Diploma of Cosmetic Medicine

Summary of Tutorial Programme

Psychological Issues
Body Dysmorphic Syndrome
Botulinum Toxin in Use in Facial Rhytids

  • Mode of Action
  • Indications
  • Side Effects and Complications
    • allergic
    • regional
  • Prevention and Treatment
  • Duration of Action
  • Appropriate doses/dilutions
  • Safety and Toxicity
  • Storage and Transport

Botulinum Toxin for Hyperhidrosis
Regional Anaesthesia for the Face

Photoprotection
Retinoids and topical agents for the Ageing Face
Superficial Peels
Combination Chemical Peels
Pigmentation of the Face-Evaluation and Treatment
Medium Depth Chemical Peels
Facial Peels

  • Classification
    • Superficial
    • Medium
    • Deep
    • Augmented
  • Characteristics
    • Glycolics/AHA
    • Fruit peels
    • Jessner
    • TCA
    • Phenol
    • Retinoic acid
    • Microdermabrasion
    • Combinations
  • Basic Understanding of each different agent
    • Indexations for use
    • Contraindications
    • Mode of application
    • Mechanism of action
    • Potentiating factors
    • Adverse effects
  • Peeling areas other than the face
    • Indications
    • Precautions
  • Patient selection
  • Photodynamic Therapy
    • Methyl aminolevulate
    • Photodynamic Therapy
    • Complications
    • Benefits

Use of Methyl-Aminoleuvinic (ALA) acid in the treatment of SK’s and non-melanoma skin cancer
Photodynamic Photorejuvenation

WOUND HEALING

  • Classification
  • Stages of healing

Facial Anatomy

  • Musculature (with respect to Botox injections)
  • Nerve Supply (with respect to nerve blocks and local injections)
  • Aesthetics with respect to balance and proportion

KELOID SCARRING

DERMAL FILLERS

  • Biological
  • Bacterial Synthesis Hyaluronic Acid
  • Synthetic Reabsorbable
  • Fibroblast Stimulator
  • Synthetic Non Reabsorbable
  • Particulate
  • Gel
  • Silicone, Fibrel
  • Cultured autologous fibroblasts
  • Autologous Fat
  • Composition
  • Mechanism of Action
  • Pharmacokinetic-breakdown/longevity
  • Method of Placement
  • Indications
  • Contraindications
  • Adverse Effects
  • Hypersensitivity
  • Allergic
  • Test dosing
  • Infection
  • Ischaemic necrosis/Embolism
  • Late Reactions ie Granulomas

Digital Photography

DERMATOLOGY

  • Structure and function of normal skin
  • Classification of Skin Types
    • Fitzpatrick
    • New Skin Type (racial)
  • Effects of Chronological ageing
  • Effects of Photoeaging
  • Healing Skin
    • Physiology
    • Abnormal healing
    • Delayed Healing
    • Scar Formation
  • Anti-Ageing Topical Skin preparations and their effects
    • Vitamin C
    • Retinoids
    • AHA’s
  • Basic Theory of antioxidants in relation to the Ageing Process
    • Structure and function of normal skin
    • Classification of skin types
    • Effects of chronological aging
    • Healing skin
    • Abnormal healing/delayed/scar formation
    • Antiageing Topical Skin preparations and their effects
  • Basic theory of ant oxidants in relation to the aging process
  • Basic Dermatoscopy
  • Skin Cancer
  • Melanoma

BASIC SCLEROTHERAPY

  • Anatomy of the lower venous system
  • Pathophysiology/Aetiology varicose and spider veins
  • Indications for Treatment
  • Microsclerotherapy
  • Varicose Veins. Indications for Ultra Sound Guided Sclerotheapy
  • Ambulant Phlebectomy, Indications
  • Solutions
  • Aethoxysclerol
  • Sodium Tetradeconoate (STD)
  • Hypertonic Saline

Lasers Part 1
Ablative Lasers
Clinical Understanding of Principles/Mode of Action
Indications
Side Effects and complications
Knowledge of conditions treatable by laser and the appropriate lasers to use
Laser Safety

  • Eye Protection
  • Flammable liquids and gases
  • Smoke Hazard

Access and Signage

Lasers Part 2.

  • Vascular Lasers
  • Pigment Lasers
  • Q Switched Lasers
  • Intense Pulsed Light
  • Non Ablative Lasers for Skin Rejuvenation
  • Fraxel Laser
  • Hair Removal

Clinical Understanding of Principles/Mode of Action
Indications
Side Effects and complications
Knowledge of conditions treatable by laser and the appropriate lasers to use
Laser Safety

  • Eye Protection
  • Flammable liquids and gases
  • Smoke Hazard

Access and Signage

COMMON DERMATOLOGICAL CONDITIONS PRESENTING TO THE COSMETIC PHYSICIAN.

Acne

  • Pathophysiology
  • Treatment Topical
  • AHAs and peeling agents
  • Retinoids
  • Antibacterials
  • Systemic
  • Antibiotics
  • Hormones
  • Roaccutane
  • Physical
  • exfoliants
  • Microdermabrasion
  • Skin Peels

Acne Scarring

  • Dermal fillers
  • Laser resurfacing
  • Surgical
  • Excision
  • Skin graft
  • Fat graft
  • Subcision

Pigmentary Disorders

  • Melasma
  • Vitiligo
  • Post Traumatic Hyperpigmentation
  • Post Traumatic Hypopigmentation

Benign Skin Conditions

  • Viral
  • Pigmented
  • Vascular
  • Neoplastic

INFECTION CONTROL

Candidates should be familiar with principles of infection control as outlined in the Department of Health Guidelines, or the Division of General Practice

MEDICAL ETHICS

  • Patient Selection
  • Body Dysmorphic Syndrome
  • Adequate Information
  • Informed Consent
  • Dissatisfied Patient
  • Responsibility to Medical Indemnity Insurer
  • Patient Information and Consent Forms.

Pharmacology

  • Local Anaesthetics
  • Hyaluronic acid
  • Antibiotics
  • Roaccutane

Indications
Side effects
Complications

Liposuction and microliposuction