Spring 2015
Transcription
Spring 2015
Specialty Official Publication of the S O C I E T Y O F SkinCare Pamela Hill, RN, Editor P L A ST I C S U RG I C A L Spring 2015 S K I N C A R E S P E C I A L I STS OTC Alternatives for TreatingSkinDiscolorations Gail Belott, RN H From the Editor’s Desk Pamela Hill, RN A s I sit here, the snow is falling like crazy!!! I am wondering will spring ever come? How is this weather affecting your business, especially those on the East Coast? If you can even get to your spa/clinic, it is important that we provide interesting packages of treatments to entice our clients to do the same. Winter weather is terrible for the skin and for those of us that must endure it, we all know that skin care is critical. Hopefully, this newsletter will give you some ideas on how to streamline your business and look for new ideas. Speaking of new ideas, the SPSSCS Annual Meeting is coming up it is important to recognize that seeing the program first-hand, meeting up with old friends and making new friends Continued on page 3 yperpigmentation: How do you and your patients describe it? Freckles, sun spots, age spots, solar lentigines, lentigo, liver spot, postinflammatory hyperpigmentation (PIH), chloasma, melasma, skin discoloration. These clusters & clumps of melanocytes is a result of an enzyme, tyrosinase that converts tyrosine to melanin. Tyrosinase activity is stimulated by aggressors including UV overexposure, inflammation including acne and hormonal fluctuations and is an immune response commonly seen on the face, chest and hands but can appear anywhere on the body. Some drugs will react with melanin and induce pigmentation changes in the skin. The list is quite extensive for photosensitivity but the more common are: acne medications, antibiotics, antiarrhythmics, Benadryl, diuretics, naproxen (Aleve), & cancer medications. Oral contraceptives or hormone therapy, antimalarials, NSAIDs (Advil or Motrin), Dilantin, amiodarone, antipsychotics, and tetracycline are common medications that cause hyperpigmentation. Sun exposure SPSSCS Mission The Society of Plastic Surgical Skin Care Specialists is a voluntary, non-profit organization dedicated to the promotion of education, enhancement of clinical skills and the delivery of safe, quality skin care provided to patients. intensifies these side effects. Uneven pigmentation will affect most people, regardless of ethnic background or skin color. In fact, half of females between ages 35-59 cite discoloration and uneven skin tone as a more significant concern than loss of skin firmness. Research is attempting to pinpoint the roles of stem cell, neural, vascular and local hormonal factors in promoting melanocyte activation. Skin lighteners have been around for a very long time. Over the counter hydroquinone (HQ) is available at a 2% strength and prescriptive hydroquinone starts at 3%–4% and higher when compounded by pharmacies. Though HQ is considered a “Gold Standard” in the treatment of hyperpigmentation, there are also many concerns regarding its safety. For that reason skin lightening is controversial. In some parts of the world, HQ is not available because of the damaging effects of long term use. When used as recommended by The Physician Desk Reference (PDR) it should be used Continued on page 4 SPSSCS Board of Directors 2014–2015 Elena Reyes, C-RMA, RST Cindy Steele, LA, NCEA Shay Moinuddin, MHA, CPSN Craig W. Colville, MD President Secretary/Treasurer Member-At-Large ASAPS Advisor Nina Spadaccino Donna Erb Alicia Barrera, RST, RMA Renato Saltz, MD President-Elect Member-At-Large Parliamentarian ASAPS Advisor Lizabeth Clouse, RN, CPSN Pamela Hill, RN Abbey Helton, BSN, RN C, CPSN, CANS Vice President Member-At-Large Immediate Past President SPSSCS Central Office • 11262 Monarch Street, Garden Grove, CA 92841 • www.spsscs.org 562-799-0466 or 800-486-0611 • Fax 562-799-1098 • email: [email protected] 1 THE PRESIDENT’S MESSAGE Elena Reyes, C-RMA, RST, CIDESCO DIPLOMAT A s I write my Presidential Message, spring is on its way and a new energy is all around us! The SPSSCS Annual Meeting in Montréal is just around the corner and we look forward to a great French experience in Montréal, where we will gain new knowledge on wonderful technologies for our skin care practices, as well as network and make great new friends. This past year has been a busy one filled with opportunity for our Society. For the second year, the SPSSCS was invited to plan a day of education called “The Clinical & Business Side of Skin Care organized in conjunction with the ASAPS Facial Symposium in Las Vegas. We had a great line up of speakers who presented timely topics. From Dr. Jeffrey Kenkel who presented “Pre & Post Op Laser—Skin Care Options,” Alicia Barrera on “Clinical Aspects of Permanent Makeup in the Plastic Surgeon’s Office,” Therese Clark on “Probiotics in Skin Care” and Dr. James Hoyt on ”The New Hybrid Laser (Halo) for Facial Rejuvenation,” as well as great business and marketing strategies to add to the practice. I really enjoyed Kyle Mills, who presented “Marketing in the Aesthetic Practice,” and Sandra Adams on “Product Vendor Selection-How to Cultivate.” A huge Thank You to all of the wonderful speakers that took time out of their busy schedules to present! I would like to thank Debi Toombs, ASAPS Director of Education, for giving us the great opportunity to promote our organization. I would also like to thank Karen Menard for being my co-chair and for all of her hard work as we planned the program. There is a start to everything when we take the opportunity! It is so important to continue to challenge ourselves and learn new and exciting technologies both in clinical skin care and business. My background as an allied health care professional in the medical and surgical setting; Licensed Master Medical Esthetician and business owner, dramatically enhanced when I became a member of the SPSSCS ten years ago. I have had the opportunity to grow as a leader and as a skin care specialist, as well as the great opportunity of serving in every position on the Board of Directors. I have also been very humbled to volunteer in Anaheim, California at World Burn Congress. As I near the end of my term, I have learned so much from my fellow Board of Directors and our members. I want to give a huge thank you to my colleagues and peers that have inspired me and helped me to be a leader and for being able to serve as your President. It has truly been an honor! Each and every one of you are special and I encourage each one of you to always stay inspired. Remember why we are in the wonderful profession that we are in and why we call it our career. Get involved, serve, and I promise it will be a huge growth experience. Our passion and heart is what gets us to that next level when we just take the opportunity. I would like to end my Presidential Message with a quote from Paulo Coelho, “An enthusiastic heart finds opportunity everywhere.” ▲ WelcomeNewMembers Karen Menard, RN Chair, Membership/Mentor Committee Wade Nicole Boye—London, ON, Canada Allison Buckelew—Atlanta, GA Holland C. Cates—Milwaukie, WI Erica Dugar—Spartanburg, SC Roxanne Edwards—Kansas City, KS Heather M. Farris—Janesville, WI Amada Farris—Janesville, WI Teri Fletcher—Nashville, TN Stanley P. Frileck, MD—Beverly Hills, CA Nicole Haley—Dallas, TX Jill A. Haynes, LE—Sacramento, CA Joyce Huang—Great Neck, NY Beth Hunt—East Lansing, MI Jana Ruth Kazazic—Fort Worth, TX Kelly Kubas—Toronto, ON, Canada Chelsey LaDew—Baltimore, MD Lori Lankford—Nashville, TN Jessica Litwiller—Bloomington, IL Deborah Macomber—Hingham, MA Izabela Marylski—New Brunswick, NJ Kate Ohde—Dublin, OH Barbie Jo O’Hearn—Grand Rapids, MI 2 Bambi Gay Osborne LaFont, RN— Jackson, TN Marsha L. Ostrander—Viera, FL Isabelle Perron—Laval, QC, Canada Kim Peters—Altamonte Springs, FL Maria Angelica Rossino, LE—Bryn Mawr, PA Marily Salls—Chevy Chase, MD Erica Savoie—Toronto, ON, Canada Dawn Schuste—Danville, PA Heidi Sivertsen—Renton, WA Jacqueline Smeak, RN—Greenville, SC Jeanice Smith, RN, BSN—West Linn, OR Jacqueline Tannian—Boston, MA Jill Tyrrel—Dallas, TX Sherry Weddle—Scottsdale, AZ MEMBER PROFILE: Katelyn Westbrook FROM THE EDITOR Continued from Cover I would have never imagined when I graduated from nursing school seven years ago that I would end up in the field of Aesthetics. After three years of working in cardio-thoracics and building my nursing skills, I was ready to settle into a career in the operating room. My first experience in the OR was ten months of working in mainly vascular surgery in Germany. There, I was able to scrub for surgeries and circulate. After moving back to Tennessee, I decided to continue building my OR skills by taking a position in outpatient surgery. I found that, while I loved being in the OR, I missed the patient interaction that so many of us feel called to. Just as I was preparing to explore further scholastic and nursing opportunities, an exciting offer knocked at my door. A group of plastic surgeons who operate frequently in the surgery center I worked at decided to add an aesthetic nurse to their practice! I am extremely proud to work at the Plastic Surgery Group in Chattanooga, TN. We are Chattanooga’s first and largest plastic surgery practice with five Board Certified Plastic Surgeons. Our physicians are faculty members of the departments of plastic and orthopedic surgery at the University of Tennessee College of Medicine Chattanooga, which allows them to stay on the cutting edge of medical research and education. While our surgeons place much value in skin care and other non-surgical services, they were finding they did not have the time to develop that aspect of the practice to its full potential. As the first person to serve such a role in the practice, I found building our skin care and aesthetic business to be challenging. Wading through what seems like endless skin care lines and product ingredients to find the best options for our patients can be daunting for the novice! Becoming a member of the SPSSCS has been greatly beneficial to my journey. While creating the best treatment plan available for my patients is the main goal of what I do, I find the reward to be so much more than beautiful skin. Patients come to us with a poor self-image trusting that we will do our best to help them feel more confident. When I close the door to sit down with a patient and ask what has brought them to me, the front we all put on for the rest of the world falls away. I see my mother and the private insecurities she shares with me. I see my best friend with her shoulders slumped because her skin is broken out. I see myself. We all deal with insecurities but we stuff them inside of us and it affects our self-worth. To have the opportunity to help someone take those insecurities and leave them feeling more confident is a blessing. What we do is much more than improving someone’s skin. It is giving them the confidence they need to live the life they imagine. As a new member of the Aesthetic Community I look forward to learning and growing from all of your experience, fostering my relationship with the SPSSCS. ▲ 3 simply can’t be missed. Sometimes it is the networking that makes our meetings so fabulous, and hearing what others are doing in their spas may spark ideas for you and your spa. This year, the meeting agenda includes everything from injectables to skin care to the latest in cosmetic surgery. But what caught my eye was the information that is going to be presented on microneedling. Many of you have been doing this for several years, but for those that are beginners or those that are curious, this is the meeting to attend. I find that even if I know a lot about a subject I can always pick up a “pearl” or two that improves my patient care. That is what is so great about our meetings. Experts presenting expert information. So while the meeting is in Montréal, and that might seem like an expensive and daunting trip, think of all the information you will gain and the friends you will see. It is definitely worth it. If even for that one little pearl that helps you provide a safe, cutting edge treatment for your patient. Additionally, the exchange rate for those from the USA is very favorable right now! For more information on the SPSSCS Annual Meeting please visit www.spsscs.org/meeting2015. Hope to see you in Montréal!!! ▲ OTC ALTERNATIVES FOR TREATING SKIN DISCOLORATIONS Continued from Cover daily for no more than 6 months. Its initial effect of inhibiting pigmentation is lost with prolonged application and sun stimulation. Cosmeceuticals are a more natural alternative to a prescriptive and found in high quality OTC products. These alternatives have pushed the medical industry to evaluate the use of more natural ingredients. Some older common favorites include licorice, kojic acid, arbutin, niacinamide and soy and they all help even out discoloration. The discovery of safe non-prescriptive alternatives for the treatment of skin discolorations has become a key focus amongst formulators and dermatologists. Natural skin lightening compounds derived from plants are being added and combined with other compounds. These blends have demonstrated the ability to inhibit the production of melanin without being toxic to the melanocyte. INGREDIENTS TO CONSIDER FOR THE TREATMENT OF SKIN DISCOLORATION INCLUDE Retinol—In addition to smoothing fine lines and controlling acne, a retinol or retinoid also treats discoloration. It exfoliates existing pigment spots at the stratum corneum and enhances penetration of other ingredients. Hydroxyethyl Urea/Aminosulfonic Acid Compound—Cell differentiation and desquamation slow down significantly with age, decreasing the epidermal renewal cycle to approximately 45 days, causing skin to appear dull and rough. This compound helps promote cell differentiation, encouraging cell migration to the skin’s surface. A TRIPLE SYNERGISTIC ANTIOXIDANT COMBINATION: Phloretin—a flavonoid derived from apples and the root bark of fruit trees neutralize free radicals and suppresses radiation-induced oxidative reactions, accelerates cell turnover and inhibits UVinduced melanogenesis. L-Ascorbic Acid—Neutralizes free radicals, suppresses radiation-induced oxidative reactions, prevents UV immunosuppression and promotes collagen synthesis. Ferulic Acid—an ubiquitous plant antioxidant neutralizes free radicals and suppresses radiation-induced oxidative reactions, inhibits UV-induced melanogenesis. ANOTHER TRIPLE SYNERGISTIC ANTIOXIDANT COMBINATION: L-Ascorbic Acid, Ferulic Acid & Alpha Tocopherol—Neutralizes free radicals, provides photoprotection and aids in the healing process. Both of these triple antioxidant combinations provide 8-times the skin’s natural photoaging protection. These synergistic formulations provide unmatched protection against UV-induced erythema, free radical formation and cellular damage. A daily AM application offers ultimate protection from UV light and associated skin damage. A new strategy for the treatment of skin discolorations is a multi-layer approach that has been proven as effective as 4% HQ + 0.025% tretinoin (JDD1/2013) in treating skin discoloration. Salicylic Acid—a type of phenolic acid from the bark of the willow tree, exfoliates existing pigment spots at the stratum corneum and enhances penetration of other ingredients. Hydroxyphenoxy Propionic Acid—a non-toxic hydroquinone derivative inhibits melanin transfer to keratinocytes throughout the layers of the epidermis without cellular toxicity. It also has photoprotective effect to help protect against the worsening and reoccurrence of pigment and reduces inflammatory response to UVB radiation. Continued on page 5 4 OTC ALTERNATIVES FOR TREATING SKIN DISCOLORATIONS Continued from Page 4 Ellagic Acid—a polyphenol found in fruits, vegetables, and nuts, also considered a quasi drug in Japan, blocks excess melanin by inhibiting tyrosinase at the basal layer. It was also shown in-vivo to be as effective as 4% hydroquinone in reducing dark spots. Yeast Extract—Found primarily in the skin of dark colored fruits like grapes and plums strengthens dermal fibroblasts to enhance skin’s resistance to new and reoccurring pigmentation and reduces intracellular melanin. In addition, it increases GAG synthesis in the dermis. The treatment of pigmentation is not mono-focal but rather a multi-layer combination of therapies that treats all the layers of the skin. Additionally, teaching proper SPF Protection is a key component to keeping the skin clear of discoloration. It is imperative to use a SPF of 30 or higher all exposed areas, face, neck, and the backs of your hands every single day. Gail Belott, RN—SkinCeuticals Sr. Manager National Clinical Training & Education—has over 30 years of experience in the medical industry working in a hospital setting and medical aesthetics. She started one of the first medical skin care programs in 1994 for a group of five plastic surgeons in an ambulatory surgery center in New Jersey implementing the Micropeel Corrective Peel Program. Gail became a National Clinical Trainer in 2005 for the Micropeel Program working closely with physicians and their staff to develop a successful corrective skin care program. ▲ World Burn Congress 2014 W hat a beautiful experience it was to be part of this year’s Image Enhancement team at World Burn Congress in Anaheim, CA! I must say, it was another journey that has touched my heart in so many amazing ways. A definite highlight was being able to show support with fellow SPSSCS members Elena Reyes and Susan Tognazzini as we joined in The Walk of Remembrance. It was an awesome feeling and reminder of the incredible strength we all have to give to one another through teamwork and support. It was all so touching—the client consultations, make-up applications, and transformations, and hearing the encouraging words of J.R. Martinez along with Robert Hall’s visual, singing, and inspiring words of SPSSCS MEMBER VOLUNTEERS SUSAN TOGNAZZINI ELENA REYES AND Alicia Barrera, RST, C-RMA wisdom. Not to mention attending a specialty make-up artist training session with Barbara Kammerer Quayle, in which Susan, Elena, and I received specialty training in camouflage techniques for traumatic skin injuries with renowned Hollywood make-up artist Maurice Stein. His talent and amazing skills, along with his teaching ability made it such a great learning experience! It was a pleasure to be able to interact and teach our clients the different techniques, tips, and tricks that allow us to bring our best face forward. Teaching that make-up can be fun as well as therapeutic for both men and women is just so powerful. Being able to guide each client with make-up techniques and being able to see just how good our clients are at applying make-up themselves, individually, was a great moment and experience for us as practitioners. There were many smiles! The power and benefit that the art of make-up application gives us is that we have the ability to transform, disguise, emphasize, and create different illusions and looks. Make-up is meant to enhance our own natural beauty, by bringing our best face forward. This is what makes make-up application so special and magical! Make-up allows us to create what we want, a beautiful face and a canvas, that allows us to change, transform, and create all the different looks we desire. Whether it be natural or dramatic, we have the ability to change what we want. That’s the beauty of it! 5 As I sum up all of the great experiences and memories that I will forever hold close to my heart from this year’s World Burn Congress, I would like to take the time to encourage each and every one of you to participate in next year’s World Burn Congress. You will surely be inspired to learn and grow in a positive way. It is a chance to help others! I look forward to seeing the growth and support for World Burn Congress. Last, I would like to thank my SPSSCS partners, Susan and Elena, who were so amazing and a delight to work with. ▲ In Appreciation We would like to express our sincere gratitude to the following companies for their generous support of this year’s World Burn Congress Image Enhancement Program: S P S S C S 2 0 1 5 – 2 0 16 Nominating Slate T he Nominating Committee and the Board of Directors are pleased to recommend the following nominations for the 2015–2016 Board of Directors. The Nominating Committee consists of two SPSSCS members elected at the Annual Business Meeting, the two Board Representatives from The Aesthetic Society (ASAPS) and the SPSSCS Immediate Past President. Elections will be held during the Member Business Meeting on Wednesday, May 13 at our 21st Annual Meeting in Montréal, Québec, Canada. PRESIDENT— AUTOMATIC FROM PRESIDENT-ELECT Nina Spadaccino— Houston, TX, is a clinical aesthetician and laser specialist with over 16 years experience in the field of cosmetic and plastic surgery. In 2006, she joined Town & Country Plastic Surgery as the Practice Director, managing multiple locations and a team of 30 employees. Nina is a General Partner of EventsRx, LP, a physicians’ marketing and consulting firm based out of Houston, TX. She attended the World Burn Congress in October, 2010 and September, 2012, as part of the SPSSCS Image Enhancement Team. In addition to being a member of SPSSCS since 2007, she looks forward to serving a fourth term on the Board of Directors as President. PRESIDENT-ELECT— ONE-YEAR TERM Lizabeth Clouse, RN, CPSN—Little Rock, AR, has been in nursing as an RN since 1980. Her experience has been in the operating room, intensive care, and in a plastic surgeon's office. She received her CPSN certification in 1991. She worked as office nurse, operating room assistant, skin care specialist and nurse injector for Dr. Robert Lehmberg (1989-2004). Liz has been member of SPSSCS since its inception. She served on the SPSSCS Board of Directors as Treasurer in 1997. Liz has had her own business within the office of plastic surgeon Dr. Ed Love for the past ten years. Her duties include: injection of neuromodulators and fillers; laser treatments and skin care including chemical peels and microdermabrasion. VICE PRESIDENT— ONE-YEAR TERM Cindy Steele, L.A. NCEA—Little Rock, AR, is a licensed aesthetician and is a certified national esthetician set forth by the National Coalition of Estheticians. (NCEA) She has been in the skin care industry for 20 plus years and is a partner with her sister, Chotsie, for 7 years at Advanced Aesthetics of Arkansas in association with Arkansas Plastic Surgery. They have a thriving business specializing in body treatments, skin tightening therapy and a multitude of specialty lasers. A strong retail business is an integral part to their success in this economy. She has served on the SPSSCS Board of Directors as Parliamentarian, as well as the Scholarship and Program Committees. She co-chaired the “Master Aesthetician” pre-meeting course at the SPSSCS Annual Meeting in Boston and lead a networking roundtable discussion at the Vancouver meeting. Cindy was recently appointed by Arkansas Governor Mike Beebee to the Cosmetology Technical Advisory Committee Board as Vice President for a two-year term. 6 SECRETARY/TREASURER —ONE-YEAR TERM Donna Erb— Wyomissing, PA, has been employed at Berks Plastic Surgery since 2005 as a licensed aesthetician and skin care counselor. With over 20 years of experience in the field of aesthetics, she finds great pleasure in educating her clients with information regarding non-surgical services such as microneedling, laser hair removal and treatment for rosacea. She has completed training in Obagi systems and specializes in advanced laser techniques. Donna has been a member of the SPSSCS for the last 10 years, has been an SPSSCS Board member for the last 3 years and is also a member of the Aesthetics Leadership Community. MEMBER-AT-LARGE— ONE-YEAR TERM Susan Eldridge— Portland, OR, has been a licensed aesthetician since 1980 after graduating from the First National School of Aesthetics in Boston, Massachusetts. After moving to Portland, Oregon in 1990, she has been in plastic surgery skin care for 20 years. She is currently working for Dr. Kathleen Waldorf at the Waldorf Center for Plastic Surgery, specializing in the use of modalities such as ultrasound and microneedling along with pre and post-op treatments and clinical skin care consultations. A member of the SPSSCS for 18 years, she has volunteered with the World Burn Congress and as a Mentor to new SPSSCS members. Susan is an advocate of education and advancing her knowledge in the science of skin care. MEMBER-AT-LARGE— ONE-YEAR TERM Pamela Hill, RN— Denver, CO, is the CEO of a multi-location medical spa. She has been in the medical spa business with John A. Grossman M.D., Grossman Plastic Surgery since 1991. Pamela is an international author, the developer of a national skin care line and has a passion for fillers and Botox. This passion has grown her business into the top 50 largest Allergan accounts. She has been a member since 2009 and currently serves as Editor of the SPSSCS newsletter. MEMBER-AT-LARGE— ONE-YEAR TERM Shay Moinuddin, RN —Chicago, IL, is the Practice Manager and an Aesthetic Nurse Specialist at The Few Institute for Aesthetic Plastic Surgery, with offices in Chicago and New York. Shay manages the daily operations of the clinical practice, AAAASF accredited surgical suite, and The Few Institute Skin Clinic. In addition to her managerial responsibilities, Shay is also a highly experienced nurse injector, laser specialist and skin care clinician. She has received the elite Physician Extender and Certified Aesthetic Nurse Specialist certifications, which credential her expertise in minimally invasive cosmetic procedures. IMMEDIATE PASTPRESIDENT— AUTOMATIC FROM PRESIDENT Elena Reyes, CRMA, RST—Yakima, WA, is a Licensed Master Esthetician certified in medical esthetics, and holds the International CIDESCO Diploma. She has been licensed since 2001, and is also a certified professional airbrush makeup artist. She has volunteered at World Burn Congress since 2009 and trained with The Look Good Feel Better Program. She developed Cascade Esthetics and The Make-Up Boutique, where she provides a full range of medical anti-aging services and specializes in all aspects of makeup artistry and fashion styling trends. Elena has been involved in the medical/ surgical field for over 13 years as an Allied Health Care Professional and holds two Associate of Applied Science degrees as a (C-RMA) Medical Assistant and Registered Surgical Technologist. For the past 12 years, she has worked with board-certified plastic surgeons Dr. Christopher Hauge and Dr. James Hoyt as their Registered Medical Assistant and Registered Surgical Technologist. She is a Master Educator and is passionate about the enhancement of educational skills in the medical esthetics field. Elena has contributed several articles for “Specialty Skin Care,“ moderated, and presented at several SPSSCS meetings, and was the Chair for the planning of the ASAPS Facial Symposium “The Clinical and Business Side of Skin Care“ in Las Vegas She previously served as Parliamentarian, Member-at-Large, Secretary/Treasurer, Vice President and President–Elect, and currently as President on the SPSSCS Board, where she also served as Chair of the Membership Committee. NOMINEES FOR THE 2014 NOMINATING COMMITTEE ARE: Bea Hunter Erdman— Tampa, FL, is a licensed cosmetologist and medical skin care specialist who has been in practice since 1970. Ms. Erdman was the Inaugural President of The Society of Plastic Surgical Skin Care Specialists from November 1994 to April 1996, has served as Advisor, Nominating Chair, Scientific Program Chair and participated on several committees. She has been a speaker for the Society on multiple occasions and continues to be an active member of the Society. 7 Stephanie Holden RN, BSN, CANS— Dallas, TX, is a registered nurse working at EpiCentre Park Lane, the laser and skin care facility for the doctors of Dallas Plastic Surgery Institute. She served as Nurse Manager of EpiCentre from August, 2008 - July, 2013. Stephanie is skilled in the performance of Fraxel Re: Store Dual treatments, IPL, Thermage, Ulthera, Liposonix and other skin rejuvenation treatments. She currently focuses practice on performing neurotoxin and filler injections for Dr. A. Jay Burns’ patients. A registered nurse for 32 years, she has spent the last 22 years in the field of Cosmetic and Plastic Surgery. She was the nurse administrator of Dallas Day Surgery Center, the surgery center for the physicians of Dallas Plastic Surgery Institute, for 7 years. She has been a member of the SPSSCS since 2002 and has served as Treasurer, Member-at-Large, President-Elect and President. Stephanie is also a member of the American Society of Plastic Surgical Nurses and the American Society for Laser Medicine and Surgery. She served on the ASPSN Task Force for writing the CANS certification test and obtained her certified aesthetic nurse specialist certification in October, 2014. All nominees meet the qualifications required by the SPSSCS and are willing to serve in the designated capacity, if elected. ▲ Looking for High Level Skin Care Education from Sources You Trust? Look No Further. D o you have a nurse or aesthetician in your practice? Could your existing staff benefit from unbiased plastic surgical skin care education? They will definitely benefit by attending the many educational presentations at the Society of Plastic Surgical Skin Care Specialists (SPSSCS) Annual Meeting, Skin Care 2015: Exploring Science and Technology in Plastic Surgical Skin Care, May 12–15, 2015 at Le Westin Montréal Hotel in Montréal, Québec, Canada, just prior to The Aesthetic Meeting. All Skin Care 2015 attendees are also invited to attend an all-day educational bonus organized by ASAPS: Cosmetic Medicine 2015—Harnessing the Power of Cosmetic Medicine in Your Practice. Enhance the quality of your practice by giving your staff the tools they need to better serve your patients. Registration information is now available, please visit our website at www.spsscs.org/meeting2015 WHY I SEND MY STAFF TO THE SKIN CARE MEETING “Each year, I send one or more skin care specialists to the SPSSCS Annual Meeting and have always been amazed at the amount of knowledge and enthusiasm that is brought back. The staff and my practice have benefited greatly, not only from the physician and industry expert speakers but also through the networking and sharing of information with other skin care specialists in the industry.” —Craig W. Colville, MD Society of Plastic Surgical Skin Care Specialists www.spsscs.org 8 Exploring Science and Technology IN PLASTIC SURGICAL SKIN CARE 21st Annual Meeting May 12 –15 Le Westin Montréal Hotel Montréal, Québec Canada Skin Care Specialists Register Today! WWW.SPSSCS.ORG SOCIETY OF PLASTIC SURGICAL SKIN CARE SPECIALISTS Stellar Faculty, Exceptional Education! Bob Aicher, Esq. Attorney PASADENA, CA Al Aly, MD Plastic Surgeon Abu Dhabi, UAE Bardia Amirlak, MD Plastic Surgeon DALLAS, TX Goesel Anson, MD Plastic Surgeon LAS VEGAS, NV Alicia Barrera, RMA, RST Aesthetician YAKIMA, WA Gail Belott, RN Senior Manager National Education: SkinCeuticals FLORHEIM PARK, NJ Denise Byrnes Aesthetician Partner, Societé Clinical Skincare STRONGSVILLE, OH Daniel Clary Director of Education, mybody PHOENIX, AZ Karen Davis Aesthetician Toledo, OH Claudio DeLorenzi, MD Kian Karimi, MD Plastic Surgeon KITCHENER, ON, CANADA Medical Director: Merz Canada, Allergan Canada Plastic Surgeon Becky Kuehn CEO, Cellese Corporation HOUSTON, TX Medical Director: CosmoFrance, Inc Donna Erb Aesthetician Aesthetician WYOMISSING, PA National Educator: Oncology Aesthetics FEDERAL WAY, WA Julius Few, MD Plastic Surgeon John Kulesza President, Young Pharmaceuticals CHICAGO, IL Consultant: Allergan, Galderma WETHERSFIELD, CT Joe Gryskiewicz, MD Angela McDonald Plastic Surgeon Vice President Sales and Marketing: Bellus Medical BURNSVILLE, MN DALLAS, TX Thomas Hitchcock, PhD Maria Mekas, RN, BSN Scientific Advisor, Interim Director of Clinical Operations, Bellus Medical Research Coordinator, Union Square Laser Dermatology SAN DIEGO, CA Employee: Ulthera NEW YORK, NY Karen Menard, RN John Hoopman, CMLSO Registered Nurse Assistant Director of Environmental Health and Safety, Administrator of Laser Program and Certified Medical Laser Safety Officer, University of Texas Southwestern Medical Center at Dallas HOUSTON, TX Speaker’s Bureau: Allergan, Lumenis Ryan Miller President, Etna Interactive San Luis Obispo, CA DALLAS, TX Consultant: Cutera, Lumenis, Palomar, Sciton Shay Moinuddin, MHA, BSN, RN, CANS Practice Manager, Clinical Nurse Specialist Kathy Jones, BSN, RN, CPSN Kathy Jones Skin Care CHICAGO, IL LAWRENCEBURG, IN 9 John Renucci, MD Otolaryngologist West Los Angeles, CA GRAND RAPIDS, MI Founder, TURO Skin for Men John Sanderson, MD IRVINE, CA Stockholder: Cellese Regenerative Therapeutics Cindy Steele Aesthetician LITTLE ROCK, AR Arthur Swift, MD Plastic Surgeon MONTRÉAL, QUÉBEC, CANADA Speakers Bureau: Allergan, Merz, Galderma George Taylor, MD Vice President, Business Development, Cellese Corporation IRVINE, CA Stockholder: Cellese Regenerative Therapeutics Robert Trow CEO/Owner, DermaCare, USA MASHPEE, MA Jody Urquhart Author, Motivational Speaker CALGARY, AB, CANADA *This is a preliminary list of speakers and is subject to change without notice. Refer to our website at www.spsscs.org for updated program and speaker information. PRELIMINARY PROGRAM GENERAL SESSION Wednesday, May 13 6:30 am – 5:15 pm Registration Open 7:15 – 8:00 am Continental Breakfast in the Exhibits 7:30 – 8:00 am Mentor/Mentee Breakfast Meeting 8:00 – 8:20 am PSSCS Presidential Welcome Elena Reyes, C-RMA, RST, CIDESCO 8:20 – 8:30 am Presidential Award for Distinguished Service Elena Reyes, C-RMA, RST, CIDESCO 8:30 – 9:30 am Keynote Speaker Presentation: This Would Be Funny… if it Wasn’t Happening to Me! How to Embrace Change with Humor and Vigor Jody Urquhart 9:30 – 10:00 am Stem Cells, Growth Factors and Cytokines… A Virtual Orchestra Playing a Symphony of Regeneration and Rejuvenation George Taylor, MD and John Sanderson, MD 10:00 – 10:20 am Coffee Break in the Exhibits 10:20 – 11:05 am Caring for Your Client as They Experience Cancer Becky Kuehn 11:05 – 11:10 am Q&A 11:10 – 11:30 am Current Trends and Strategies for Regenerative Medicine in Aesthetics Thursday, May 14 Q&A 12:00 – 12:30 pm Member Business Meeting 12:00 – 1:30 pm Lunch in the Exhibits 1:30 – 2:00 pm 10 Things You Should Do to Get Sued Bob Aicher, Esq 7:00 am – 5:30 pm Registration Open 7:30 – 8:00 am Continental Breakfast in the Exhibits 8:00 – 8:20 am OSHA: Compliance in the Aesthetic Medical Environment Kathy Jones, BSN, RN, CPSN 8:20 – 8:25 am Q&A 2:00 – 2:05 pm Q&A 2:05 – 2:30 pm Secrets of the Stratum Corneum Daniel Clary 2:30 – 3:00 pm Coffee Break in the Exhibits 3:00 – 3:35 pm Chemistry of Skin Lightening John Kulesza 3:35 – 3:55 pm Hot Topics: Past, Present and Future Joe Gryskiewicz, MD 8:25 – 9:35 am Panel: Microneedling: Staying Current Moderator: Karen Davis 8:25 – 8:45 Dermal Microneedling— Microneedling and Corneotherapy Angela McDonald 8:45 – 9:05 Medical vs. Cosmetic Microneedling Kian Karimi, MD 9:05 – 9:25 Dermal Needling: Regulatory Updates Robert Trow 9:25 – 9:35 Q&A 3:55 – 4:00 pm Q&A 4:00 – 4:25 pm Body Contouring after Significant Weight Loss Al Aly, MD 4:25 – 4:30 pm Q&A 4:30 – 4:55 pm An Evaluation of Efficacy and Tolerability of Novel Enzyme Exfoliation Versus Glycolic Acid in Photodamage Treatment Thomas Hitchcock, PhD Maria Mekas, RN, BSN 11:30 – 11:35 am Q&A 4:55 – 5:00 pm Announcements and Adjourn 11:35 – 11:55 am Marketing and Event Planning 6:00 – 7:30 pm Welcome Reception Cindy Steele 9:35 – 9:55 am Modern Approach to Clinical Skin Care Goesel Anson, MD 9:55 – 10:00 am Q&A 10:00 – 10:20 am Coffee Break in the Exhibits 10:20 – 12:00 pm Live Peel Demonstrations Again this year, our program will include live peel demonstrations from three of our vendors. Each company will review application techniques, strategies for getting the best results and allow our members the ability to experience it first-hand. Because the demonstrations will be performed by our vendors, no continuing education credits will be given for these sessions. 12:00 – 1:00 pm Lunch in the Exhibits 11:55 – 12:00 pm 10 Friday, May 15 Educational Bonus Presented by ASAPS* 1:15 – 2:30 pm BREAKOUT SESSIONS nA Live Camouflage Makeup Demonstrations Alicia Barrera, RMA, RST Utilizing camouflage makeup application and techniques, you will be able to guide your clients through the process of hiding and concealing: burns, skin imperfections, and post medical aesthetic laser procedures. Your clients will then be able to utilize camouflage makeup application as they heal and conceal. nB Getting Social with Skin Care: Case Studies of Success with Social Media Ryan Miller Social media can be a valuable tool for patient attraction, patient retention and to aid the cultivation of a positive reputation online. In this presentation, we’ll explore real-world examples of how plastic surgery practice-based skin care professionals are successfully deploying social media for the benefit of both patients and the practice. nC Dermaplaning: Expand Your Corrective Skin Care Knowledge Gail Belott, RN Capture the opportunity to learn about the skill of dermaplaning. This key medical technique is another tool to a successful skin care business. Observe efficient technique. Gain expertise through a modified practice session. In our complex medical skin care profession, dermaplaning is the hook to keeping patients in a practice. nD SKIN CARE SPECIALIST ROUNDTABLES Compensation Packages Shay Moinuddin, RN Pre and Post Laser Care Donna Erb Lip Augmentation with Video Karen Menard, RN and Kathy Jones, BSN, RN, CPSN 2:30 – 3:00 pm Coffee Break in the Exhibits (Exhibits close at 3:00) 3:00 – 4:05 pm Panel: Injectables—The Face, Filler Selection and Complications Moderator: Karen Menard, RN 3:00 – 3:20 Facial Anatomy 7:30am – 5:30pm S9 Cosmetic Medicine 2015— Harnessing the Power of Cosmetic Medicine in Your Practice Featuring Live Patient Demonstrations 8.5 CME Credits Co-Chairs: Michael Kulick, MD and Z. Paul Lorenc, MD Presenters: Renato Saltz, MD; Julius Few, MD; W. Grant Stevens, MD; Steven Cohen, MD; Claudio DeLorenzi, MD; G. Jackie Yee, MD; John Hoopman, CMLSO (Additional Arthur Swift, MD Faculty will be added and are subject to change) 3:20 – 3:40 The State of Art in Filler Selection Course Description: This comprehensive course, designed for plastic surgeons and those who assist in their practice, begins with a 2 hour session focusing on tips and techniques for building a successful cosmetic practice. Topics covered include incorporating skin care, light and energy-based technologies and injectables into your practice as well as a discussion on working with staff and practice marketing. This will be followed by a comprehensive review of the array of non-invasive body contouring technology including a panel discussion with industry representation. Julius Few, MD 3:40 – 4:00 Filler Complications Claudio DeLorenzi, MD 4:00 – 4:05 Q&A 4:05 – 4:10 pm ASAPS Welcome Michael Edwards, MD 4:10 – 4:25 pm Challenges in Men’s Skin Care John Renucci, MD 4:25 – 4:30 pm Q&A 4:30 – 4:50 pm Hyaluronic Acid: Post Operative Skin Care and Scar Reduction Bardia Amirlak, MD 4:50 – 4:55 pm Q&A 4:55 – 5:00 pm Announcements—Adjourn “Attendance at the SPSSCS Annual Meeting has been essential for my aesthetician’s professional growth. Because she functions at the master aesthetician level and works solo with my practice, the professional peer-to-peer opportunities at SPSSCS are unparalleled and available in almost no other place.” —Richard A. D’Amico, MD— 11 The afternoon begins with a review of complications with facial injectable as well as a discussion and demonstration of facial anatomy and areas to avoid when injecting. The faculty will review their approach to volumizing the face followed by live injection demonstrations. Each injector will be challenged by his/her peers to present a variety of options for their patient and will be ready to defend their final treatment plan. Agenda: • How I make Skin Care Work in my Practice • How I Incorporate the Array of Light & Energy Based Technologies into my Practice. • Effectively Incorporating Injectables into Your Practice • Incentivizing Your Staff • Marketing Your Practice • Review of Laser Safety • Non-Invasive Body Contouring—Review of Currently Available Technology • Complications with Soft Tissue Fillers— How to Become a Safer Injector • Injection Anatomy Demo • Live Injections • Video Injections *Included in your SPSSCS registration fee. Course will be held at the Palais de Congrès de Montréal, adjacent to the Le Westin Montréal. O P T I O N A L P R E - A N D P O S T- M E E T I N G C O U R S E S Tuesday, May 12 Sunday, May 17 SPSSCS Pre-Meeting Courses ASAPS Post-Meeting Courses (Ticket Required) Earn a Certificate of Course Completion for Neurotoxins and FDA Approved Dermal Fillers Offered by The Aesthetic Society n1 12:45 – 2:45 pm Understanding the Fundamentals of Laser Interactions for Better Control of Your Outcomes Successful completion of each of these courses is the first of two requirements for participants to receive a certificate of Nurse/Nurse Practitioner/Physician Assistant Injector—Level 1 Course Completion and Level 2 Course Completion. The second requirement is participation in a physician sponsored preceptorship for each of the two courses. John Hoopman, CMLSO • 2 hrs Fee: $75.00 Description: In this course, we will explore basic to advanced laser tissue interaction and concepts, as well as practical applications for devices that increase efficacy and decrease complications through a better understanding of where these devices fit in the aesthetic practice. 12:00pm – 2:30pm S17A Physician Extender (RN/NP/PA) Injector Competence Training—Level 1—Understanding the Basics of Injection Techniques with Neurotoxins and Hyaluronic Acid Dermal Fillers n2 1:00 – 5:00 pm 2 CME Credits Discounted pre-registration fee: $175 On-site fee: $225 Chair: Julius W. Few, MD Additional Faculty: Miles Graivier, MD, Kathy Jones, BSN, RN, CPSN and Susan Wells, RN, MS Microneedling in the Medical Aesthetic Practice Thomas Hitchcock, PhD • 4 hrs Fee: $100.00 Description: For those just beginning to explore microneedling or those looking to hone their skills, this course will provide a broad overview of microneedling, also known as collagen induction therapy. Modern microneedling has been practiced for decades, yet has just recently come into favor in the medical aesthetic community. This course will cover the history of microneedling, its mechanism-of-action, the medical literature, and complementary skin care. A live demonstration detailing techniques and tips will be provided. 3:00pm – 5:30pm S17B Physician Extender (RN/NP/PA ) Injector Competence Training—Level 2—Advanced/ Combination Injection Techniques with Neurotoxins and the Array of FDA-Approved Dermal Fillers 3 CME Credits Discounted pre-registration fee: $175 On-site fee: $225 Co-Chairs: Miles H. Graivier, MD and Z. Paul Lorenc, MD Additional Faculty: Kathy Jones, BSN, RN, CPSN and Susan Wells, RN, MS n3 3:00 – 5:00 pm Comprehensive Product Evaluations—Seeing Beyond the Hype to Produce Positive Outcomes Denise Byrnes • 2 hrs Fee: $75.00 Description: This interactive course will discuss the broad range of in-home skin care product options specifically available to the medical skin care specialist. During this session, you will learn a step-by-step systematic method for effectively evaluating products and their ingredients. Through lively and informative discussions, attendees will receive a product evaluation guideline, including how to decipher product claims (the hype), and how to properly define product claims. Additionally, attendees will gain an understanding of distribution methods, Internet sales strategies, current research, and more. Ultimately, you will walk away with a definitive method for ensuring new product and vendors better meet your practice’s needs. Special Note: Participation limited to RNs, NPs, and PAs practicing within their scope of practice under the direct supervision of a plastic surgeon. You are eligible to register for this course without registering for S17A (Basic) ONLY if you attended an ASAPS Nurse Injector Competence Training Course held in either Vancouver (2012), New York (2013) or San Francisco (2014). Visit www.surgery.org/meeting2015 for complete course descriptions and to download a registration form. You must register through The Aesthetic Society to participate in either of these courses. All courses will be held at the Palais de Congrès de Montréal. 12 Successfully Clearing Acne with Non-Prescription Topicals Laura Cooksey M ost acne sufferers are usually not given a successful strategy to get and keep their skin clear. Their search for the answer leads them down many dead-end streets including doctors’ offices, medi spas, salons, and often the local drugstore and/or internet for the many acne products and strategies there. Utilizing just a few key concepts, estheticians and nurses can be highly successful in treating the acne patient. Understanding these concepts will explain why so many acne systems miss the mark. Traditional methods for treating acne have included antibiotics, isotretinoin, laser, photodynamic therapy and various overthe-counter remedies. Clients who have “tried everything”—when put on an appropriate regimen that includes exfoliants and antibacterial products all used correctly, get clear in about three months. Even dermatologists are now rethinking the efficacy of antibiotic therapy for acne, as recently addressed in the Wall Street Journal—www.wsj.com/articles/theproblem-with-adult-acne-1420501469 ACCOUNTING FOR SKIN ADAPTATION A quality acne home-care regimen works by keeping the microcomedone from forming in the first place; it is a program of prevention. Using the correct products for acne type is important, but it is not enough. Knowing how to use those products is just as crucial. You must take skin adaptation into account by adjusting the frequency of product. A titration or escalation of therapy with guidance from you, their acne specialist, is based on the clinical response of your patient’s skin. If the skin is not tolerating the regimen and getting irritated and/or dehydrated, you will need to dial it back. But if it is tolerating it, the regimen will be strengthened (mostly by frequency of product use) about every two weeks. Treatments alone, including expensive medical procedures, won’t keep someone clear if they are not using a good home care regimen and using it correctly. This is why most regimens typically only work for about three weeks—the skin simply adapts to product use and stops responding. Treatments should only be used as a “boost” to the home care regimen and also a time to do extractions of acne lesions. I address skin adaption by starting clients with a serum (I prefer mandelic, glycolic or salicylic) that is appropriate for their type of acne and skin tolerance. They will start using it every other day for the first two weeks. If their skin is not irritated and dehydrated from the first two-week routine, we then “up the ante” and have them use the serum every day for weeks three and four. In weeks five and six, we bump them up to wearing the serum twice a day. It is imperative to test your client’s skin sensitivity, making sure the serum you give them will not be too strong for them. I tell my clients that we need to use powerful products to get their skin clear, but not so potent that their skin becomes irritated and dehydrated. With their evening routine, they will use a water-based benzoyl peroxide emulsion for just fifteen minutes for the first three nights. Every third night they will double the wearing time until they are up to two hours. After three days of two hours, they are ready to wear it overnight. Benzoyl peroxide can be a very irritating product but, when used correctly in conjunction with an exfoliating serum, is a powerful weapon in the battle against acne. 13 Other ways to adjust their regimen includes giving them a stronger serum, higher-potency benzoyl peroxide and/or adding a different serum like a retinol into the regimen. This all depends on the type of acne that is presenting and the clinical response of your patient’s skin. LIFESTYLE FACTORS THAT EXACERBATE ACNE The last key issues are lifestyle factors that can exacerbate acne. Getting enough sleep and lowering stress, avoiding foods high in iodides and androgen hormones, stopping the use of fabric softeners in the washer and the dryer, discontinuing low estrogen birth control pills/shots, and eliminating pore-clogging ingredients in skin care products and makeup. Noncomedogenic claims on labels is not regulated by the FDA, so labels that say of “Non-Pore Clogging,“ “Non-Comedogenic,“ “Dermatologist Approved,“ or “Hypoallergenic“ are meaningless. For example, the cream form of Retin-A is highly comedogenic because it contains isopropyl myristate. Your status as their acne expert will be well established, not only when you help them to manage their home care routine, but when you arm them with these useful lifestyle guidelines. When they are clear in just a few months after years of suffering, they will be eternally grateful for your help. Laura Cooksey is an acne expert, educator, speaker and owner of Face Reality Acne Clinic located in the San Francisco Bay Area. She has over 25 years of experience in helping thousands of people to get clear skin. She certifies skin care professionals and doctors around the country to create successful practices with her comprehensive training DVD, Proven Strategies for Treating Acne. For more information, visit www.facerealityacneclinic.com ▲ Managing a Medical Spa B eing the manager of a medical spa has many challenges. At times, it seems to be much more difficult than other managerial jobs. Throughout my many years of management experience, I have identified three “best practices” to ensure you are running a medical spa where employees love to come to work and clients love to be treated. Marnie Phillips and it can be the harder of the two to master. Making sure that you, as a manager, are following through with your clients not only allows the client to know that you are a competent manager but it gives them the feeling that they are going to a medical spa that is concerned about every detail. Following through with your clients shows that you are invested in them, no matter how small or large the issue or question. 1) CONSISTENCIES Consistency is extremely important for clients, as well as clinicians. Clinicians have many learning types and obviously have different personalities. Creating an environment where your staff knows what is expected of them and knowing how the clinic is run on a daily basis creates a stable work environment. It is important to set clear and consistent expectations for staff. This will eliminate the chances of confusion about what is expected of them on a daily basis. A consistent manager, whether it be with discipline, post-procedure follow up or even discounts, should always keep the staff apprised as to what is happening. This creates a trustworthy environment that they can pass onto clients to ensure a healthy and sustainable relationship. Consistency is also a huge factor for clients. Clients are not only paying for the service in the room but the exceptional service at front desk. No matter if the client is a VIP or a new client, they should always have confidence that their best interest is the top priority. Client care should always be number one and how we can show that is with consistently positive attitudes, consistent treatment procedures and knowledge of products and services. This way, that client knows no matter who they speak to, they are receiving a consistent answer. In the end, they will feel more confident and comfortable to create a lifelong relationship. 2) FOLLOW-THROUGH Although many times follow-through goes hand-in-hand with being consistent This then creates a trusting relationship. The reason why follow-through, in my opinion, is sometimes the one factor that separates good managers from great managers is because it truly is that “extra step.” Being a manager, you have to be ready to have a million things thrown at you all at once and then on top of that, make sure that you are following through with your clients. But in the end, it truly is the factor that separates the average from the excellent manager. 3) ENCOURAGE, DON’T DISCOURAGE As a manager, it is easy to focus on the negative behavior in your spa. With that being said, if you continually focus on the negative, I’m a strong a believer that is all you will receive. Having to give constructive criticism regularly to one clinician makes you wonder, “How can I get through to them?” The best advice I have to give is to start by letting them know what they are doing right. It also allows the conversation 14 to start out on a positive note instead of putting them on the defense. It is also important to encourage them to take the responsibility for their actions. This is when having them answer questions instead of being told what they did wrong is a better choice. For example, do you know what our dress code is? If you have set those clear expectations then of course they should answer YES. Assuming they answer yes, it is easy ask WHY they couldn’t meet that expectation. This approach should always come from a positive tone by the manager. Then the clinician is not feeling attacked but rather gaining your trust and hopefully encouraging them to grow. Encouraging your clinicians who have made a mistake allows for growth and a trusting relationship. They should know that there is open communication and safety in the relationship. Full circle, this will create the positive environment for your clinician. Encouraging your clinician should also be happening when they are doing well. This includes meeting their goals, having a positive comment from a client and happy clients. As a manager, you wear many hats but being your employee’s cheerleader is one way you can ensure that your staff is feeling that they have purpose and create an environment that gives your company retention and productivity. The client will always have three places that they should want to be: home, work and hopefully your medical spa. The three best practices from above give you some structure on how to create that “third” place for your patient. Marnie Phillips graduated from the University of Northern Colorado with a degree in communications. She has many years in management. She not only was a manager for Starbucks for 5 years, she also managed a credit card processing company. Marnie strives to have the best customer service and be able to meet everyone’s needs. Her love for helping people and aesthetics makes her a true fit for a medical spa. ▲ SpecialtySkinCare SOCIETY OF PLASTIC SURGICAL SKIN CARE SPECIALISTS 11262 Monarch Street, Garden Grove, CA 92841-1441 • www.spsscs.org THANK YOU FOR SUPPORTING SKIN CARE 2015 Silver Level Supporter—Welcome Reception Bronze Level Supporter—Educational Grant Exploring Science and Technology IN PLASTIC SURGICAL SKIN CARE See pages 9–12 for full program 21st Annual Meeting May 12 –15 Le Westin Montréal Hotel Montréal, Québec, Canada SOCIETY OF PLASTIC SURGICAL SKIN CARE SPECIALISTS WWW.SPSSCS.ORG
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