Recently, for the first time in Scotland, new legislation has been approved to monitor the activities of the medical practitioners offering non-surgical aesthetic treatments like Botox, dermal fillers, teeth whitening treatments etc. at the privately operated cosmetic clinics. In order to operate, these clinics now need to have registration with the healthcare inspecting body.
According to this legislation, the medical professionals are required to register their independent aesthetic clinics by April 2017 with the Healthcare Improvement Scotland (HIS) and will be subjected to the regular inspection by the authority.
This move has been welcomed by the practitioners, as a one step forward towards safety of the clients opting for the non-surgical cosmetic procedures. But they have also cleared that it has failed to target the non-medical people and beauticians who have no training or experience that is required for performing cosmetic procedures.
Dr. Simon Ravichandran, who is a president and a founder of the Association of Scottish Aesthetic Practitioners, said that this has raised concerns among the professional, trained and experienced circle of the cosmetic practitioners and surgeons because these new measures have failed to extend their reach to the unregistered and non-medical people offering these treatments.
Their concerns are valid as till 2017 it would be necessary for the professional aesthetic healthcare providers to get registered with the regulatory authority while it would be not an offense for the beauty therapists or any other nonmedical professional to operate an independent aesthetic clinic.
According to Simon Ravichandran, who is a trained ear, nose and throat surgeon and operates a private cosmetic clinic in Glasgow, also mentioned that though the inspection of the aesthetic clinics is a great initial step but there is first a need to check the educational and training background of the people performing these treatments. Just having a medical, dental & nursing degree is not a required qualification for performing these treatments or as well as getting a full or half-day aesthetic training course without any medical background is not enough to provide training or skills to perform cosmetic treatments.
So there is a need to properly regulate and monitor the cosmetic industry and the first step should be to keep a check on the qualifications and training of the people and practitioners offering non-surgical cosmetic treatments which is necessary to ensure the safety and protection of the public.
The Healthcare Improvement Scotland spokesman made it clear that the regulation will focus on ensuring the safety, effectiveness and high quality of healthcare for those who use independent clinics as well as for those who access independent cosmetic clinics all across Scotland.
The regulation has increased the focus and burden of regulations on the already regulated community of practitioners and doctors rather than identifying the un-regulated community of non-professionals and beauty therapists who are offering non-surgical cosmetic treatments including botulinum toxin and dermal fillers at their unregulated practices. The regulatory authorities should also consider distinguishing the somewhat trained from the completely untrained ones who currently are performing non-surgical cosmetic procedures without any of the burden of these new regulations. Though this first phase towards the regulation of independent cosmetic clinics is a good step but it should follow the check and balance which should be exercised on those performing cosmetic procedures across the board for more effective and safe outcomes.
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While Botox is great to reduce muscle activity and lines, dermal filler actually fills the cavity of the line; converting static lines to dynamic ones
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Aesthetic Talk with Dr Ahmed Haq
If you think you know aesthetics… think again.
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Biofilm is a rare complication of dermal fillers; however, its incidence varies significantly between clinics, with some encountering it very infrequently and others seeing it more often.
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Botulinum Toxin Top-Up: Forehead, Frown & Crow’s Feet
In this male patient, the upper forehead has relaxed well; however, there is compensatory hyperactivity directly over the eyebrows, resulting in visible movement and line formation. I’m addressing this with very superficial micro-drops, using a 32G needle, keeping the dose conservative at ≤1 unit per injection point to soften activity without risking brow heaviness.
Moving to the frown complex, I first assess which components are still active. In this case, the medial corrugators are adequately relaxed, while the lateral corrugator remains dominant, driving the residual frown expression. Although the contraction appears central, the top-up is strategically placed laterally, targeting the true source of movement rather than the visible crease.
Finally, for the crow’s feet, if lower lateral eye lines become accentuated following initial treatment, I often recommend a small, controlled top-up of 1–2 units into the lower crow’s feet, placed superficially and laterally. This refines residual lines while maintaining smile dynamics and avoiding unwanted diffusion into the zygomaticus.#botoxinjections #botoxtraining
The Truth About Trendy Lips
We need to stop treating lips like a construction project. This dynamic, delicate structure is being ruined by over-manipulation and trendy, trauma-inducing techniques.
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Forehead Indentations Explained
Not all forehead dips are created equal — some come from the soft tissues, and others from the hard bony foundation underneath.
🔹 Soft Tissue Causes
The forehead skin is thick and tightly bound down by fibrous connective tissue. These tethering points can pull the skin inward, leaving little dimples or grooves. With age, soft tissue thinning and volume loss make these dips appear more obvious.
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Sometimes, the issue lies deeper. The forehead bone itself can have slight irregularities or contour changes. These structural variations mean the skin and tissue drape unevenly, creating visible shadows.
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