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IMCAS Americas 2022
Program

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FOCUS ON S012

Genital beautification: fillers, fat grafting, and EBD (in collaboration with SEGERF)

Partner of the session

SEGERF

Sociedad Española de Ginecología Estética Regenerativa Funcional

Spain

Sociedad Española de Ginecología Estética Regenerativa Funcional

The Spanish Society of Functional Regenerative Aesthetic Gynecology (SEGERF), is a non-profit organization, is composed of a group of doctors dedicated to the care of women's health, combining their professional efforts to achieve the highest standards of clinical practice, continuing medical training and social disclosure in functional regenerative aesthetic gynecology. This subspecialty of medicine has been developed from the real needs or problems of patients that conventional medicine was not able to solve, encompassing all invasive and non-invasive medical procedures in gynecology, aesthetic medicine and surgery. SEGERF develops the treatments that join this subspecialty born from the foundations of gynecology, aesthetic medicine and plastic surgery, together with the new treatments of tissue regenerative medicine: laser, radiofrequency, carboxytherapy, HIFU, LED, hyaluronic acid, mesotherapy , plasma rich in platelets or stem cells, among others. This medicine applies different aesthetic and regenerative techniques, that are increadingly less invasive and more effective. SEGERF treats these women's health problems with a multidisciplinary vision to achieve all the maximum possible points of view of the experts in this field, being a great reference in the sector and cooperating in turn with various international societies.

Room: Room 3
Date: Thursday 21 July 2022 at 14:00 to 15:00
Format: FOCUS SESSION > lectures covering a major topic of the congress

Chairs

Dr Pablo GONZALEZ ISAZA

Gynecologist

Colombia

Dr Adriana GUZMAN RUIZ

Plastic Surgeon

France

Lectures of the session

Hours	Speakers	Lecture title	Abstract	Number
14:00	Dr Maria Fernanda LUCAS CIRIGLIANO	HA applications in female genital cosmetic surgery	View	116941
14:15	Dr Jorge GAVIRIA	Laser security Er: YAG Smooth Vaginal in 113000 cases		116942
14:30	Dr Pablo GONZALEZ ISAZA	Clitoral hood alterations approach with a pulse shape design CO2 laser		116671
14:45		Discussion and Q&A		115340

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Recommended sessions

Vaginal rejuvenation (non-surgical)

Lasers

Fillers: HA (hyaluronic acid)

Atrophic vaginitis

Stress urinary incontinence (SUI)

Dr Maria Fernanda LUCAS CIRIGLIANO

Gynecologist

Colombia

Other author(s) :

HA applications in female genital cosmetic surgery

Objectives: Show different uses of Hyaluronic Acid in Genital Cosmetic Surgery.

Introduction: Hyaluronic Acid (HA) is a glycosaminoglycan found in the extracellular matrix and the bast majority of corporal tissues, that regulates different cellular processes, among them, water homeostasis and tissue regeneration/cicatrization. Hyaluronic acid has been safely used in plastic surgery for a long time to promote tissue hydration, correct scars, folds and tissue filling defects and improve skin aging.

Materials / method: In functional and regenerative gynecology HA is used to treat genitourinary syndrome of menopause (GSM), lichen sclerosus and post-oncologic genital atrophy. In cosmetic gynecology HA is primarily used for labia majora augmentation, however, is used also in the correction of vulvar asymmetry, correction of episiotomy or any other genital surgery scars, and is often used to enhance vaginal laxity treatments with EBDs.

Results: Different HA reticulation allow us to choose the appropriate one for every treatment, being non-reticulated HA the one used to hydrate tissue (GSM, lychen, etc.) and highly reticulated HA the is used for labia majora augmentation. HA treatments in cosmetic gynecology are fast, reproducible and affordable, with few adverse effects that are usually self-limited. Hence, in trained hands HA allow us to obtain excellent cosmetic, functional and regenerative results highly satisfied patients.

Conclusion: Health regulations in some countries don´t allow us to find all commercial HA presentations that we might want for specific treatments, but as long as we continue to show the excellent results we get, patients demand these treatments and research show that is a safe treatment, we get closer to Health authorities to approve more laboratories and more HA presentations.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Dr Jorge GAVIRIA

Gynecologist

United States

Other author(s) : Dr. M, Gambacciani et al

Laser security Er: YAG Smooth Vaginal in 113000 cases

Objectives: Verificar la efectividad y seguridad del laser, mediante una encuesta de los ultimos 9 Años de uso del laser erbio vaginal.

Introduction: El Laser No Ablativo de Erbio:YAg en el modo Smooth, se ha usado desde el 2009, solicitamos a los usuarios nos dieran informacion sobre sus pacientes , deseos, rtatamientos, y sus reacciones adversas asi como complicaciones.

Materials / method: Se enviaron encuestas a 553 clinicas para que nos informaran sobre los datos de sus pacientes y sus resultados.

Results: Fue evidente que mas de 40 porciento de las pacientes padece de relajacion vaginal, seguido de incontinencia urinanaria de esfuerzo y atrofia urirogenital. Otro menos popular fue la mejoria del prolapso gentital de organos pelvicos. la efectividad fue comprovada en las cuatro categorias y ninguna complicacion fue reportada, aunque se reportaron efectos adversos como Edema y Descarga Vaginal.

Conclusion: El edema es un efecto esperado por el uso del laser sobre tejidos y la resolucion del mismo es el exceso de lubricacion (descarga vaginal) es decir que los efectos adversos de este estudio son, efectos esperados y que deben ser descritos en el consentimiento informado para no tener estos reportes que no son complicaciones sino muestras de que el tratamiento esta funcionando. el laser de erbio:yag vaginal de modo no ablativo ha demostrado seguridad y efectividad luego de 9 años de tratamientos en esta encuenta a mas de 113.000 pacientes .

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability