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IMCAS Asia 2019
Program

FOCUS ON S010

Contributed talks - Threads and fillers

Room: Room 2
Date: Friday 5 July 2019 at 09:30 to 10:30
Format: CONTRIBUTED TALKS > session made up of abstract submissions that were carefully reviewed and selected by the Scientific Board

Chairs

Dr Irina POLEVA

Dermatologist

Italy

Dr Atchima SUWANCHINDA

Dermatologist

Thailand

Lectures of the session

Hours	Speakers	Lecture title	Abstract	Number
09:30	Dr Faramarz DIDAR	A novel approach for nose shaping to avoid surgical rhinoplasty: PDO threads vs fillers	View	85735
09:40	Dr Syed Nazim HUSSAIN	Tick technique - Tear trough deformity quantified and simplified	View	82197
09:50	Dr Jyoti ANEJA	Botulinum toxin - A medical miracle for blepharospasm	View	86608
10:00	Dr Shuba DHARMANA	Filler - Dr Shuba's V3 lift	View	86816
10:10	Dr Uriel HEDDING	One entry point, four injections	View	77769
10:20	Dr Falguni SHAH	Neck rejuvenation with injectables	View	85489

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Fillers: HA (hyaluronic acid)

Periorbital (non-surgical)

Botulinum toxins

Threads

Nose (non-surgical)

Dr Faramarz DIDAR

United Kingdom

Other author(s) : Mrs Janna Tobit

A novel approach for nose shaping to avoid surgical rhinoplasty: PDO threads vs fillers

Objectives: The first stage of non-surgical nasal reshaping is the initial consultation combined with a good knowledge of anatomy and practical skills in order to clarify the practical approach (filler versus PDO thread) for such a procedure. The physicians need to think of maximum achievement with a minimum risk of complication. There are different fillers and suspension devices in the market. A good selection of these as well as patient’s selection would make this procedure a success.

Introduction: Non-surgical rhinoplasty (more literally known as 'nose filler') is an aesthetic treatment rising in popularity with women and men alike. the demand for such procedures has increased by 35% in the past year. While the injection of fillers are so popular in nose reshaping, the suspension devices also has a significant role in forming and shaping the nose with less risk of vascular compromise as well as fillers migration.

Materials / method: We compare two nasal reshaping with fillers with two nasal shaping with PDO threat. The patient selection was not random and was based on the practitioner chosen method. We use PDO threads in cases that we believed there are more risks of migration of fillers.

Results: Although We believe the PDO threads is a better approach but more studies with a larger sample are needed in order to achieve a conclusion with a lesser bias. We found insertion and performing suspension devices easier and less stressful in comparison to injecting filler. Having said that, PDO has restriction in reaching some places in nose specially when there is some obstruction on its way like a notch or hump. this means a direct injection with filler would be a perfect solution or approach.

Conclusion: Nose reshaping by PDO threads is getting more popular among physician and patients. This approach is safer than the injection of fillers in terms of arterial occlusion and consequently necrosis of nasal tissue. the PDO threads are not migrating in comparison to fillers. A good knowledge of Anatomy and practical skills of PDO threads insertion, would make this approach suitable for future nose shaping. Having said that, it has limitation like access to the far distance nasal anatomical tissue from the tip specially if there is a notch or hump on the way of insertion of threads.

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 Syed Nazim HUSSAIN

Dermatologist

India

Other author(s) : Dr Greg Goodman

Tick technique - Tear trough deformity quantified and simplified

Objectives: To simplify the injection technique for tear trough deformity.
To quantify amount of dermal filler required for a particular grade of tear trough deformity.

Introduction: The anatomy of the under eye region is complex and complications are frequently associated with treating tear trough deformity. There is a need to simplify the treatment method and to make the injection technique safe and user friendly with the least possible rate of complication and better outcomes. This will encourage more novice aesthetic physicians to address this frequent aesthetic concern of this region with confidence.

Materials / method: A total of 150 patients with different grades of tear trough deformity were injected with a total of three boluses at three divided anatomical regions of tear trough but varying amount with a simplified Tick® technique. Irrespective of grade and quantity injected all boluses were deep supraperiostal beneath orbicularis oculi muscle. Patients photographs before and after were reviewed to assess the outcome.

Results: This simplified approach of injection technique showed considerable improvement in GAI score with minimum complications. It proved better to conventional methods of tear trough treatment with either canulla or needle provided by manufacturer with hyaluronic acid fillers.

Conclusion: This interventional - observational study showed the value of this simplified injection technique with predictable and satisfactory outcome and low complication rate. We propose a possible way forward for aspiring aesthetic physicians to treat tear trough with confidence to minimize complications and maximize to outcome.

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 Jyoti ANEJA

Dermatologist

India

Other author(s) :

Botulinum toxin - A medical miracle for blepharospasm

Objectives: To emphasize the efficacy of injecting Botulinum toxin as an efficient remedy for Blepharospasm with immediate visible effects, the simplicity of the treatment as compared to surgical options

Introduction: Benign Essential Blepharospasm is bilateral focal dystonia leading to episodic closure of eyelids.
Frequent contractions or twitching of eyelids cause severe lifestyle difficulties. In rare severe cases the eyelids get clamped shut and require great effort for eye opening and may even have brief periods of blindness.
Although there is no cure, Botulinum toxin injections help to relieve the spasm temporarily, greatly improving quality of life. Surgical myectomy though an option, is invasive, with uncertain results.
Botulinum toxin-type A injections induce localized, partial paralysis in the i

Materials / method: case: 54 year old male, presented with twitching and recurrent contractions of eyelids & watering of eyes since 4 years. Diagnosed with Blepharospasm. Started on 3 monthly injections of Botulinum toxin type A. A total of 10 to 12 units locally in the eyelid muscle groups under local anaesthesia. Visible effects recorded on video. Effect sustained for a few months, drastically improving quality of life. Repeated procedures showed similar sustained results and patient is now on periodic injection of Botulinum toxin since 3 years without the need for a corrective surgery.

Results: The procedure has a high efficacy with almost immediate and sustained effect and can in most cases nullify the need for a surgical procedure.

Conclusion: Application of Botulinum toxin injections for Blepharospasm are a treatment modality that is underestimated and not well known to all suffering from it. The procedure has a high efficacy with almost immediate and sustained effect and can in most cases nullify the need for a surgical procedure.

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 Shuba DHARMANA

Cosmetic Surgeon

India

Other author(s) :

Filler - Dr Shuba's V3 lift

Objectives: To study this technique of lifting the face by injecting certain key points with Fillers

Introduction: Universally women desire certain areas of the face to be contoured and highlighted. The makeup techniques employed use highlighters to project and enhance certain bony prominences such as the temples, malar prominence, angle of the mandible and chin. On the profile, this highlighting projects a number ‘3’ from the temple to jawline. Anteriorly the oval or ‘V’ shape is enhanced also by this highlighting.

Materials / method: The ‘desirable V’ shape is enhanced by filling or lifting the top 2/3 rds of the face and by sculpting and defining the lower 1/3 of the face. This would include filling in the temporal hollows, correcting tear trough and enhancing maxillary projection in midface in the upper 2/3 rds and sculpting and defining chin, and jawline in the lower 1/3rd. Sometimes sculpting the lower 1/3 rd of the face may also involve skin tightening procedures with energy based modalities such as Focused ultrasound or Radio frequency for a non surgical lift before injecting fillers to sculpt.

Results: The technique of V3 lift achieves the ‘V’ and the ‘3’ with the help of fillers to naturally enhance and project the areas for a harmonious, youthful and glamorous looking lift.

Conclusion: Dr.Shuba's V3 lift is a technique of shaping the face into a ‘V’ that is so desirable by the Asians and achieves a subtle accentuation and highlighting of the number ‘3’ on the side of the face that is favoured and used in contouring and highlighting by the best of the makeup artists around the world.

This paper focuses on a few key areas of volume loss that can be touched upon to lift the midface, for broadening and smoothing out the contours of the upper face, enhancing and strengthening chin and jawline in the lower face, all of which helps to achieve the ‘V3’.

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): KOL for Allergan, KOL for Galderma

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 Uriel HEDDING

Mexico

Other author(s) :

One entry point, four injections

Objectives: Present some anatomy changes, and how we can reduce aeging effects on this changes by an easy injection technique.

Introduction: As time goes by all aging changes in whole anatomic structures can be noticed, but since the antiaging and rejuvenation revolution has come in trend, we focus our attention in face aging.

Although we've been injecting faces thru all this years successfully, it was only after the year 2000 that we paid attention to the anatomic structures not only as the places where do we have to inject but as the places which have dynamic aging and how they behave with this aging process.

Materials / method: Many anatomy experts bacame worried, not only for safety reasons as we already knew the dangerous zones and safety zones to be injected on a human face, but, to study the aging process to achieve more natural and better results when injecting, specially fillers.

We, all specialized injectors, agree that at the very beginning of this rejuvenation era we started injecting wrinkles and folds, but as we developed more sophisticated techniques we started repositioning tissues.

A one entry point, four injection sites canule technique is presented to do a natural rejuvenation effect.

Results: The results are measurable by a front and angle photo of our patients showing a good tissue repositioning.

Conclusion: With a good anatomy knowledge we can easily assess a patient for a natural fast rejuvenation technique, whether using hialuronic, CaHa or any high G' filler.

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 Falguni SHAH

Dermatologist

India

Other author(s) :

Neck rejuvenation with injectables

Objectives: Neck has been the sign of beauty since time immemorial. In this session I will focus on:
• Anatomy of the Neck
• Challenges in treating the Neck
• Use of Injectables to get a more Rejuvenated and youthful Neck
• Injection techniques

Introduction: Neck ageing is a giveaway to a ‘youthful’ appearance. No ‘single’ technique can treat the neck lines . This talk, would like the delegates to know the importance of a slender neck and understand the usage of botulinum toxin and Low ‘G’ Prime fillers to get the desired results. There are few limitations to using just one modality and hence neuromodulators and hyaluronic acid fillers need to be used in combination.

Materials / method: Botulinum toxin and Hyaluronic acid fillers to treat the Platysma muscle and horizontal neck lines.

Results: Will be substantiating the technique with few Before After pictures where I have combined the botulinum toxin and hyaluronic acid fillers for safe and natural looking results.

Conclusion: ‘Nefertiti’ the Egyptian beauty was known for her slender Neck and we can aspire to achieve those results by combining techniques and injecting in the right plane with sound knowledge of anatomy. Further, as the SMAS too extends right up to the neck, rejuvenation of neck contributes towards a better jawline too.

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

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IMCAS Asia 2019 Program

FOCUS ON S010

Contributed talks - Threads and fillers

Chairs

Lectures of the session

Recommended sessions

IMCAS Asia 2019
Program