The Winds of Change

In the middle of the 80s there were whispers in medical meetings and aesthetic conferences that a change was coming in how we performed skin care treatments and whom would be performing specialized skin care management. The buzz continued regarding possible new product delivery systems . Active ingredient knowledge would be expansive into Lasers which would be replacing phenol peels and how the present aestheticican could become the next new validated generation of Licensed Skin Care Professionals . These new skin care professionals would include Medical Aestheticians, Clinical Nurse-Aestheticians, Clinical Aestheticians and Beauty Therapists.Each of these identifiable skin care professioanls would work with Plastic Surgeons, Facial Plastic Surgeons , Dermatologists and Doctors of every medical specialty background. The birthing concept was that these skin care specialists could repair the expected tragedy of the health care system reimbursements through providingcontinuity of patient care as wellascreate financial out of pocket services by providing procedural skills that were not presently being provided by mainstream medicine or standardized nursing protocols.

The first Clinical Skin Care Center that was developed in Meridian , Mississippi provisionally to present " Medical Aesthetics" as a a seprate kind of of clinical skin care management that would require an aesthetician ( skin care specialist license ) as well as a medical knowledge of patient care through a Licensed Vocational Nurse or a Registered Nurse. The concept validated the upwards mobility of a practical nurse to specialized in Facial Aesthetics ,which in certain set scenarios, would deem it necessary that the nurse also have a mininum of 750 hours of specialized training as a aesthetician. The dual role required the nurse-aesthetician to perform Facial Analysis, Skin Assessments, and develop Comprehensive Skin Care Plans to present to patients of the physcian and to clients that would be seeking preventive skin care management.

In 1990 there was no information, no map and no construct for the Understanding of Medical Aesthetics. The first major medical setting that embraced the ideas and generalized concepts was Scott and White Hospital in Temple, Texas. This was made possible through the Division of Plastic Surgery under the direction of Dr. Charles N. Verheyden , MD, PhD , a Board Certified Plastic Surgeon and the first named Director of Medical Aesthetics was Anna D. Rinehart. This was history in its making. Anna D. held the responsibility of both delivering a preoperative facial aesthetics program for plastic surgery patients and develop a Medical Aesthetics teaching program through five years of leadership in a major medical setting.

Ms. Rinehart developed the first teaching program for doctors, nurses and aestheticians through pulling together both her nursing experiences and aesthetics practice.This was a huge stepping stone for the Development of Medical Aesthetics as a Professional Standard.

The Aesthetic conferences buzzed with good sound bites and a whole lot of " naysayers". The individuals that commanded the aestheticians loyalty were enraged not because they could not see the possiblity of a higher professional respect for the aesthetician but because they did not want physicians to cross over to their financial investments of products nor their schools. The key people at the time degraded Medical Aesthetics as something the aesthetician would not do and could not do based on their license. Facts were, aestheticians could perform every single skill that was being delivered in the Medical Aesthetics Concept. The stage was set for Aestheticians to push forward and Forge New Skin Care Frontiers by embracing Medical Aesthetics, working with physicians , concerting with nurses and obtaining higher standards of education which provided an ability to deliver a sound basis for skin care treatments, procedures and protocols.

Medical Aesthetics Books

The first ever in the United States book was written by Anna D. Rinehart. She had garnered the facial aesthetics clinical expereince, observed how the Dermatologists worked their skin care program as it related to Facial Aesthetics, documented how Nursing in itself as professional role did not address aesthetics, worked in conjunction with Plastic Surgeons both as a nurse and aesthetician and was able to piece together a conceptual basis for the Development of a New Licensed Skin Care Specialist.

Dermatologists ridiculed her ideas. There were a few Dermatologists that understood Anna D. Rineharts' passion, ideals, concept and vision. Few stood with her during a debate at the Cosmetic Dermatology Conference in 1996. Younger dermatologists, medical students and guest speakers did join her after the debates and agreed that things were changing and recognized the value of the aesthetician working among dermatologists as well as other physicians could only improve patient care as it relates to Facial Aesthetics.

After struggling for almost a decade Anna D. Rinehart sat down and wrote " Fundamentals and Practice for Medical Aesthetics. Self Published in 1996. The book gained notariety both in the Unites States and abroad. A group of Plastic Surgeons and Emma Chang, Nurse-Aesthetician, Aesthetic Instructor,Cidesco Diplomate bought the copyrights and translated it into Chinese to begin their teaching program in Taepei, China, and Beijing, China . Ms. Rinehart had taken a bold step to write abount a indentifaible role for future licensed skin care professionals to practice comprehensive clinical skin care management.

Some of Anna D. Rineharts' strongest medical opponents have ridiculed her for not being a physician. Nurses have criticized her for not "practicing nursing". Aestheticians have have criticized her for not being an " aesthetician". In many ways being a leader, a visionary, a woman of tenacious personality has had a tremendous penalty. On the otherside, it is heartwarming to see physicians working with nurse-aestheticians, facial aesthetic instructors, and setting medical offices that include the valuable contributons that an aesthetician brings to the positive outcomes of patient care.

Physicians, Nurses and Aestheticians

New Books are formated for each Medical Aesthetics Teaching Program in Austin , Texas. Doctors want to know what the nurse-aesthetician can bring to their practice that they did not already offer and that their nurse may not be performing.

See www.skincaredoctress.com for possible having her provide your hospital, clinic, medspa a nursing school, medical school, or aesthetics school.

Medical Aesthetics New Books Gold Series: 2009

Straight points regarding Clinical Skin Care Plans as it relates to Facial Aesthetics.

This book will accompany doctors, nurses and  clinical aestheticians attending Austin Medical Aesthetics FACE® Conference January 23-25, 2009 specialized interactive teaching programs for hospitals, doctors offices and nurses ( LPN, RN, NP).

Medical Aesthetics FACE® Conference: Dermal Fillers, Botox®, Laser Dynamics, Comprehensive Clinical Skin Care Management,  Facial Aesthetics Certification,  Lipodissolve, Nursing Facial Aesthetics Certification, Building a 2 tier Medical Aesthetics Practice , Ellipse® Laser Non Surgical Medical Aesthetics Equipment/ Procedures,  1-888-769-3223

Ellipse® Lasers

Nonsurgical  Medical Aesthetics Equipment for Physicians, Nurses and Aesthetician will be offered in the January 23-25, 2009 program. the biochemist, Mike Bloxsome will guide each physcians and nurse through tthe dynamics of light theory and clinical applications for aesthetic procedures.  New books will include comprehensive information for the physician to feel comfortable to refer in this maual  " key points" of patient selction, safety measures and expected outcomes.