The Prince George Citizen

Shoppers Drug Mart opening Botox clinic

- Cassandra SZKLARSKI

TORONTO — Shoppers Drug Mart takes its most aggressive step into the beauty business this weekend with its first standalone clinic to offer Botox injections, fillers, laser treatments and medical-grade peels.

But while the Beauty Clinic by Shoppers Drug Mart is being touted as “a natural extension” of the drugstore chain’s moves into the cosmetics space, some wary observers fear it further commodifie­s medical procedures increasing­ly regarded as casual touch-ups that don’t require the expertise of a physician or surgeon.

The inaugural shop opens Saturday in Oakville, Ont., just west of Toronto, after a soft opening Dec. 22 that saw a steady stream of customers come through the sparsely furnished, three-bay clinic, says Sarah Draper, senior director of healthcare partnershi­ps and innovation.

“This is really what our customers have been asking for,” says Draper.

“We’re kind of a trusted expert in the space and are positioned pretty well, I think, to offer enhanced beauty services in a setting that’s comfortabl­e and convenient for people.”

Tucked into the corner of a suburban strip mall, the nearly all-white colour scheme, minimalist decor and serene atmosphere evoke a spa-like retreat.

A “concierge” greets arrivals and confirms appointmen­ts in the entryway, where a bank of medical-grade beauty products covers one wall. Visitors are ushered into a tucked-away waiting area, where cushioned seats, tablets and sleek wood privacy screens offer a quiet space to fill out paperwork.

Draper says one of three nurse practition­ers then conducts one-on-one consultati­ons with each client and takes “an in-depth medical history” to determine a treatment regimen.

“Our nurse practition­ers all have medical esthetics certificat­ion and over a decade experience in nursing,” she says, noting their higher medical classifica­tion gives them authority to prescribe and administer injectable­s.

A medical estheticia­n handles lasers, chemical peels, and microderma­brasion.

The Loblaw-owned chain says procedures and training were developed in consultati­on with doctors who provide ongoing advice, but physicians are not onsite.

That’s what bothers Dr. Michael Brandt, a facial plastic and reconstruc­tive surgeon in Toronto who wonders about quality and whether staff are able to adequately respond to medical emergencie­s.

“You wouldn’t sign up for surgery at a grocery store,” says Brandt, noting that while there are many excellent providers in the field, the lucrative industry has also attracted less qualified practition­ers.

“All medical procedures have indication­s, contra-indication­s, alternativ­es and limits as to what each of those procedures can provide and with each of these procedures you need to go through a very careful assessment of the patient and then make an accurate diagnosis. None of this is cookiecutt­er.”

And while nurse practition­ers have the authority to conduct these beauty treatments, Brandt questioned whether all of them should.

“Just because a profession­al has the authority to perform a procedure does not automatica­lly mean it is appropriat­e to do so,” he says, noting there are nonetheles­s very qualified nurse practition­ers in esthetics. “Is it appropriat­e for a nurse practition­er to be performing surgery? They might have the capacity to do it, they might be allowed as a delegated act to do it, but most people would choose to have a surgeon perform their surgery.”

Brandt warned that if improperly applied, lasers carry the risk of severe burns, scarring and discoloura­tions.

If a filler is injected into a blood vessel, it can cause an occlusion of that vessel, killing anything it supplies.

Still, there’s no denying that growing public interest has ignited a specialize­d industry previously the domain of dermatolog­ists and plastic surgeons.

Milica Duran, a co-ordinator for the estheticia­n program at Centennial College in Toronto, calls it “the fastest growing industry in the world.”

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