlation Matrix among the clinical station and critical thinking checklist items also showed statistical significance. The Pearson correlation coefficient (PCC) was used to ascertain the correlation between the checklist and global ratings, yielding a high correlation (0.80 0.934). Conclusion: The integrated objective structured clinical examination is a valuable and reliable tool for assessing trainees’ aesthetic physicians’ clinical competence and critical thinking.

49. Is it time for OMFS to bring non-surgical aesthetics into the training syllabus?

The number of non-surgical aesthetic treatments being carried out in the UK and globally continues to rise. Despite reports from both Government (The ‘Keogh’ Report 2013) and Parliament (The APPG BAW 2021), such treatments can legally still be performed by anyone, regardless of qualifications or experience. OMF Surgeons are frequently tasked with managing the complications of non-surgical aesthetics treatment.

A brief overview of current proposed changes and the legalities of advertising prescription-only medicines

Linda Mather discusses advertising within the spheres of surgical and non-surgical aesthetics

OSPE for non-surgical aesthetic training programme.

Objective structured practical examination (OSPE) has proven a reliable assessment tool in many specialities. Therefore, we aimed to construct an OSPE tool that could assess the clinical facial anatomy knowledge of non-surgical aesthetic practitioners in a simulated environment. Ten subject matter experts identified the themes individually with significant experience in teaching non-surgical aesthetic practitioners. A consensus is then reached following extensive discussion to determine the final themes. After blueprinting, 25 stations were created comprising a single best answer with a clinical vignette and either a dissected Cephalus or a high-resolution picture of a dissected Cephalus or a skull and a full-face photograph of a patient. Finally, concurrent and construct validity were assessed for individual questions. Twenty-five novices and 25 experts participated in the OSPE pilot. Each cycle lasted 45 minutes (90 seconds per station; 25 clinical and five rest stations). Internal reliability was measured by Cronbach's alpha. In addition, the novices and experts group scores were compared, employing an independent t-test. The mean item difficulty of the 25 questions was 0.65. There was a significant difference in the scores for experts (M =48.56, SD =1.003), novices (M =33.60, SD =3.18) and conditions; t (48) = 22.38, p = 0.000. These results suggest the construct validity and confirm the robustness of the OSPE set-up to accomplish the learning outcomes. We successfully designed and validated OSPE as an assessment tool to examine non-surgical aesthetic practitioners' clinical facial anatomy knowledge. We envisage using OSPE in our future programmes and encourage programme directors to integrate it into the postgraduate curriculum in non-surgical aesthetics.

A Systematic Review on the Current Trend in Nonsurgical Aesthetic Training for Knowledge, Skill, and Professional Identity Formation.

Non-surgical aesthetics is a rapidly growing healthcare domain and lacks pedagogically sound education and training programs. The trainee physicians often participate in short courses which are outside of the scope of an existing postgraduate training program to acquire the necessary knowledge and procedural skills. However, such training programs lack values and interests that shape critical thinking and holistic decision-making, often referred to as professional identity. This systematic review aims to analyze current trends in non-surgical aesthetic clinical education to form knowledge, skills, and professional identity. A detailed literature search was conducted in electronic databases-PubMed, Cochrane, Centre for Reviews and Dissemination, and Google Scholar-for relevant studies published between January 2010 and December 2020, with an update in September 2021. Fifty-five articles were identified through electronic searches, among which 40 were selected following a review of the abstracts. Sixteen articles were identified as the best evidence for the detailed and iterative review based on their relevance and fit to the inclusion criteria. Unfortunately, none of the included studies designed their questionnaire based on the Kirkpatrick Model, which is best known for analyzing and evaluating the results of training and educational programs. This systematic review provides valuable insight into graduate professional identity formation and graduates' readiness for independent clinical practice. Therefore, particular consideration should be given to incorporating these triggers when developing evidence-based postgraduate curricula for non-surgical aesthetics.

A better way to ….structure training in non-surgical aesthetics: An OMFS-led training scheme

Introduction: The recent All Party Parliamentary Group made 17 key recommendations regarding the non-surgical aesthetics (NSA) industry, including mandatory regulated training. Most training currently consists in unregulated, non-academically accredited one- or two-day courses. Lack of information around training has been highlighted as a key concern by doctors and dentists. Methods: We surveyed 90 medical and dental students regarding NSA, with questions about relevance to practice, understanding of training pathways, and regulation. We used these findings to create a non-profit mentorship scheme for soon-to-graduate and newly graduated medics and dentists, consisting in theoretical and practical components. The scheme leads mentees towards the OFQUAL-regulated, academically accredited Level 7 PG Diploma in Injectables. Results: Of 60 respondents, 85% were interested in practising NSA, and 92% thought it relevant to medical/dental practice, however only 15% had a good or very good idea of how to train. After one year of the scheme, we surveyed our mentees; 88% had a good or very good understanding of regulation, 90% for training pathways. The scheme now boasts 50 mentees, with teaching designed and delivered by a team of dual-qualified OMFS trainees. Conclusions: Complications from NSA treatments are widely reported. OMF Surgeons are uniquely placed to both manage complications, and to provide training in NSA. Robust training pathways are needed to address significant undergraduate and postgraduate interest in the area. Such pathways should lead to regulated and accredited courses, while ensuring doctors and dentists are given balanced and valid information in what is still a largely unregulated education sector. Introduction: The recent All Party Parliamentary Group made 17 key recommendations regarding the non-surgical aesthetics (NSA) industry, including mandatory regulated training. Most training currently consists in unregulated, non-academically accredited one- or two-day courses. Lack of information around training has been highlighted as a key concern by doctors and dentists. Methods: We surveyed 90 medical and dental students regarding NSA, with questions about relevance to practice, understanding of training pathways, and regulation. We used these findings to create a non-profit mentorship scheme for soon-to-graduate and newly graduated medics and dentists, consisting in theoretical and practical components. The scheme leads mentees towards the OFQUAL-regulated, academically accredited Level 7 PG Diploma in Injectables. Results: Of 60 respondents, 85% were interested in practising NSA, and 92% thought it relevant to medical/dental practice, however only 15% had a good or very good idea of how to train. After one year of the scheme, we surveyed our mentees; 88% had a good or very good understanding of regulation, 90% for training pathways. The scheme now boasts 50 mentees, with teaching designed and delivered by a team of dual-qualified OMFS trainees. Conclusions: Complications from NSA treatments are widely reported. OMF Surgeons are uniquely placed to both manage complications, and to provide training in NSA. Robust training pathways are needed to address significant undergraduate and postgraduate interest in the area. Such pathways should lead to regulated and accredited courses, while ensuring doctors and dentists are given balanced and valid information in what is still a largely unregulated education sector.

A Core Curriculum for Postgraduate Program in Nonsurgical Aesthetics: A Cross-sectional Delphi Study.

BackgroundThe desire for portraying a young and beautiful face and body is driving people to seek aesthetic treatment and accelerating the exponential growth of nonsurgical aesthetic (NSA) procedures. Unfortunately, despite impressive advances, NSA is yet to have a formal clinical education program.ObjectivesThis study aimed to identify the content and structure of an evidence-based postgraduate curriculum in NSA.MethodsThe Delphi questionnaire was developed after a comprehensive literature review and a focus group discussion. The questionnaire was emailed to 40 experts and 20 trainee physicians worldwide through the online survey platform and was asked to assign a rating on a 4-point Likert scale. A “1” represents a strong disagreement about integrating a topic in the NSA curriculum, and a “4” indicates a firm agreement. A pre-fixed percentage agreement of 80% and Cronbach’s α = 0.90 was established to represent a consensus for the current study.ResultsThe response rate for the Delphi study was 90.0%, 88.8%, and 90% in the first, second, and third rounds, respectively. The experts and trainee physicians agreed with all the proposed topics (≥80%) and considered them critical for the proposed NSA curriculum. The mean score for each was ≥ 3, and Cronbach’s α value for the Delphi was 0.94, confirming internal consistency and reliability. ConclusionsThe consensus demonstrates significant advances toward developing an evidence-based curriculum for a postgraduate program in NSA, which is essential to support the growing demand for trained aesthetic physicians.

The complaints agenda for the surgical and non-surgical aesthetics market

Sally Taber provides an update on issues that have been raised by members of the public as part of the Joint Council for Cosmetic Practitioners' complaints procedure

Call to action: the 10-point plan for the non-surgical aesthetics and hair restoration sector

Journal of Aesthetic NursingVol. 10, No. 3 Joint Council for Cosmetic PractitionersCall to action: the 10-point plan for the non-surgical aesthetics and hair restoration sectorDavid SinesDavid SinesE: E-mail Address: [email protected]Executive Chair, Joint Council for Cosmetic PractitionersSearch for more papers by this authorDavid SinesPublished Online:7 Apr 2021https://doi.org/10.12968/joan.2021.10.3.118AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View article FiguresReferencesRelatedDetails 2 April 2021Volume 10Issue 3ISSN (print): 2050-3717ISSN (online): 2052-2878 Metrics History Published online 7 April 2021 Published in print 2 April 2021 Information© MA Healthcare LimitedPDF download

Time to tame the wild west: working together to tackle the training agenda and ensure appropriate qualifications

Sally Taber explores the steps that need to be taken to ensure public protection in non-surgical aesthetics, as well as the establishment of statutory regulation and advertising standards

The quality of online information regarding non-surgical aesthetic procedures

The rapid growth of non-surgical aesthetics has led to a scarcity of regulation that raises concerns for serious consequences to public health. Services are advertised primarily through websites which are not necessarily centrally monitored or maintained to a set gold standard. We quantitatively assess the quality of online information regarding non-surgical procedures in order to promote patient safety and informed decision making. Google and Bing, search engines that represent 95.27of global searches, were queried with the expanded search terms "facial filler" and "Botox". The top 100 results were sampled and two validated tools were used to assess the quality of healthcare information retrieved; the DISCERN instrument and the JAMA benchmark criteria. Once duplicates were removed, a total of 77 unique websites were retrieved by the search. The majority of websites were published by private marketing firms. The median score for website quality across all included websites was 'fair' (42) when assessed according to the DISCERN instrument, and 'poor' (1) when assessed against the JAMA criteria. Private websites had the lowest quality of information online and institutional websites had the highest. Non-surgical aesthetics are becoming increasingly popular with patients and clinicians due to their convenience, scope of treatment, and novel and strategic marketing. Online information available to patients, however, is often of poor quality, dominated by private clinics and commercial entities, and thus presents a significant risk of misinforming patients desiring to undertake these procedures. Significant reform and regulation of information is required in order to make this industry safer for patients.

Aesthetic tweakments: the rise of the ‘fox eye’

The non-surgical aesthetics industry has gained momentum in the past few years due to open discussions and less downtime compared to surgical procedures. Melissa McAlees details some current trends and treatments that are being sought

Aesthetic academies

Over the last decade, non-surgical aesthetics has transformed due to an increase in academies promoting profitable, yet unsupported, certifications. Patient safety and maintaining good practice standards must be at the forefront of mind as the landscape moves forward

Pressure in purchasing: practical advice for aesthetic practitioners

Aesthetic nurses are the primary purchasers in non-surgical aesthetics and can subsequently find themselves pressured to stay loyal to a single supplier. Amy Senior encourages nurses to trust their senses about what products to buy and where to get them from. She also provides some general guidance and points of consideration for aesthetic nurses to bear in mind when they are purchasing stock

Non-surgical aesthetic nasal enhancement: indications, contraindications and anatomy

The non-surgical facial aesthetics arena is rapidly evolving and there has been a high demand over recent years for the correction of mild-to-moderate external nasal deformities. The minimally invasive rhinoplasty combines the adjuvant use of botulinum toxin type A and dermal fillers to rectify or improve a range of perceived or actual nasal defects (e.g. drooping tip, depressed areas). The procedure takes place in an outpatient setting and involves virtually no discomfort, little associated downtime, and is considered very safe and efficient, yielding high patient satisfaction rates. This article will explore the history of the procedure, describe the ideal nasal proportions, outline the anatomy of the external nose and cover the indications and contraindications for the procedure. A second article will look at the products used and provide readers with a treatment protocol. Both articles are reflective of the author's experience.