EPIDERMODYSPLASIA VERRUCIFORMIS – TREE MAN DISEASE A RARE DEBILITATING SKIN DISEASE – THE FACTS

EPIDERMODYSPLASIA VERRUCIFORMIS – TREE MAN DISEASE A RARE DEBILITATING SKIN DISEASE – THE FACTS

Epidermodysplasia verruciformis (EV), also known as treeman syndrome, is an extremely rare autosomal recessive. hereditary skin disorder associated with a high risk of skin cancer. It is characterized by abnormal susceptibility to human papillomaviruses (HPVs) of the skin. The resulting uncontrolled HPV infections result in the growth of scaly macules and papules, particularly on the hands and feet. It is typically associated with HPV types 5 and 8, which are found in about 80% of the normal population as asymptomatic infections, although other types may also contribute.

The condition usually has an onset of between the ages of one and 20, but can occasionally present in middle age. The condition is also known as Lewandowsky–Lutz dysplasia, named after the physicians who first documented it, Felix Lewandowsky and Wilhelm Lutz.

Signs and symptoms

Clinical diagnostic features are lifelong eruptions of pityriasis versicolor-like macules, flat wart-like papules, one to many cutaneous horn-like lesions, and development of cutaneous carcinomas.

Patients present with flat, slightly scaly, red-brown macules on the face, neck, and body, recurring especially around the penial area, or verruca-like papillomatous lesions, seborrheic keratosis-like lesions, and pinkish-red plane papules on the hands, upper and lower extremities, and face. The initial form of EV presents with only flat, wart-like lesions over the body, whereas the malignant form shows a higher rate of polymorphic skin lesions and development of multiple cutaneous tumors.

Generally, cutaneous lesions are spread over the body, but some cases have only a few lesions which are limited to one extremity.

Genetics

The cause of the condition is an inactivating PH mutation in either the EVER1 or EVER2 genes, which are located adjacent to one another on chromosome 17. These genes play a role in regulating the distribution of zinc in the cell nuclei. Zinc is a necessary co-factor for many viral proteins, and the activity of EVER1/EVER2 complex appears to restrict the access of viral proteins to cellular zinc stores, limiting their growth.

Other genes have also rarely been associated with this condition. These include the ras homolog gene family member H.

Treatment

No curative treatment against EV has been found yet. Several treatments have been suggested, and acitretin 0.5–1 mg/day for 6 months’ duration is the most effective treatment owing to anti-proliferative and differentiation-inducing effects.

Interferons can also be used effectively together with retinoids.

Cimetidine was reported to be effective because of its depressing mitogen-induced lymphocyte proliferation and regulatory T cell activity features. A report by Oliveira et al.showed that cimetidine was ineffective. Hayashi et al. applied topical calcipoTriol to a patient with a successful result.

As mentioned, various treatment methods are offered against EV; however, most importantly, education of the patient, early diagnosis, and excision of the tumoral lesions take preference to prevent the development of cutaneous tumors.

SUMMARY: 

  1. DEBILITATING ILLNESS
  2. NO KNOWN CURE
  3. CONTROLLED THROUGH MINOR SURGERY AT EARLY ONSET
  4. HEREDITARY
  5. PH MUTATION OF GENES

 

PLASMA TRAINING COURSE GETS GLOBAL ACKNOWLEDGEMENT FOR CONTRIBUTION TO DERMATOLOGY

PLASMA TRAINING COURSE GETS GLOBAL ACKNOWLEDGEMENT FOR CONTRIBUTION TO DERMATOLOGY

AESTECH HQ IN LIVERPOOL RECIEVE ACCOLAIDS AND FORMAL ACKNOWLEDGEMENT FROM DR VERHOVE, ONE OF THE HEADS ON THE BOARD OF DERMACLASS, AND A GLOBALLY RENOWNED DERMATOLOGIST BASED IN MARYLAND USA, FOR THEIR CONTRIBUTION TO DERMATOLOGY.

Aestechs office based in Liverpool UK, has been performing plasma treatments and clinical studies since 2012. Offering Plasma training since 2015, Aestech have developed a new form of treatment using their renowned A-plas plasma pen to treat all forms of acne and acne scarring, as well as a brand new method for abolishing postpartum stretch marks. Developed by three of their top dermatologists and revolutionary in terms of the treatment method, this technique has transformed the lives of many a patient and has given rise to further developments in the field of scarring and derma-rehabilitation.

Aestech have been nominated for an award for their contribution to dermatology and in addition, their development of aesthetic non-invasive treatment within the EU. Aestech have not only been regarded as the training facility of choice for many local and global medical professionals, but for aestheticians and skin experts alike.

To book onto the Aestech basic plasma course, medical practitioner course or masterclass in plasma therapy, please contact Aestech direct on info@aestech.co.uk.

 

TEETH WHITENING & LEGISLATION – DO YOU KNOW THE FACTS? YOU COULD BE PROSECUTED

TEETH WHITENING & LEGISLATION – DO YOU KNOW THE FACTS? YOU COULD BE PROSECUTED

Although teeth whitening was ruled an illegal treatment for the services of non-medical professionals back in 2016, there still remains some confusion over the legislation surrounding teeth whitening. Some clinicians still believe that it is legal to perform this service if the client places the teeth trays in their own mouth and if peroxide is kept under a 0.1% strength; this unfortunately is not accurate.

Aestech offer teeth whitening (for model training days), training and equipment but will only provide this training to qualified dental professionals and treatment under the supervision of a qualified dentist and here is the reason why:

THE BLEACHING PRODUCTS

The law surrounding tooth whitening (the Cosmetic Products Enforcement Regulations 2013) states that it is illegal for tooth whitening products which contain more than 6% hydrogen peroxide or for any associated products which release greater than 6% hydrogen peroxide to be supplied or administered for cosmetic purposes. The EU Cosmetics Regulations allow the use of hydrogen peroxide and other compounds or mixtures that release hydrogen peroxide, including carbamide peroxide and zinc peroxide to be used for tooth whitening.

The maximum concentration that may be used is 6% present or released. It is generally accepted that 10% carbamide peroxide content would yield a maximum of 3.6% hydrogen peroxide. Thus, the commonly used products containing 16% carbamide peroxide are allowed as they would normally release less than 6% hydrogen peroxide.

 

Tooth whitening products containing or releasing between 0.1% and 6% hydrogen peroxide can only be sold to dental practitioners. It could be interpreted as a breach of the Regulations if a dentist (or a practice) sold tooth whitening products containing or releasing more than 0.1% hydrogen peroxide to someone other than a patient undergoing a cycle of tooth whitening treatment. For each cycle of use, the first use can only be carried out by dental practitioners or under their direct supervision if an equivalent level of safety is ensured as for example by a trained hygienist, therapist or clinical technician. Clinicians should ensure contemporaneous and accurate records of the initial appointment including details of instructions and consent. After the first cycle of use, the product may be provided by the dental practitioner to the consumer to complete the cycle of use.

 

Products containing or releasing between 0.1% and 6% hydrogen peroxide cannot be used on any person under 18 years of age except where such use is intended wholly for the purpose of treating or preventing disease. Practitioners need to exercise caution in the rare cases of tooth whitening for under 18’s. Indemnity organisations should be consulted and clear consent and involvement of parents are essential. The maximum penalty for breaching the Regulations is a sentence of imprisonment not exceeding six months.

The General Dental Council’s Position Statement on Tooth Whitening sets out that if it receives information or a complaint that a registrant is using a product in excess of 6%, in breach of the Regulations, the registrant may face fitness to practice proceedings and can expect the matter to be referred to the relevant Trading Standards department.

THE TEETH WHITENING SERVICE

Carrying out a whitening service (that includes ‘treatment, advice or attendance’) for a client is illegal under British law as the only people who may carry out teeth whitening are registered dentists, dental hygienists, dental therapists and clinical dental technicians who are working to the prescription of a dentist.

 

Teeth whitening is not specifically mentioned in the Dentists Act 1984 and for this reason became a target for some companies operating within the beauty industry.

The General Dental Council, which is responsible for regulating the industry and carries out prosecutions, argued that the service should be restricted to dentists. It won an important legal judgment in 2013 – the case of GDC vs Jamous – where high court judges agreed with its arguments.

Subsequent court cases have further tightened the law – it is now also illegal to offer a service where a therapist hands a client a tray containing a kit for home use, provides instructions to read, hands the client dark glasses, sets a timer or places a ‘laser’ device near clients’ teeth or to remove equipment after treatment. These are all considered to fall under the restriction in the Dentists Act that prevents anyone who is not a dentist from giving ‘treatment, advice or attendance’.

In some good news for therapists, a county court ordered Megawhite to refund the cost of a training course that it had sold to a therapist who did not have dental qualifications on the grounds it would have been illegal for her to carry out the treatment. There have been attempts to appeal the decision, but the courts have refused.

WHAT IS THE PUNISHMENT FOR CARRYING OUT ILLEGAL TEETH WHITENING?

The maximum fine has been increased from £5,000 to an unlimited amount. In 2015 the GDC carried out 35 prosecutions, with the figure for the first three months of 2016 standing at seven.

  

ERYTHROMELALGIA – THE FACTS, THE CAUSES AND THE MEDICATIONS AND THE TREATMENTS

ERYTHROMELALGIA – THE FACTS, THE CAUSES AND THE TREATMENTS

WHAT IS ERYTHROMELAGIA?

ERYTHROMELAGLIA OR EM, IS A RARE NEUROVASCULAR CONDITION THAT MOST COMMONLY EFFECTS THE FEET, BUT MAY ALSO OCCUR IN THE HANDS, FACE OR OTHER PARTS OF THE BODY. THE TERM NEUROVASCULAR MEANS THAT BOTH THE BLOOD VESSELS AND AND NERVES ARE INVOLVED.

THREE HALLMARK SYMPTOMS OF EM ARE: 

REDNESS: 

THE SKIN-COLOUR CHANGE CAUSED BY EXCESSIVE BLOOD FLOW TO THE AFFECTED AREA. THE MEDICAL TERM IS ERYTHEMA.

HEAT: 

SKIN WILL FEEL WARM OR HOT TO THE TOUCH DUE TO INCREASED BLOOD FLOW.

PAIN: 

DISCOMFORT MAY RANGE FROM MILD-TINGLING TO SEVERE BURNING. FOR SOME, IT CAN ALSO INVOLVE SENSATIONS SUCH AS PINS AND NEEDLES OR ITCHING.

ADDITIONAL SYMPTOMS MAY INCLUDE: 

SWELLING: 

THE INCREASED BLOOD FLOW MAY CAUSE BUILD UP OF FLUID IN THE AFFECTED BODY PART. THE MEDICAL TERM IS EDEMA.

CHANGE IN PERSPIRATION:

SOME PEOPLE WITH EM SEWAT LESS IN THE AFFECTED BODY PART. THIS IS CALLED ANHIDROSIS. HOWEVER, OTHER PEOPLE WITH EM EXPERIENCE AN INCREASED SWEATING, WHICH IS CALLED HYPERHIDROSIS. BOTH OF THESE SYMPTOMS MAY BE CAUSED BY PROBLEMS WITH AUTONOMIC NERVOUS SYSTEM (PART OF THE NERVOUS SYSTEM THAT AUTOMATICALLY REGULATES BODY FUNCTIONS) OR DAMAGE TO SMALL NERVE FIBERS.

PURPLE DISCOLORATION AND/OR COLD TO TOUCH: 

SOME PEOPLE WITH EM EXPERIENCE COLD AND/OR BLUISH SKIN WHEN THAT ARE NOT ACTIVELY FLARING. THESE SYMPTOMS MAY BE RELATED TO NARROWING OF THE BLOOD VESSELS, WHICH IS CALLED VASOCONSTRICTION.

EM FLARES ARE MOST COMMONLY TRIGGERED BY WARMTH, PHYSICAL ACTIVITY OR STRESS. PEOPLE WITH EM MAY AVOID EXERCISING AND TAKING HOT BATHS OR SHOWERS AND MAY BE UNABLE TO WEAR SOCKS OR CLOSED SHOES. SOME PEOPLE WITH EM CANNOT TOLERATE HAVING THEIR LEGS IN DEPENDENT POSITION (FEET BELOW LEVEL OF KNEES AND HIPS) AND ARE MORE COMFORTABLE KEEPING THEIR FEET ELEVATED. FLARES MAY BE INTERMITTENT OR CONTINUOUS.

HOW COMMON IS EM? 

ACCORDING TO A 2008 STUDY CONDUCTED BY MAYO CLINIC IN ROCHESTER, MINNESOTA, EM AFFECTS AN ESTIMATED 1.3 PEOPLE PER 100,000 EACH YEAR IN THE USA. A STUDY IN 2013 FROM NEW ZEALAND SUGGESTS THAT THE INCIDENT OF EM MAY BE AS HIGH AS 15 PER 100,000. EM IS CONSIDERED A RARE DISEASE AND IS LISTED IN THE DATABASE OF NATIONAL ORGANISATION FOR RARE DISORDERS (NORD).

WHAT ARE THE DIFFERENT TYPES OF EM? 

PRIMARY EM

PRIMARY EM IS NOT CAUSED BY N UNDERLYING DISEASE. IT INCLUDES BOTH INHERITED AND IDIOPATHIC EM.

INHERITED EM

AN ESTIMATED FIVE TO FIFTEEN PERCENT OF EM CASES ARE HEREDITARY, CAUSED BY MUTATIONS OF THE SCN9A GENE AND POSSIBLY, OTHER AS-YET UNIDENTIFIED GENES. THESE MUTATIONS AFFECT THE WAY NERVES SEND PAIN SIGNALS TO THE BRAIN AND MAY ALSO CAUSE THE WARMTH AND REDNESS ASSOCIATED WITH EM.

IDIOPATHIC EM  

SECONDARY EM

CASES OF EM THAT ARE CAUSED BY ANOTHER DISEASE OR CONDITION ARE CALLED SECONDARY EM. THE MOST COMMON CAUSES OF SECONDARY EM ARE:

ESSENTIAL THROMBOCYTHEMIA: A MYELOPROLIFERATIVE BLOOD DISORDER THAT CAUSES INCREASED PRODUCTION OF PLATELETS

POLYCYTHEMIA VERA: A MYELOPROLIFIC BLOOD DISORDER THAT CAUSES AN INCREASED PRODUCTION OF BLOOD CELLS, PRIMARILY RED BLOOD CELLS

THROMBOCYTOPENIA: A BLOOD DISORDER THAT INVOLVES LOW PLATELET COUNT

PERIPHERAL NEUROPATHY: INCLUDING DIABETIC NEUROPATHY

AUTOIMMUNE DISEASES: INCLUDING LUPUS, VASCULITIS, RHEUMATOID ARTHRITIS AND MULTIPLE SCLEROSIS

NERVE DAMAGE: DUE TO INJURIES OR OTHER CONDITIONS SUCH AS CARPAL TUNNEL SYNDROME, SCIATICA AND FROSTBITE

IN SOME CASES WHERE THE UNDERLYING DISEASE IS TREATED, EM SYMPTOMS WILL IMPROVE OR RESOLVE COMPLETELY. SOME MEDICATIONS HAVE BEEN LINKED TO THE ONSET OF EM INCLUDING CALCIUM-CHANNEL BLOCKERS, CERTAIN KINDS OF ANTI-DEPRESSANTS AND THE IMMUNOSUPPRESENT CYCLOSPORINE. IN SOME CASES WHEN A PERSON STOPS TAKING THE MEDICATION, THE EM SYMPTOMS WILL RESOLVE

SECONDARY EM HAS ALSO BEEN LINKED TO TOXINS SUCH AS MERCURY AND POISONOUS MUSHROOMS. SYMPTOMS GO AWAY WHEN THE TOXIN HAS CLEARED THE BODY.

HOW IS EM DIAGNOSED?

THE FIRST STEP TO DIAGNOSIS IS TO CONSULT YOUR PRIMARY CARE DOCTOR WHO WILL MOST LIKELY REFER YOU ON TO A SPECIALIST TO CONFIRM THE SUSPECTED DIAGNOSIS. SPECIALISTS THAT BOTH DIAGNOSE AND TREAT EM ARE NEUROLOGISTS, DERMATOLOGISTS, RHEUMATOLOGISTS AND VASCULAR PHYSICIANS OR SURGEONS.

REACHING A DIAGNOSIS

THERE IS NO SPECIFIC TEST FOR EM. DOCTORS DIAGNOSE EM BY OBSERVING SYMPTOMS AND BY RULING OUT ANY OTHER POSSIBLE CAUSE OF SYMPTOMS. IF THE PATIENT IS NOT ACTIVELY FLARING AT THE TIME OF APPOINTMENT THEN THE DOCTOR MAY BE ABLE TO REACH A DIAGNOSIS BY ASKING QUESTIONS REGARDING THE SYMPTOMS AND BY LOOKING AT PHOTOGRAPHS OF A FLARE IN PROGRESS. SOME DOCTORS MAY HOWEVER, WISH TO WITNESS A FLARE BEFORE MAKING A FORMAL DIAGNOSIS.

IN EITHER CASE, IT IS IMPORTANT TO KEEP A TRACK OF SYMPTOMS. MAINTAINING DETAILED JOURNALS OF FLARE-UPS AND PHOTOGRAPHS OF SYMPTOMS CAN GREATLY ASSIST DIAGNOSIS.

IDENTIFYING OR RULING OUT CAUSES OF SECONDLY EM

WHILST THERE IS NO SPECIFIC TEST FOR EM, A DOCTOR MAY ORDER ADDITIONAL TESTS TO IDENTIFY OR RULE OUT ANY POSSIBLE UNDERLYING DISEASE THAT COULD BE CAUSING OR TRIGGERING THE EM SYMPTOMS. FOR EXAMPLE, A COMPLETE BLOOD COUNT (CBC) CAN HELP DIAGNOSE BLOOD DISORDERS AND GLUCOSE TESTING CAN CONFIRM OR RULE OUT DIABETES. AUTOMIMMUNE DISEASES MAY BE IDENTIFIES BY BLOOD TESTS FOR HTE PRESENCE OF ANTIBODIES OR BY SKIN BIOPSIES. NEUROLOGISTS MAY PERFORM ELECTROMYOGRAPHY (EMG) OR NERVE CONDUCTION VELOCITY (NCV) TESTING TO IDENTIFY NERVE DAMAGE.

COMMON CONDITIONS ASSOCIATED WITH EM

OTHER CONDITIONS MAY COEXIST WITH EM INCLUDING RAYNAUDS PHENOMENON AND PERNIOSIS. RAYNAUDS IS A CONDITION WHERE FINGERS OR TOES TURN WHITE OR BLUE IN RESPONSE TO COLD TEMPERATURES OR EMOTIONAL STRESS. PERNIOSIS ALSO OCCURS ON FINGERS OR TOES THAT HAVE BEEN EXPOSED TO COLD, RESULTING IN INFLAMMATION OF SMALL BLOOD VESSELS, WHICH MAY THEN LEAD TO PAINFUL SWELLING AND BLISTERING OF THE SKIN. WHEN A PERSON HAS BOTH EM AND A CONDITION THAT REACTS TO COLD, IT CAN BE A BALANCING ACT TO MANAGE THE TWO CONDITIONS.

TREATMENTS FOR EM

THERE IS NO CURE FOR EM. WHILST IT IS TRUE THAT TREATING AN UNDERLYING DISEASE MAY BRING COMPLETE RELIEF FROM EM SYMPTOMS, MOST CASES OF EM CANNOT BE FULLY TREATED. IN SUCH CASES, TREATMENT FOCUSES ON RELIVING SYMPTOMS WITH MEDICATIONS AND OTHER TECHNIQUES. IT FREQUENTLY TAKES A PERIOD OF TRAIL AND ERROR BEFORE A PERSON WITH EM FINDS A TREATMENT PLAN THAT WORKS FOR HER.

SYMPTOM RELIEF

COOLING THE AFFECTED AREA TYPICALLY PROVIDES SOME RELIEF FOR AN EM FLARE.

SAFE METHODS FOR COOLING BODY PARTS INCLUDE:  

FAN: DIRECT A FAN ON THE EFFECTED AREA

COOL SURFACE: REST BARE FEET ON A COOL TILE OR CONCRETE FLOOR

GEL PACKS: APPLY COOL (NOT COLD) GEL PACKS TO THE AFFECTED BODY PART

FEET UP: ELEVATE FLARING FEET

*THE KEY TO REMEMBER WHEN COOLING THE SKIN IS NOT TO OVER-COOL OR APPLY EXTREME TEMPERATURES AS THIS CAN HAVE THE ADVERSE EFFECT*

TOPICAL MEDICATIONS  

 SOME TOPICAL MEDICATIONS HAVE BEEN SAID TO ASSIST WITH THE RELIEF OF EM SYMPTOMS AND INCLUDE:

COMPOUNDED CREAMS – PRESCRIPTION CREAMS SPECIALLY DERIVED BY A PHARMACY

CAPSAICIN (ZOSTRIX) – HAS BEEN REPORTED TO RELIEVE EM SYMPTOMS. USING A 8% PATCH (QUENZA) WHICH IS ADMINISTERED WITH ANESTHESIA FOR 60-90 MINUTES HELPS DESENSITISE THE SKINS HEAT RECEPTORS.

LIDOCAINE AND MENTHOL – LIDOCAINE PATCHES OR MENTHOL PRODUCTS LIKE BIOFREEZE GEL OR SPRAY WHICH INDUCE THE SENSATION OF COOLING HAVE ALSO BEEN FOUND EFFECTIVE.

ORAL MEDICATIONS

A NUMBER OF MEDICATIONS ARE KNOWN TO BE EFFECTIVE IN REDUCING FLARES OR RELIEVING PAIN EXPERIENCED DURING FLARES. HOWEVER, A MEDICATION THAT WORKS FOR ONE PERSON WITH EM MAY NOT WORK FOR ANOTHER. THEREFORE, IT IS OFTEN A CASE OF TRIAL AND ERROR AND VIA A COMBINATION OF DRUGS THAT HELP RELIEVE THE SYMPTOMS OF EM.

COMMON DRUGS USED TO TACKLE EM ARE AS FOLLOWS:

ASPIRIN – GIVEN ASPIRIN ACTS AS A BLOOD THINNER, IT IS EFFECTIVE IN TREATING BLOOD RELATED EM SYMPTOMS.

CARDIVASCULAR DRUGS – VASODIALATORS WHICH RELAX AND OPEN UP THE VESSELS AS WELL AS ALPHA BLOCKERS ARE GOOD AT RELIEVING SYMPTOMS OF EM CAUSED BY POOR BLOOD FLOW.

NARCOTIC PAIN MEDICATIONS – APOID PAIN RELIEF MEDICATIONS GENERALLY DO NOT PREVENT FLARES BUT CAN REDUCE THE PAIN EXPERIENCED DURING A FLARE.

SUPPLEMENTS AND OTHER ALTERNATIVE MEDICATIONS – SOME SUPPLEMENTS SUCH AS MAGNESIUM AND CALCIUM-CHANNEL BLOCKER WHICH IS A VASODIALATOR HAVE BEEN SUCCESSFUL IN RELIEVING EM SYMPTOMS. ANTIHISTAMINES HAVE ALSO PROVEN EFFECTIVE IN SOME CASES WHEREAS OTHERS HAVE TRIED AND TESTED MIAGRAIN DRUGS AND ANTIDEPRESSANTS.

SURGICAL PROCEDURES

IN RARE CASES THE DOCTOR MAY RECOMMEND INTRAVENOUS (IV) INFUSION OR SURGERY WHEN OTHER FORMS OF MEDICATION DO NOT WORK.

IV INFUSIONS

SOME PEOPLE WITH EM EXPERIENCE RELIEF FROM LIDOCAIN INFUSIONS, ESPECIALLY THOSE WHERE EM IS CAUSED BY OVERACTIVE SODIUM CHANNELS. LLOPROST INFUSIONS ALSO HELP CIRCULATION AND MAY BE USEFUL FOR PATIENTS WHOSE EM IS CAUSED BY EXCESSIVE VASOCONSTRICTION.

NERVE BLOCKS

EPIDURALS AND SYMPTHETIC NERVE BLOCKS ARE TWO TYPES OF PROCEDURES THAT HAVE BEEN USED TO TREAT EM. IN THESE PROCEDURES, AN ANESTHETIC SUCH AS LIDOCAINE IS INJECTED INTO THE SPACE AROUND THE SPINAL CORD OR IN CERTAIN TYPES OF NERVES AND CAN HELP BLOCK PAIN SIGNALS.

SURGICAL IMPLANTS

IMPLANTED DEVICES LIKE A SPINAL-CORD SIMULATOR OR AN INTHRATHECAL DRUG-DELIVERY PUMP (OFTEN REFERRED TO AS A PAIN PUMP) MAY HELP RELIEVE THE SYMPTOMS OF EM.

UNCONVENTIONAL TREATMENTS

SOME LESS COMMON TREATMENTS HAVE BEEN REPORTED TO HELP EM SYMPTOMS. A RECENT REPORT IN 2016 INDICATES THAT CERTAIN LASER TREATMENTS CAN HELP ALLEVIATE EM. A CLINICAL TRIAL USING COOL LASER THERAPY WAS SAID TO HAVE DRAMATICALLY ASSISTED EM SUFFERERS PAIN CONTROL BY UP TO 80%. AN INDEPENDENT STUDY PERFORMED BY AESTECH USA ON COOL LASER THERAPY PROVED 86% SUCCESSFUL IN 200 PATIENTS OVER 3-YEARS.

*FOR MORE INFORMATION ON COOL LASERS AND COOL LASER THERAPY PLEASE CONTACT US DIRECT AT INFO@AESTECH.CO.UK* 

MIND-BODY THERAPIES

CBT – THIS IS A FORM OF THERAPY THAT HELPS YOU MANAGE NEGATIVE THOUGHTS. WHILST THIS MAY NOT NECESSARILY ASSIST EM SYMPTOMS DIRECTLY, IT CAN HEP A PERSON COPE BY CONTROLLING THEIR PAIN.

BIOFEEDBACK – TEACHES A PERSON TO GAIN CONSCIOUS CONTROL OVER CERTAIN BODY PROCESSES BY RECEIVING REAL TIME FEEDBACK VIA COMPUTER MONITORS. EXAMPLES OF SUCH ARE BLOOD PRESSURE AND HEART RATE.

HYPNOTHERAPY – THIS ALLOWS THE PATIENT TO ENTER A DEEP STATE OF RELAXATION DURING WHICH THE PERCEPTION OF PAIN CAN BE ALTERED.

MENTAL THERAPIES CAN BE JUST AS IMPORTANT AS MEDICAL THERAPIES WHEN LEARNING TO LIVE WITH CHRONIC PAIN CONDITIONS LIKE EM.

COPING WITH EM

EXERCISE, BATHING, DIET, SLEEP AND GENERAL LIFESTYLE MODIFICATIONS ARE ALL IMPORTANT WHEN COPING WITH EM. WORKING THROUGH THIS WITH YOUR HEALTH AND MEDICAL PROFESSIONAL IS KEY WHEN COMING TO TERMS WITH EM. WORKPLACE CHALLENGES ARE LIKELY THEREFORE DISCUSSING YOUR CONDITION WITH YOUR SUPERVISORS IS KEY TO ENSURING LONGEVITY IN YOUR CAREER AND OBTAINING EXTRA SUPPORT THROUGH GROUPS AND ASSOCIATIONS WHERE YOU CAN DISCUSS CHALLENGES WITH OTHER EM SUFFERERS.

 

 

WHEN LASERS GO WRONG MOLLY HORRIFIC EXPERIENCE – WARNING – GRAPHIC IMAGES

WHEN LASERS GO WRONG CASE TWO – GRAPHIC IMAGES

A beauty blogger was left looking like a burn victim after a simple procedure to remove a facial birthmark turned into a cosmetic nightmare.

Molly Martinson had been expecting surgeons to remove the small port wine birthmark on her cheek below her eye without much fuss.

weeks after the incident

 

But the 23-year-old was devastated when the ‘botched’ laser surgery caused a patch of skin on her face to become red and inflamed – leaving her looking like she had been “exposed to radiation”.

A year on from the treatment, these graphic photos show how the bruising and burns on Molly’s vascular birthmark have left her with permanent scarring.

Now the blonde beauty is speaking out about her horrific ordeal in a bid to warn others of the “extreme dangers” of undergoing laser surgery.

Molly, from Pittsburgh in Pennsylvania, USA shared her experience on her YouTube channel – and the video has now racked up more than 900,000 views.

She said: “I thought of getting it removed when I was younger but never acted on it until I found out the potential dangers of port wine stains.

“Not because I thought it looked ugly but because tons of people throughout my life always asked what happened to my face and never left me alone about it.

“It got tiring after years of people constantly asking what was on my face.”

“So before I figured out the dangers of my birthmark, I was always self-conscious of it.”

After being told her birthmark was spreading and could damage her sight, Molly decided to go ahead with laser treatment. During the first two sessions Molly experience slight bruising around the birthmark that healed in 10 days. Happy with the results, Molly attended her third appointment on July 29 2015 – a day she describes as the most horrible of her life. This time, after zapping the birthmark, Molly felt excruciating pain and knew something was wrong.

She added: “When the surgeon handed me the mirror, my stomach literally turned upside down. “There was bruising all across my cheek, even where I don’t have a birth mark. “I physically felt nauseous and started crying instantly. I was appalled. “I felt like my face was ruined and there was not a thing I could do about it. “I was shaking and terrified. I was not only emotionally distressed but physically as well. I wanted to vomit.” 

The next day Molly’s eye was swollen shut and her skin was blistered and raw for a month. She said: “It hurt for four weeks. I realised it felt like a burn – like someone took a hot coal to my face and burned me. 

“Even the slightest touch made me cry in pain. I didn’t want to go out in public for days because it looked like I was exposed to radiation. 

“I did go out a few times because I simply had to and everyone just stared at me in disbelief. 

“It took just over a month for it to heal. I still have slight scarring which I am getting corrected by a new surgeon.” 

In most cases port wine stains are harmless but should be monitored if close to the eye can spread and cause problems. However, the young blogger insists people seeking laser surgery to research well beforehand.

No matter if you have a surgeon, a doctor, a dentist or a nurse performing your treatments always remember that this does NOT qualify them to treat with lasers. Always ask them for their credentials beforehand and the specific qualifications they hold for machine operations. All reputable person(s) will be only too happy to provide this for you.

ALL AESTECH CLINICIANS HOLD A CERTIFICATE OF TRAINING ON EACH OF THE MACHINES PURCHASED. YOU CAN REST ASSURED THAT WHEN YOU OPT FOR AESTECH CERTIFIED CLINICS, YOU ARE GETTING THE HIGHEST QUALIFIED DOCTORS, NURSES AND AESTHETICIANS IN THE FIELD. TO FIND AN AESTECH CLINIC OR SALON NEAR YOU, SEE OUR CLINIC DIRECTORY.

THE BEST LASER HAIR REMOVAL MACHINE FOR PROFESSIONAL USE – HOW TO CHOOSE THE RIGHT ONE

THE BEST LASER HAIR REMOVAL MACHINE FOR PROFESSIONAL USE – HOW TO CHOOSE THE RIGHT ONE FOR YOU

SO YOU ARE THINKING ABOUT BUYING A LASER HAIR REMOVAL MACHINE BUT YOU ARE NOT QUITE SURE WHICH ONE TO BUY. LETS FACE IT, IT CANT BE THAT HARD BECAUSE THEY ARE ALL THE SAME AREN’T THEY? …THINK AGAIN!

THERE ARE HUNDREDS OF LASER HAIR REMOVAL MACHINE MODELS OUT THERE, SOME SINGLE WAVELENGTH, SOME MULTI-WAVELENGTH, SOME OFFERING TATTOO REMOVAL AS WELL AS HAIR REMOVAL, SOME OFFERING SKIN COOLING SYSTEMS AS STANDARD AND OTHERS OFFERING EVERYTHING FROM LARGE TREATMENT HEADS TO FAST-PULSE LIGHT. BUT WHAT DOES IT ALL MEAN?

IN THE WORLD OF LASER HAIR REMOVAL, AN 808NM WAVELENGTH IS CLASSED AS THE GOLD STANDARD OF HAIR REMOVAL. WHILST 755NM AND 1064NM CAN ALSO BE USED, GIVEN THE SPECTRUM OF LIGHT AND THE REACH OF THE LASER, THE 808NM TENDS TO FIND AND DESTROY MORE HAIR ROOTS THAN ANY OTHER WAVELENGTH. HOWEVER, NOT ALL HAIR ROOTS LIE IN THE MIDDLE OF THE DERMIS. THE PUBIC HAIR FOR EXAMPLE, TENDS TO SIT FAR DEEPER INTO THE DERMIS, OFTEN JUST ABOVE THE SUBCONTOUS LAYER WHEREAS FACIAL HAIR – ESPECIALLY ABOVE THE LIP, TENDS TO SIT NEARER TO THE EPIDERMIS AND IS THEREFORE OFTEN MISSED BY THE 808NM. THIS IS WHY MANY LASERS USE A COMBINED WAVELENGTH OF 755NM, 808NM AND 1064NM WITH THE OPTION TO EITHER SWITCH BEWTWEEN THE VARIOUS SETTING OR BY COMBINING IT ALL IN ONE SINGLE HEAD.

LASER WAVELENGTHS
LASER WAVELENGTHS

OVERALL, MULTI-WAVE LASERS HAVE BEEN FOUND TO BE MORE EFFECTIVE AT TREATING HAIR HOWEVER IN THE WORLD OF LASER HAIR REMOVAL MACHINES, QUALITY REALLY IS EVERYTHING.

KNOWING WHERE YOUR MACHINE HAS BEEN MANUFACTURED AND UNDERSTANDING WHERE THE PARTS HAVE COME FROM NOT ONLY ENSURES THAT YOUR MACHINE IS LEGALLY COMPLIANT, ROBUST AND UNLIKELY TO BREAKDOWN – AN EXTREMELY COMMON OCCURRENCE IN CHEAP COUNTER-PARTS – BUT ALSO GUARENTEES YOUR CLIENTS THE RESULTS THEY ARE PAYING FOR. FINDING MACHINES THAT COME COMPLETE WITH UK WARRANTY, CE CERTIFICATION AND PAT TESTING WILL GIVE YOU THE REASURRANCE THAT YOUR MACHINE HAS BEEN MANUFACTURED TO THE HIGHEST STANDARD AND BY CHOOSING A LASER HAIR REMOVAL MACHINE MANUFACTURER THAT AVIDLY TESTS THEIR PRODUCTS AND OFFERS SERVICING AS WELL AS SUPPORT WILL GIVE YOU PEACE OF MIND IN THE LONG-RUN.

REMEMBER, NO MATTER WHAT MODEL YOU CHOSE, MACHINES WILL ALWAYS BREAK DOWN. WHAT KIND OF SERVICE DOES YOUR MACHINE PROVIDER OFFER? WILL YOU HAVE TO WAIT MONTHS FOR SPARE PARTS, WILL YOUR PROVIDER FIX THE PROBLEM ON SITE OR WILL THEY NEED TO SEND THE MACHINE OFF? ALL OF THESE QUESTIONS WILL HELP YOU PICK THE COMPANY THAT IS RIGHT FOR YOU AND YOUR BUSINESS.

EVER HEARD THE SAYING BUY CHEAP, BUY TWICE?! THERE IS NEVER MORE OF A TRUER WORD WHEN IT COMES TO PURCHASING LASER HAIR REMOVAL MACHINES. IF YOU WANT THE BEST LASER HAIR REMOVAL MACHINE THAT WILL LAST YOU AND GIVE YOU UNPARRALLELED RESULTS, OPT FOR A REPUTABLE UK COMPANY. THINK TWICE, BUY AESTECH!

AESTECH ARE A UK MANUFACTUERE AND R&D CENTRE FOR HIGH-QUALITY LASER MACHINES. ALL OF OUR PARTS COME FROM GERMANY AND WE MANUFACTURE BOTH IN GERMANY AND IN THE UK. ALL OF OUR MACHINES COME WITH A 12-MONTH UK WARRANTY, WE STOCK ALL OF OUR PARTS LOCALLY AND YOU HAVE THE OPTION TO TAKE OUT A SERVICE CONTRACT SO THAT WE CAN EITHER REPAIR YOUR MACHINE ONSITE WITHIN 24-HOUR OR REPLACE IT LIKE-FOR-LIKE TO PREVENT ANY DOWNTIME IN TRADE. OUR MACHINES ALL COME WITH MANUFACTURERS TRAINING MANUALS AND ONLINE TRAINING AND PROFESSIONAL 1-2-1 OR GROUP TRAINING CAN BE AQUIRED UPON REQUEST. OUR QUALIFICATIONS ARE ALL SUPPORTED THROUGH CPD AND HABTAC AS WELL AS VARIOUS OTHER INSURERS.

CLICK HERE TO VIEW OUR LASER HAIR REMOVAL MACHINES     

WHAT IS NOTOX AND WHY IT IS THE NEXT BIG THING!

WHAT IS NOTOX AND WHY IT IS THE NEXT BIG THING!

Notox, or no-needle Botox is used to refer to a number of treatments that offer the same results as Botox, but without the painful needles. Notox treatments are becoming more and more popular, as well documented celebrity disasters veer people away from injectables. As the ‘frozen look’ loses its appeal and people opt for more subtle rejuvenation techniques, there is a clear trend of client’s actively searching for alternative methods, with Notox clearly coming out on top.

Probably the most common Notox treatment is the new Ultherapy HIFU treatment which uses electrical impulses to stimulate the faces own natural collagen production. Unlike with Botox treatments, the results are permanent and can give some quite dramatic results. The benefits of HIFU is that you can target the lower face as well as the upper and it is also suitable to treat crepe skin and turkey neck as well as the standard lines and wrinkles. The downside to HIFU is that the treatments are not ‘painless’ as often described, they are quite expensive, as you are only having to pay for a few treatments to get permanent results and because HIFU is a new treatment, there is limited availability for HIFU practitioners.

HIFU RESULTS
HIFU RESULTS

Another common Notox treatment is no-needle Mesotherapy. Mesotherapy is the technique of injecting vitamins and skin solutions into the skin however no-needle Mesotherapy works to the same principle using exfoliation, radio frequency and high energy to push the products into the skin without having to pierce the top layers. This treatment is becoming more and more popular, especially for clients with needle-phobias. The benefits of no-needle Mesotherapy is that the Mesotherapy machine can treat an array of skin conditions, it’s non-invasive and totally painless and can be quite an enjoyable treatment to have. The downside to no-needle Mesotherapy is that you will probably need more treatments than with standard Mesotherapy to achieve the same results however, given that its totally painless and feels more like a pamper treatment than a clinical procedure, is that really such a bad thing?!

FOR NO-NEEDLE MESOTHERAPHY MACHINES OR HIFU MACHINES PLEASE CLICK THE LINK BELOW

AESTECH DERMAMES
AESTECH DERMAMES
HIFU DUAL PRO
HIFU DUAL PRO

 

THE HORRIFIC TRUTH ABOUT CHEAP LASERS AND WHAT CAN HAPPEN

THE HORRIFIC TRUTH ABOUT CHEAP LASERS AND WHAT CAN HAPPEN

LASER TREATMENTS ARE BECOMING MORE AND MORE POPULAR OWING TO THE DEVELOPMENT OF TECHNOLOGY AND THE FOREVER EXTENDING RANGE OF TREATMENTS AVAILABLE. HOWEVER, WITH GLOBALISATION IN FULL SWING AND THE EASE OF TRADE ALLOWING FOR UNKNOWN MACHINES TO HIT THE UK MARKET, A ONCE STEADILY CONTROLLED AND RELIABLE INDUSTRY, HAS BECOME UNREGULATED AND THE EFFECT OF SUCH HAS LED TO SOME DEVASTATING RESULTS.

BUILDING LEFT IN RUBBLE AFTER DEVASTATING FIRE TOOK HOLD
DEVASTATING FIRE

WHAT WAS ONCE THE PERFECTION BEAUTY CLINIC IN SHAWHURST, HAS NOW CLOSED WHAT IS LEFT OF ITS DOORS AFTER A DEVASTATING FIRE BURNED THROUGH THE BUILDING DESTROYING WHAT WAS ONCE A PIVOTAL LANDMARK BUILDING AND TAKING WITH IT, THE LOCAL BUSINESSES CONTAINED WITHIN. THE CAUSE? BELIEVED TO BE A CHEAP LASER HAIR REMOVAL MACHINE FROM KOREA.

ALTHOUGH NO ONE WAS INJURED IN THE AFTERMATH, THE OWNER, ALISON BIRCH, WAS SO TRAUMATISED BY THE EVENTS AND FINANCIALLY EXASPERATED OWING TO A CLAUSE IN THE INSURANCE AGREEMENT THAT LEFT HER FOOTING THE BILL FOR DAMAGES, THAT SHE HAS CLAIMED IT HAS DESTROYED HER LIFE.

“I just cannot believe I was so stupid. I thought, if the machine goes wrong or breaks down I can just replace it. I never once imagined it would set itself alight and destroy my business” 

AT FIRST, THE FIRE, THOUGHT TO BE DELIBERATE, WAS INVESTIGATED BY CID. A LATER INVESTIGATION FROM THE HEAT SOURCE FOUND THE CAUSE TO BE LINKED TO A WIRING FAULT IN A LASER BEAUTY MACHINE WHICH WAS ONLY 6-MONTHS OLD AND HAD ORIGINALLY BEEN IMPORTED FROM KOREA.

“I checked them online before I purchased but I never thought to ask about their companies registration and insurance. If I had of spent more and gone with a reputable supplier I would not be in this situation now and I would still have my business”    

BUT ITS NOT ONLY THE FIRE THAT CAUSES THE IRREPARABLE DAMAGE, THESE LASERS HAVE OPENED THE DOOR TO NUMEROUS NEGLIGENCE CLAIMS AND LEFT MANY PEOPLE SCARRED FOR LIFE AS EILA SBJORAC, AN EX NURSE PRACTITIONER FROM THE INFAMOUS BELGRAVIA MEDI-LIGHT CLINIC EXPLAINS.

“I could not be anymore highly trained. I have completed my level 4 and I have been in nursing all my life. When I burnt her skin I cried for a week. I checked all the settings and parameters twice before administering the treatment and afterwards I was mortified. I just cannot pick up a laser again. I am a nurse, I help people, I do not scar them”     

THE PATIENT, A BEAUTIFUL 28-YEAR OLD FROM LONDON WHO CANNOT BE NAMED FOR LEGAL REASONS, WAS LEFT FACIALLY SCARRED AFTER A C02 TREATMENT WENT HORRIBLY WRONG. AFTER A FULL INVESTIGATION, IT WAS CONCLUDED THAT THE ISSUE HAD BEEN THE INTERNAL SETTINGS ON THE LASER AS OPPOSED TO PRACTITIONER NEGLIGENCE HOWEVER THAT DID NOT STOP EILA FROM RESIGNING FROM HER EMPLOY AND OPTING TO PURSUE A DIFFERENT CAREER.

SKIN DAMAGE FROM C02 LASER
WHAT CAN HAPPEN WITH FAULTY LASERS

“My skin always looks dirty now. I have been told the skin is so damaged that the pigmentation may never heal. I am not allowed to get anymore treatments for at least 12-months and now I am far too scarred to have them anyway. I don’t blame her, I blame the laser company who knew they were selling faulty machines” 

BUT WHAT IS WORSE, IS THAT SHE IS NOT THE FIRST AND IT WOULD SEEM AS THE INDUSTRY GROWS AND SALONS STRUGGLE TO STAY AHEAD OF THE COMPETITION, SHE WILL NOT BE THE LAST.

“WHEN YOU ARE PURCHASING MACHINES, PLEASE CHECK THAT THEY ARE CE CERTIFIED, ARE PAT TESTED, EU REGULATED AND COME WITH A WARRANTY BASED WITHIN THE COUNTRY OF PURCHASE, AS STANDARD. CHECK THE COMPANY. IF THE COMPANY IS REGISTERED AND IS BASED IN THE COUNTRY YOU LIVE IN OR IF NOT, HOLDS A GLOBAL INSURANCE AND TRADERS CERTIFICATE THEN AT LEAST YOU WILL HAVE MORE OF A CHANCE OF A COMEBACK IF ANYTHING GOES WRONG. REMEMBER THAT ITS NOT ALWAYS THE BIG PLAYERS THAT ARE THE BEST. WE BELIEVE IN BUILDING RELATIONSHIPS WITH OUR CLIENTS. WE ARE THERE TO HELP THEM MARKET, EXPAND, TRAIN, DEVELOP AND GROW. WE DON’T JUST SELL THEM A MACHINE AND EXPECT THEM TO GET ON WITH IT. READ UP ON THE COMPANY ETHOS AND GET A FEEL FOR WHAT THEY ARE REALLY ABOUT. WHAT IS THE CUSTOMER SERVICE LIKE AND WHAT ARE THEIR PROCEDURES IN REGARDS TO AFTER SALES. ONLY THEN CAN YOU MAKE AN INFORMED DECISION. UNFORTUNATELY THERE ARE A LOT OF COMPANIES OUT THERE WHO JUST WANT TO SELL YOU SOMETHING AND MAKE A QUICK BUCK AND SPENT TIME MONEY AND EFFORT ON CREATING THE ‘APPEARANCE’ (USUALLY THROUGH FAKE MARKETING) OF BEING REPUTABLE. ITS ALL ABOUT BUILDING TRUST – SOMETHING AESTECH HAVE IN ABUNDANCE”

CARA RENE WITTER – DIRECTOR AT AESTECH 

AESTECH OFFER FREE DEMONSTRATIONS AND NO OBLIGATION CONSULTATIONS AND TELEPHONE CHATS. IF YOU WOULD LIKE TO SPEAK TO REPRESENTATIVE IN YOUR AREA GET IN TOUCH NOW.

 

LEADING THE WAY FOR MEDICAL BEAUTY SUPPLIES
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Company Registration No. 11011918 |Policy No. 917840-275 | AESTECH 2014 – 2017 All Rights Reserved