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TO GO COSMETIC OR NOT

by wowmagazine

The trend is that what was once the domain of older women and people in need of medical intervention, cosmetology and skincare treatments are now the focus of the young generation who are not afraid to experiment with procedures that can have them looking as they wish. While over-the-counter skincare products and self-care kits are already popular, procedures like botox, fillers, minor surgeries, lasers and hair growth therapies are all the craze.

WOW spoke with some of the capitals renowned cosmetologists to ask about the most common cosmetic treatments in demand today, trends and myths associated with cosmetic treatments, and most importantly, what can go wrong with cosmetic procedures. Excerpts:

DR SHRUJANA SHRESTHA
Founder & MD, Absolute Aesthetics

Is cosmetology still considered a taboo in the country?

I don’t think it was ever considered a taboo but people weren’t as open or comfortable to get things done like they are now and neither did they have access to it. Certain trend is setting into Nepal too.

What are the myths related to cosmetology?

One of the common myths would be that every cosmetic procedure is painful and the other would be that every procedure will bring about a drastic change you might not want. However, it’s not true. There are painless procedures too and most procedures done in moderation will bring about subtle but required changes.

What are the most common cosmetic treatments people come for in your clinic?

Anti-aging and hyper pigmentation issues.

Common age group of people looking for cosmetic treatments in your clinic?

Mostly 30’s and 40’s

How do you deal with an unhappy customer?

I feel communicating in a way that patients understand and giving them access to full information is a way to avoid patient’s dissatisfaction. Like if a patient is well versed about what to expect and what not to, things just get easier at both ends. However, even then if there’s certain dissatisfaction, I try and explain it more as to how things can be worked out. But I believe in under correction as in I never go overboard with treatments, I believe less is more and can always add more if required so. Having said that, I haven’t had such prominent issue of an unhappy customer.

What are the common cosmetic procedures that can go wrong?

Mostly injectables like Botox and fillers that are quite popular, if not done by a certified injector can always go wrong.

What is the future like?

There is a trend of more and more people wanting to look young. People enjoy self care and spend good money to enhance their looks. With that in mind, there is a demand and growth in this field.

DR SANGAM RAYAMAJHI
Cosmetologist, Nepal Mediciti Hospital

What are the myths related to cosmetology?

– Cosmetology is only about skin products. No, it’s about enhancing physical beauty in all aspects: skin, hair and body. It’s both non-surgical and surgical.
– Plastic is used in plastic surgery. No, plastic surgery name is derived from a Greek word “plastikos” which means to form or mold (and which gives the material plastic its name as well). Parts of body are molded to desired shape (as plastics).
– Plastic surgery can cause cancer. No, none of the plastic surgeries increase the risk of developing cancer.
– Only celebrities do cosmetic procedures or surgeries. No, we have more of non-celebrity individuals getting cosmetic procedures or surgeries done.

What are the most common cosmetic treatments people come for?

Non-surgical: acne treatment and body hair reduction.
Surgical: eyelid surgeries and liposuction for body contouring.

Common age group of people looking for cosmetic treatments in your hospital?

Non-surgical: 25 to 35 years
Surgical: 35 to 45 years

How do you deal with an unhappy customer?

Good communication always helps before, during and after the procedure.
First listen to them properly. Find out the reason they are unhappy. Never confront them. Make them understand why certain things happen that made them unsatisfied. Finally, (most important) give them a solution.

What are the common cosmetic procedures that can go wrong?

Anything can go wrong, anytime. But it is less likely to happen in experienced hands. And people can have allergic reaction to any medicines.

What is the future like?

Future is very bright in the field of cosmetology. There have been lots of advances in medical field and due to the internet, it has become very assessable to doctors to learn and everyone to benefit.
DR JEBINA LAMA
Founder, The Skin Clinic

Is cosmetology still considered a taboo in the country?

We have come a long way when it comes to cosmetic/aesthetic treatments.
When I started working in this field seven-eight years back I had to spend plenty of time explaining about the treatments and convincing the patient that a particular treatment can be beneficial for their skin concern but now things have changed. The majority of aesthetic patient I see are aware of the treatments that are done, but there are a few people to whom I need to put an extra effort to make them understand.

What are the myths related to cosmetology?

The biggest myth people believe is that when you stop doing aesthetic treatments, especially injectables then you tend to look old or once you stop doing it, your condition will get worse. The truth is, aesthetic treatments are all about delaying the signs of ageing, making your skin look healthy, plump and correcting your flaws. When you stop doing these treatments, we will get to the point where we started but never the worse.

What are the most common cosmetic treatments people come for in your clinic?

Common cosmetic treatments we do at The Skin Clinic are injectables such as Botox (anti-wrinkle injection) and Collagen Stimulating Biomodulators for skin glow and tightening. For non-injectable procedures, we do Medi Peel to treat dull skin, uneven skin tone, acne scars, pigmentation and to improve skin quality.

Common age group of people looking for cosmetic treatments in your clinic/hospital?

I treat skin condition for all age groups but especially for anti-aging concern age group is 25-60 years of age.

How do you deal with an unhappy customer?

Well, my aim is to make all patients happy in the first place, but one can never satisfy all. So, I make an effort to listen to their dissatisfaction and try to address their discontent with empathy and more counselling. I believe hearing out what they have to say and providing the right advice would most likely satisfy them.

What are the common cosmetic procedures that can go wrong?

I get a lot of unhappy patients from other clinics/hospital saying the procedure didn’t meet their expectations and they are never going to do a certain treatment because the previous doctor didn’t do good job (botox, fillers). That’s actually work overload for me because first I have to make them understand what injectables can do and cannot do, plus I need to do a lot of counselling to make them comfortable so that they can trust me and my work.
Dr PRAMESH KOIRALA
Consultant Dermatologist & Cosmetic Surgeon, Let Me In Skin Clinic

Is cosmetology still considered a taboo in the country?

I don’t think cosmetology is considered a taboo in today’s time. However, when we had started it back in 2017, people had various opinions on it. They were even scared to go for acne treatment or a mole removal surgery. With time, people have understood that beauty is a right and seek aesthetic treatments for quick results and with no downtime. Adding to it, social media has played a huge role in it.

What are the myth related to cosmetology?

When talking about myths related cosmetology, we can see a lot in facial aesthetics. People fear that when the duration of botulinum toxin injection is over, the the wrinkles increase and are deeper. People also talk about how only during the duration of the acne treatment, the skin is nice and after that it’s all same. In social media many beauticians who are not certified claim various cosmetic procedures with magic like effect such as permanent cure of melasma, wrinkles and so on. Another myth is regarding the cost, people believe cosmetic procedures are very expensive but that depends on the procedures, the duration of treatment and the expertise of the respective doctor.

What are the most common cosmetic treatments people come for in your clinic?

At Let Me In, we have many different cosmetic treatment options considering every age group and skin conditions. Especially in facial aesthetics we are able to provide most treatments. The most common cosmetic treatments people come for is anti-ageing treatment, acne treatment, scars treatment, hair removal laser treatment, melasma treatment, hyperpigmentation treatment, PRP treatment for skin and hair, mole or freckle removal and different medi-facials customised as per the skin types, hair transplantation and gynaecology aesthetics like vaginal tightening and treatment for SUI.

Common age group of people looking for cosmetic treatments in your clinic?

The common age group for cosmetic treatments in our clinic ranges from adolescents to adults of 50-60 years old. The most common age group in our clinic is from 20-40 years old. The majority are women.

How do you deal with an unhappy customer?

When customers are unhappy due to the treatment, we hear them out and try to address the situation at best possible. This can be mostly seen in melasma treatment as the expectations of the patients are very high. We also have to give a full session of counselling to create awareness in patients for anti-ageing treatment as the age factor cannot be fully deducted and sometimes their expectations cannot be met. We believe in holistic treatments. There are many customers who come unhappy from other centres mostly from beauty parlours following treatments in wrong hands to whom we provide counselling and give them real feedback of where their treatment might have gone wrong. We always caution to go to authorised doctors in this field.

What are the common cosmetic procedures that can go wrong?

There are many things that can go wrong during a facial aesthetic. The wrong use of chemical peels can cause side effects especially in melasma treatment. In laser treatments, if the parameters of laser are not used properly then it makes the skin worse. We have to always see the skin type and use the parameters according to it. The injection site and amount of botulinum toxin has to used extra carefully. The common side effect of hydra facial is the increase of sensitivity in the skin and acne flare up.

What is the future like?

In our country, the aesthesis practice is also done by beauty parlours and non-registered beauticians which can cause the future to look dark as people can go through wrong cosmetic procedures. Recent advancements are coming up with human steam cell therapy. Down the line, AI can challenge human intelligence especially in face analysing tools as they can detect and even tell the treatment. The role of dermatologist can be replaced by AI in future.
DR PRIYA BHUSAL
Dermatologist, Cosmetologist & Laser Specialist, Miracle Skin, Hair and Aesthetic Clinic

Is cosmetology still considered taboo in the country?

Cosmetic treatment and surgery was traditionally framed as artificial, unnatural and socially unacceptable. I feel that the stigma once associated with cosmetic treatment is now not as prevalent as it was years ago and people are increasingly becoming open minded and aware. Cosmetology is not necessarily considered taboo in Nepal. Cosmetic procedures have been gradually gaining acceptance in the country, especially in urban areas and among the younger generations. With increased exposure to global beauty standards and the influence of social media, there has been a growing interest in beauty and grooming among Nepalis.

What are the myths related to cosmetology?

– Cosmetic procedures are very expensive: While some cosmetic treatments can be expensive, there are various options available at different price points.
– All cosmetic procedures are risky: While all medical procedures carry some level of risk, cosmetic treatments performed by qualified and experienced professionals in a controlled environment are generally safe.
– Cosmetic procedures are only for vanity: One significant myth is that cosmetic procedures are purely for superficial reasons or vanity. While some people may seek cosmetic treatments for aesthetic purposes, many procedures can also help individuals regain confidence, address specific medical conditions, or improve their overall well-being.
– Cosmetic procedures in clinics are the same as in beauty parlours: Cosmetic treatments are medical or aesthetic procedures performed by qualified medical professionals such as dermatologists, plastic surgeons or licensed cosmetologists with specialised training. They involve the use of medical-grade equipment and are subject to strict regulations and safety standards.

What are the most common cosmetic treatments people come for in your clinic?

We mainly focus on treatment of patients’ various conditions through a wide range of medical and aesthetic treatments for wrinkles, acne, scars, skin sagging, hyperpigmentation, uneven skin tone and texture, mole removal, dark under eye, hair fall among others. The majority of these are related to skin, in particular the face, while a few treatments address the nails and hairs.
Some of the most popular treatments done in our clinic on daily basis are:
Botox injections, dermal fillers, chemical peel, medifacials, hydrafacial, laser hair removal, tattoo removal, microneedling, mesotherapy, facelifting, PRP and hair transplantation.

Common age group of people looking for cosmetic treatments in your clinic?

The age group of people seeking treatments in our clinic can vary depending on the type of procedure and individual preferences. However, certain age ranges tend to be more prevalent for specific treatments. For example anti-ageing treatments with botox, dermal fillers and thread-lifting are popular among individuals in their 30s to early 50s. Younger adults may use these treatments as a preventive anti-aging measure to delay the appearance of wrinkles. Similarly, laser hair reduction is commonly sought by individuals in their late teens to late 30s who want a more permanent solution for hair removal. Men are also equally concerned about their skin and haircare.

How do you deal with an unhappy customer?

I believe that keeping the customer informed about the procedures, steps and expectations through clear and transparent communication can help rebuild trust at the outset. When dealing with an unhappy customer, it’s essential to listen empathetically to their concerns and work towards finding a solution to the customer’s problem.
I always encourage customers to provide feedback, both positive and negative. Constructive criticism can also help us identify areas for improvement and strengthen our service in the process.

What are the common cosmetic procedures that can go wrong?

While cosmetic procedures can generally be safe and effective when performed by qualified and experienced professionals, there are potential risks associated with any medical intervention. Some common cosmetic procedures that have the potential to result in complications include: improper administration of Botox can lead to unintended muscle weakness, causing asymmetry or drooping of facial features.
If dermal fillers are not injected correctly, they can cause lumps, unevenness, or migration of the filler material leading to an unnatural appearance.
Deep chemical peels, when not performed carefully, can result in burns, scarring or hyperpigmentation.
It’s crucial to emphasise that most complications arise from inexperienced practitioners, improper technique, or inadequate patient assessment. To minimise the risk, choose a qualified and experienced medical professional and have a detailed consultation to discuss the treatment, expected outcomes, and potential risks.

What is the future like?

The future of cosmetic dermatology for both patients and providers is exciting with possibilities driven by technological advancements and personalised treatments. Non-invasive and minimally invasive procedures are expected to be universal. It is no denying that there will be increased interest in cosmetic procedures. The desire to look younger and boost self-confidence through cosmetic procedures is rising, and this increasing interest is a positive development. Embracing aesthetic treatments can empower individuals to feel better about themselves and enhance their appearance. If you are considering cosmetic procedures, it is essential to conduct thorough research and seek out a qualified and experienced specialist who can provide you with valuable insights and guidance. Being well-informed will help you make confident decisions about your aesthetic journey.

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