Home' Spa and Clinic : SPA Vol-71 Spring 2017 Contents MEDI
Botox), collagen, hyaluronic acid (eg.
Juvederm, Restylane), other non-permanent
fillers and lignocaine (local anaesthetic), are
classified in the Poisons Schedule as S4 drugs.
Leading cosmetic physician Dr Cath
Porter says that it is the responsibility of
ethical cosmetic medical and aesthetics
professionals to reinforce this to their
patients/clients and uphold all standards
for their safety and wellbeing.
" [Jean Huang's case] is a worst nightmare
scenario in cosmetic medical terms. S4
medications must be prescribed by a doctor
and medical back-up should be available, no
matter how minor the procedure may be. It
shows just how terribly wrong things can go."
If your salon, spa or clinic doesn't
offer injectable ser vices to clients but you
know they are considering having these
procedures, you will gain even more trust
and respect by guiding them as to what they
should be looking out for.
"Suggest to your clients that they
check with medical colleges such as the
Australasian College of Cosmetic Surgery
(ACCS) or the Cosmetic Physicians College
of Australia (CPCA) as to the qualifications
of the practitioner they are thinking of
visiting," says Dr Porter.
"When they do present for an appointment
they should expect a thorough consultation
as to their aesthetic concerns and desires and
a health assessment re their suitability as a
candidate before anything is performed.
"They have a right to ask the
practitioner what their qualifications are,
and how much training/experience they
have had as a cosmetic injector. Also, what
products are being used, to ensure they are
Practitioners must also be able to show
evidence of informed consent.
Dr Porter stresses that price (as in the
cheapest) should never be an overriding
factor when deciding who to choose as an
injector. Suspiciously cheap offers may be
just that -- suspicious.
It may indicate that the products being
offered are illicitly obtained (likely online)
with no proof of the safety or efficacy of
their ingredients and/or the treatments are
being performed by "unprofessionals".
"It's no good having a beautiful face on a
dead body," quips Dr Porter.
If your aesthetics business is considering
employing the ser vices of a cosmetic
injector, Dr Porter urges you to ensure that
injector is not only qualified and highly
experienced in the art of cosmetic injecting
but also registered in Australia.
"Remember an event like the one in court
today is a disaster all round. Most of all for the
person who has suffered the medical incident,
but then legally/financially for the business at
stake and a devastating loss of reputation that
could spell the end of that business, even if
they are ultimately not found at fault.
"Always remember that you as salon, spa
and clinic owners are liable, as well as the
clinician who has performed the treatment.
"When you are providing these ser vices
you are completely responsible for a
patient's/client's health. I always call to
mind the most basic premise I was taught as
a student doctor: `Do no harm'.
"When a patient sees a registered
practitioner they know they are receiving care
from someone who is appropriately trained
and held to account to national standards.
"If you see someone who is not registered,
you just don't know what you're getting.
"From my point of view [people risking
procedures with `backyard' operators] is
absolutely crazy behaviour."
DON'T GO OUT OF
Dr Russell Knudsen, speaking on behalf of the
ACCS, said the organisation has long warned
that beauty salons are out of their depth when
it comes to providing cosmetic injections like
anti-wrinkle injections and dermal fillers.
"In the unlikely event of an adverse
reaction, you have to have medical-
grade resuscitation equipment available
immediately and that's not going to happen
in a beauty salon," Dr Knudsen said.
"If they are being done in a non-medical
setting like a beauty salon or a so-called
Botox party that we hear about, that is
Dr Knudsen said any beauty salon that
has hired a cosmetic nurse must ensure
a registered doctor is involved in the
"It may be breaching the law depending
on the contact between the patient and the
doctor who is the person responsible for the
prescribing of the medication," he said.
"There are always risks -- you need a
comprehensive medical history of the
patient to make sure they are not going to
react or be aggravated.
"We fully support any regulations that
About 1000 beauty salons offer cosmetic
injections like Botox around Australia
in an industry worth $1 billion per year,
according to Tina Viney from the Aesthetics
Practitioners Advisory Network.
Ms Viney said salon owners have a
duty of care to carefully check the
credentials of anyone injecting government-
"If a therapist would like to introduce an
injector, they [should be] either a doctor
with experience or training in that area or
registered nurse that has qualifications in
injecting," she said.
NEED FOR ENFORCEMENTS
According to Dr Danae Lim, a practitioner
with 12 years' experience in both emergency
and cosmetic medicine: "It is actually not the
lack of regulation of the cosmetic medicine
industry, but the lack of enforcement due to
Dr Lim runs the HD Cosmetic Clinic, a
"leading provider of cutting edge non-
surgical anti-ageing treatments" in Sydney's
Alexandria that focuses on Asian aesthetics.
"Legitimate providers will always comply
with regulations, going above and beyond to
make sure patients are safe," says Dr Lim.
"AHPR A can only regulate medical
practitioners and lack jurisdiction over non-
Jean Huang is taken my ambulance from the
Medi Beauty clinic in Sydney's Chippendale
on August 30. She died in Royal Prince Alfred
Hospital two days later. Picture: Nine News
Jie Shao (pictured at Surry Hills police station after
her arrest), who performed the procedure on Jean
Huang, has been charged with manslaughter and
risks a lengthy jail sentence after the matter returns
to court. Picture: Nine News
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