CAMACS Recommendations for Approved Procedures
The Canadian Association of Medical Spas and Aesthetic Surgeons (CAMACS) goal is to educate and promote the latest techniques and the most recent advances in cosmetic surgical and non-surgical procedures for the benefit of all clients in terms of safety and quality. Safe practice includes using approved products, devices, procedures, and qualified and licensed practitioners. Practitioners must always rely on their own experience and knowledge in evaluating and using information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of whom they have professional responsibility. With respect to any pharmaceutical products and medical and aesthetic devices, practitioners are advised to check the most current information provided on procedures featured or by the manufacturers of each product to be administered, to verify the recommended dose or formula, the methods and duration of administration, and contradictions. It is the responsibility of practitioners, relying on their own experience, and knowledge of their patience, to make diagnosis, to determine dosages and the best treatment of each individual patient and to take all appropriate safety precautions. To the fullest extent of the law, CAMACS shall not assume any liability for any injury and / or damage to persons or property as a matter of products liability, negligence, or otherwise, or from any use or operation of any methods, products, instructions or ideas contained in the material herein. Message from Dr. Dariush Honardoust, President and Chief Director.
List of Procedures:
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Lipo-Dissolve Mesotherapy
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Lipo-Dissolve Cryolipolysis (Fat Freeze CoolContouring)
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Cosmetic Platelet-rich Plasma Therapy (PRP)
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Medical Aesthetic Microneedling
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Sclerotherapy (Superficial and Varicos Vein Removal)
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Dermal Microcautery
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Skin Lesion Removal (Moles, Skin Tags, Warts)
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Microdermabrasion
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Radiofrequency Skin Tightening
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Laser Hair Reduction
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Laser Skin Rejuvenation
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Autologous Fat Transfer / Injection
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Facial Thread Implant
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Pigment Microblading
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Medical Grade Chemical Peels
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Hair Restoration and Implant
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Cosmetic Botox
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Mesotherapy
Cosmetic Administration of Botulinum Toxin
Botulinum toxin (BTX) is a neurotoxicprotein produced by the bacterium Clostridium botulinum and related species. It prevents the release of the neurotransmitter acetylcholine from axon endings at the neuromuscular junction and thus causes flaccid paralysis. Botulinum toxin types A and B are used in medicine to treat various muscle spasms and diseases characterized by overactive muscle. Commercial forms are marketed under the brand names Botox and Dysport.In cosmetic applications, botulinum toxin is considered safe and effective for reduction of facial wrinkles, especially in the uppermost third of the face. Injection of botulinum toxin into the muscles under facial wrinkles causes relaxation of those muscles, resulting in the smoothing of the overlying skin. Smoothing of wrinkles is usually visible three days after treatment and is maximally visible two weeks following injection. The treated muscles gradually regain function, and generally return to their former appearance three to four months after treatment. Muscles can be treated repeatedly to maintain the smoothed appearance.
Brands recommended by CAMACS in Canada
Botox Facial Rejuvenation is not an accurate title for the procedure. Skin rejuvenation is mainly associated with stimulation of Fibroblasts to synthesize and deposit new collagen in the Dermis layer of skin known as Neocollagenasis. Maximum usage of Cosmetic Botox (1:1 dilution; toxin:saline) in one session should not exceed 100 units in the facial area. Maximum amount for Therapeutic purpose in one session should not exceed 600 units.
Soft Tissue Injectable Dermal Fillers
Injectable filler (injectable cosmetic filler, injectable facial filler) is a soft tissue filler injected into the skin to help fill in facial wrinkles, restoring a smoother appearance. Most of these wrinkle fillers are temporary because they are eventually absorbed by the body. Some people may need more than one injection to achieve the wrinkle-smoothing effect. The effect lasts for about six months or longer. The most prefered type of Dermal Fillers for facial treatment are Recombinant Hyaluronic Acid (HA)-based as compared to other types derived from non-absorbable or animal source dermal fillers.
Hyaluronic acid is a type of sugar (polysaccharide) that is present in body tissues, such as in skin and cartilage. It is able to combine with water and swell when in gel form, causing a smoothing/filling effect. Sources of hyaluronic acid used in dermal fillers can be from bacteria or rooster combs (avian). In some cases, hyaluronic acid used in dermal fillers is chemically modified (crosslinked) to make it last longer in the body. The effects of this material last approximately 6 – 12 months.
Non-absorbable Dermal Fillers:
Polymethylmethacrylate beads (PMMA microspheres): PMMA is a non-biodegradable, biocompatible, man-made polymer. This material is used in other medical devices, such as bone cement and intraocular lenses. PMMA beads are tiny, round, smooth particles that are not absorbed by the body. When used as a soft tissue filler, PMMA beads are suspended in a gel-like solution that contains cow (bovine) collagen and injected into the face.
Approved:
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Dermal filler made from non-absorbable (permanent) material ONLY for the correction of nasolabial folds and cheek acne scars in patients over the age of 21 years.
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Some dermal fillers for the restoration and/or correction of the signs of facial fat loss (lipoatrophy) in people with human immunodeficiency virus (HIV).
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Several absorbable dermal fillers for uses such as lip and cheek augmentation in patients over the age of 21, and the correction of contour deficiencies, such as wrinkles and acne scars.
Not Approved
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increase breast size (breast augmentation)
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increase size of the buttocks
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increase fullness of the feet
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implant into bone, tendon, ligament, or muscle
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inject silicone for large-scale body contouring or enhancement. Such use can lead to ongoing pain, infections, and serious injuries, such as scarring and permanent disfigurement, embolism (blockage of a blood vessel), stroke, and death.
Fillers are not approved for certain parts of the body where they can be unsafe, including the penis.Liquid silicone or silicone gel for injection to fill wrinkles or augment tissues anywhere in the body is NOT approved.
FDA Warning:
Vaginal ‘rejuvenation’ devices have serious side effects, might be unsafe,
The FDA has notified Alma Lasers, BTL Aesthetics, BTL Industries, InMode, Cynosure, ThermiGen and Sciton over “concerns about inappropriate marketing of their devices for ‘vaginal rejuvenation’ procedures,” and expects them to address the issues raised by the agency. If the companies fail to respond, the FDA said, it will consider next steps, which might include “potential enforcement actions.”“We are deeply concerned women are being harmed,” FDA Commissioner Dr. Scott Gottlieb said in a statement. “The deceptive marketing of unproven treatments may not only cause injuries but may also keep some patients from accessing appropriate, recognized therapies to treat severe medical conditions.”The devices in question typically use laser or radiofrequency waves and have been cleared by the FDA for use by licensed gynecologists to treat abnormal and pre-cancerous vaginal and cervical tissue, as well as genital warts. But their use to treat vaginal dryness, itching and laxity, the FDA said, has not been approved. The devices have also not been FDA approved for use in treating sexual dysfunction, such as decreased sexual sensation or pain during intercourse or urination.“The treatment of these symptoms or conditions by applying energy-based therapies to the vagina may lead to serious adverse events, including vaginal burns, scarring, pain during sexual intercourse, and recurring/chronic pain,” the FDA stressed.