Objectives: 1) Describe various ways laser, light and EBDs can be used to rejuvenate and tighten
2) Review cases with before and after photos demonstrating combinations and devices employed
3) Discuss new energy delivery methods and their uses

Introduction: Many practices have multiple devices available. Combining them to achieve the best outcomes can be a challenge. This talk aims to discuss primarily radiofrequency energy delivered via microneedles and how to combine that with other modalities to achieve optimal outcomes.

Materials / method: Description of radiofrequency energy and how it fits into the energy spectrum available. Case reviews with detailed methods and before/after images. Selected complications discussed.

Results: Combining energy based devices and laser/light based devices can help clinicians achieve excellent aesthetic outcomes while minimizing complications.

Conclusion: At the conclusion of this learning activity, attendees should have a greater understanding of how to combine laser/light based devices with radiofrequency energy in their practices.

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?
Yes
Please specify entities (individual, company, society): BENEV ExoCoBio Cellese

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

Objectives: new fat reduction devices

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

Objectives: How should we treat a flaccid abdomen? Who are the best candidates? How do we inject, and what is the best product? These are some questions to be answered by this presentation. Grades of Abdomen Laxity and the number of vials to be used will also be discussed. A good opportunity to discuss non-surgical treatment for the abdomen.

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

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

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

Disclosures

Did you receive any funding to support your research for this TOPIC?
Yes
Please specify entities (individual, company, society): Revelle Aesthetics

Were you provided with any honoraria, payment or other compensation for your work on this study?
Yes
Please specify entities (individual, company, society): Revelle Aesthetics

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
Yes
Please specify entities (individual, company, society): Revelle Aesthetics

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

Objectives: The use of lipolytics for the treatment of small accumulations of fat has been successfully used by physicians. The conventional technique of lipolytics injection, however, is not well tolerated by most patients, even leading to therapeutic abandonment. Our objective is describing a technique which the lipolytic agent is delivered to the adipose tissue through blunt-tipped cannulas, minimizing the number of punctures. It made the procedure less painful, with less bruising, edema and post-inflammatory dyscromias.

Introduction: Although the injection of lipolytics is a simple and effective treatment with a low rate of complications, the conventional application technique, has not been modernized, remaining very uncomfortable for patients. We have developed a safe technique, which considerably reduces the discomfort of patients during and after application, with equally effective results, a lower rate of side effects and greater patient adherence to treatment, achieving with that better results.

Materials / method: We applied lipolytics in different body areas of 6 patients, of both sexes, aged between 28 and 48 years. On the face, we did treat the double chin, nasolabial fat pad and jow. In the body, we did treat small accumulations of fat in the abdomen and pubic mound. Due to the cytotoxic potential of Deoxicholic Acid (DA) we used a mixture of substances that we consider safer for facial pads, composed of caffeine, carnitine, melilotus officinalis, troxerutin and tyrosine (CCMTT). In the double chin and other body areas we did use the association of DA 25mg/ml with Phosphatidilcholine 50mg/ml (PPC).

Results: All patients exhibited a decrease in fat, perceptible by photographic documentation, after 2 treatments, I month apart. We did follow the protocol: 1) disinfection the skin and marking quadrants of approximately 1cm2: 2) punctual anesthetic points with 1% lidocaine, 1 cm far from the outer edge of the previous marking; 3) incision with a 21G needle, for entry of a 25G, semi-flexible, blunt tip cannula: 4) Introduction of the cannula into the adipose tissue and delivery of small punctual aliquots of the lipolytic agent.

Conclusion: As the cannula techniche makes the application of lipolytics and the post-procedure more tolerable for patients, it reduces therapeutic abandonment and increases satisfaction rates. Furthermore, we think that as the cannulas do not slide easily in non-fat tissues, probably their use makes the procedure more assertive, by avoiding the injection of lipolytics in non-adipose tissues.

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

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

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