IMCAS

Autologous growth factor concentrate (AGFC) for hair loss

Objectives: The aim was to study the efficacy of autologous growth factor concentrate (AGFC) for hair loss and regrowth
Introduction: Male and female pattern hair loss is a growing concern in India .There are conventional treatment methods such as oral and topical medications to treat these conditions but due to the side effects profile and unsatisfactory results ,physicians and patients are opting for newer procedural methods.Platelet rich plasma is a popular procedure in India for treating this condition.I present my experience with the patented AGFC to treat hair loss and stimulate hair regrowth.
Materials / method: Patients with male and female pattern hair loss with mild to moderate hair recession were included .Patients on topical or oral medication were excluded from the treatment study.The patients received 6 treatments once a month apart .Results were assessed using clinical photographs and patient and physician satisfaction scores.
Results: Both the male and female patients reported improvement in thickness and texture of existing hair within 2 months of therapy.There was also evidence of new hair regrowth after 6 months of therapy and the results continued after stopping the therapy.Patients showed excellent to good improvement in density after 9-12 months of the first treatment.
Conclusion: AGFC is a new,revolutionary patented technology in treatment of hair loss due to hormonal causes.

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

Upper face rejuvenation with dermal fillers in Indian patients

Objectives: Upper face aging and aesthetic concerns of contouring are traditionally treated with Botulinum Toxin A (BTX-A) by physicians. However patients treated with BTX-A have issues of unnatural and at times distorted results.The results are also short-lived. Dermal fillers for correction of upper face contour deficits and aging changes is a newer concept in Indian population and growing popular worldwide. This talk is to share my experience of dermal fillers treatments for treating upper face in Indian population. This approach delivers aesthetically pleasing results with a sustained longevity.

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

Comprehensive management of periorbital hyperpigmentation

Can we predict hair loss? Introduction to the NPRT system

Introduction:
Multiple classifications for male pattern baldness are mentioned in the literature. A new system is presented for documenting hair loss. The main aim of the study was to evaluate the practical application of the Ahmad’s NPRT system.
Methods:
The study was conducted in a private hair restoration clinic. The five hundred male patients of all ages were included presenting with varying degrees of hair loss. The age and family history were noted. The various points of the new system were noted, i.e., i. Norwood Scale (denoted by ‘N’), ii. Temporal Peaks/Points (denoted by letter ‘P’ and further subdivided into four grade from 0 to 3), iii. Reverse Thinning (denoted by letter ‘R’ and graded from 0 to 3), and iv. Overall Thinning (denoted by the letter ‘T’ and subdivided from 0 to 3).

Results:
The mean age of the patients was 29.3 years, ranging from 17 years to 62 years. Type IV with its variants was the most common baldness pattern found in 29% of the men followed by type III (27.4%). Varying grades of status of temporal peaks, reverse thinning and overall thinning were noted.

Conclusion:
The new system was found to be helpful in ascertaining the exact situation of hair loss and can also help to predict the pattern of future hair loss.

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

Breast augmentation beyond photographs: breast-Q evaluation

Objectives: To compare the BREAST-Q results in patients undergoing implant augmentation vs fat transfer
Introduction: This is the first study of the medical literature which compares the postoperative results using BREAST-Q beyond photographic improvement.
Materials / method: The study was conducted in 50 female patients undergoing breast augmentation. The patients underwent silicone-implant surgery of fat transfer. All the surgeries were performed by the single surgeon under general anaesthesia. Three parameters of BREAST-Q were noted preoperatively. After the surgeries, (9 months), the patients were asked to give feedback on the same parameters. All the data was analyzed statistically.
Results: The mean age of the patients undergoing implant augmentation was 28.1 years whereas the mean age of the patients undergoing fat transfer was 29.5 years. The average implant volume was 331 ml (range, 250–455 ml). the patients undergoing fat transfer had an average of 391.7 ml (range, 295–450 ml) injected in each side. Postoperative antibiotics were continued for 7–10 days postoperatively and the augmented breasts were also stabilized using the post-op bra of appropriate size for 3-4 weeks.
The average scores of BREAST-Q items were as follows for implant augmentation”
i.Satisfaction with breast
Conclusion: Patient satisfaction is important than photographic improvement and patients undergoing fat transfer were more satisfied.

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

Thread facelift: photos vs satisfaction

Introduction:
The facial aesthetic procedures are either surgical, or minimal-invasive surgical or non-surgical. With the increase in the total number of non-surgical and minimally-invasive surgical procedures, the outcome of these procedure need to be measured. The FACE-Q provides an opportunity to measure the subjective well-being of the patient.
In the current study, the analysis of 50 patients undergoing thread facelift using FACE-Q was analyzed.
Materials and Methods:
Only the patients undergoing the thread facelift were included. The patients’ data was collected. Informed consent was taken from all the patients. Six different item of FACE-Q were used. All the patients were asked to rate parameters on the day of the surgery and then after 3 months.
Results:
The FACE-Q was completed by 50 patients. All the patients underwent thread facelift with barbed sutures and PDO threads. There were 32females and 18males. The mean age of the patients was 37.7 years (males: 39.3 years and females: 36.8 years).
i.Satisfaction with facial appearance
The score increased from 27 to 32 which corresponded from 53% to 66%(p < 0.01).
ii.Satisfaction with skin
The satisfaction with the facial skin score increased from 29.5 to 33.7 which corresponded to 50% to 59% respectively (p< 0.01).
iii.Patient-perceived age visual analogue scale
The patients reported about their perceived age to be 3.4 years older to their present looks. After the procedure, the patients reported to look 4.8 years younger. Therefore, the net gain in the looks was 8.2 years.
iv.Aging appraisal
The aging appraisal about the present looks improved from 45% to 58%(15.7 to 19.4) (p < 0.01).
v.Appearance-related psychological distress.
The psychological distress score decreased from 25.4 to 16.8(65% to 45%)(p< 0.01).
vi.Satisfaction with outcome
The overall satisfaction rate with outcome was 20.1(68%).
Conclusion:
The overall patient satisfaction should be the goal rather than the photographic improvement.

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

Nano-lipoaspirate stem cells and hair restoration

Introduction:
There has been great debate and research over the use of adipose-derived stem cells (ADSCs). A few studies have also been found in which ADSCs have been used in hair restoration.
Objectives:
To know the effect of ADSCs prepared by nano-lipoaspirate on hair diameter.
Materials and Methods:
The study was conducted on 5 patients after informed consent. The patients did not receive any adjunct therapy like minoxidil, PRP, etc. The nano-lipoaspirate was harvested from abdomen using 2.0mm microcannula and after 3000 RPM centrifugation, the fat content was harvested and converted into nano-li[poaspirate. The ADSCs were injected in the scalp with 21 G needle. The hair caliber before the injections and after 9months were measured. The data was statistically analyzed.
Results:
The five patietns included 4 males and 1 female. The mean age was 22.2 years. The average amount of nano-lipoaspirate injected was 12.6 ml.
The mean hair caliber was 44.2 µm before the injections. And after 9 months, the caliber was found to be 66.8 µm (p < 0.01).
Conclusion:
The nano-lipoaspirate is found to be effective in stimulating hair growth.

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

Chemical peel and its implications

Objectives;
The chemical peels may be used to help ameliorate the scars, to destroy premalignant and /or malignant lesions, unsightly pigmentation etc.
The treatment modalities used to produce a controlled injury are dermabrasion, chemical peels and photoepilation (LASER and IPL). Only if the injury is in the proper tissue plane can the desired result be achieved. If too superficial, the results will be disappointing. If too deep, the results can be catastrophic.
Material and Methods;
The senior author have introduced newer formula into the world of chemical peeling according to the depth of peeling agent penetration.
This is a prospective study of 3 years from April 2014 to April 2017. In this study, total number of 216 consecutive chemical peels on 54 patients over a 3-year period were performed. Age distribution ranges from 20 years to 55 years.
Results;
The results achieved with these newer chemical formula are highly satisfactory (80-90%) for almost all skin conditions treated.
Conclusion;
In our office setting practice, we perform approximately four sessions of chemical peel weekly and continue skin lightening/spot protection creams and sun protection. This study corroborate evidence superiority of our selected chemical formula.
Key Words; Chemical, Peel, Munir

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

Association of a single session of platelet rich plasma and micro-focused ultrasound for dermal autologous collagen regeneration. A prospective study on periocular wrinkles.

Association of a single session of platelet rich plasma and micro-focused ultrasound for dermal autologous collagen regeneration. A prospective study on periocular wrinkles.

Backgroung: Transcutaneous micro-focused ultrasound has been proved to be effective for non-invasive skin tightening. It produces termo-coagulation zones where the temperature reach 65 C°. This induces initially tissue contraction (lifting effect) and then autologous collagen regeneration. Platelet-rich plasma (prp) has been used for rapid healing and tissue regeneration in many fields of medicine. In dermatology for the treatment of ulcers and burns and in aesthetic surgery for enhancing stem cell in fat transfer.

Objectives: The goal of our prospective study was to investigate the efficacy of the association of the two procedures performed in a single session.
The rationale was that growth factors could boost the collagen regeneration induced by the micro-focused ultrasound by enhancing dermal fibroblasts activity and by making available regenerative substrates.
Materials: Fifty patients with moderate to severe periocular wrinkles assessed with the FWS (facial wrinkles scales) were recruited for the study. They were analyzed for phototype, moisture, amount of collagen fibers and skin texture by Visia System (canfield) and macro-photographs were also obtained. Wrinkles were assessed by doctors (SSAl - Surgeon satisfaction assessment lifting) and by patients (PSAl- Patient satisfaction assessment lifting). Efficacy and tolerability were assessed at 4 and 12 weeks of treatment.
Methods: Patients were previously treated on the periocular area by by intradermal injection of 4 cc of prp. After the treatment 25 patients of group 2 underwent a single of 300 energy spot lines of micro-focused ultrasound delivered at a frequency of 7 MHz (0.3 J) at 3.0 mm focal depth, able to reach the subcutaneous tissue and at a frequency of 10 MHz (0.25 J) at 1.5 mm focal depth, able to reach the deep dermis

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

Prospective non-randomized observational study of female subjects treated with a FDA-cleared tissue stabilized-guided subcision (TS-GS) system for cel

Objectives: The goal of our prospective clinic study is to evaluate the efficacy a a new FDA-cleared tissue stabilized-guided subcision (TS-GS) system for improving the appearance of cellulite dimples on buttocks and posterolateral thighs

Introduction: For improving the appearance of cellulite, in our busy centers for cosmetic surgery in Italy, we have introduced in 2016 a new FDA-cleared tissue stabilized-guided subcision (TS-GS) system which was alleged to be minimally invasive and to stabilize the clinical results for 3 years.

Materials / method: We enrolled on this study only women with stabilized cellulites since at least 5 years. We analyzed patients by digital 2D macro-photographs and by a 3D biomechanical device for quantitative approach to soft tissue change assessment. Patient satisfaction was assessed through physician review of 2D and 3D photography, and the Global Assessment of Improvement Scale (GAIS) at baseline, three and twenty four month post-treatment. Patients that underwent any buttocks aesthetic or surgical procedure in the last 6 months, or presented fat excess or ptosis on buttocks were excluded.

Results: 60 women of average age 39.6 y.o. with a total of 1124 lesions of cellulite received a single treatment to the buttocks and/or posterolateral thighs and completed the follow up at 24 months. 96.8% of patients were satisfied with treatment results and physician evaluations displayed a 1-point improvement in their cellulite grades. Moreover, GAIS scores indicated that all patients had visible improvement in the global appearance of their cellulite. Analysis of 3D imaging yielded 87.6% average improvement in negative volume and 80.6% improvement in minimum heigh of dimples.

Conclusion: The physician ratings, patient satisfaction, and photographic evidence prove the safety and efficacy of the TS-GS system in the management of cellulite in women in the buttocks and posterolateral thighs.

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

The best way to predict the future of aesthetic surgery & cosmetic dermatology healthcare, is to create it

Objectives: Audience: Medical Professionals.
Knowledge: Best practice, Predictions, technology.
Understand: Investing in your future growth and legacy.
Apply: Creating solutions for your clients; strategy for digital disruption and prepare for your future workforce.
Evaluate - Key considerations for the successful implementation of customer experience, data analytics, technology and best practice.

Introduction: Medical Aesthetics is evolving at a rapid pace. More people are becoming comfortable in sharing openly about the procedures they’ve undertaken; technology is making non-invasive treatments more accessible and celebrity culture is influencing both men and women to start treatments younger. With digitization and technology's profound impact upon the industry, come the ever increasing risks affecting data, and the significance of the customer experience model. Businesses need to focus on creating their future now or get left behind.

Materials / method: Powerpoint presentation

Results: Powerful incentives from research including:
A study in Patient Care by EY
A report by Allied Market Research, stating that the global surgical robotics market is likely to reach $98,737.0 million by 2024,
Healthcare case study by Blake Morgan (Customer Experience Futurist) l

Conclusion: Data for understanding your demographic is key, and technology (Robotics and Augmented Reality) is advancing the medical aesthetics process; but the human element cannot be replaced. Focusing on customer experiences will ensure your business' future and legacy. It combines the elements of best practice, investing in technology and people.

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

Secure thread procedures for avoid patient and doctor troubles

Objectives: To show and demonstrate the major principles of secure thread applications.
Thread trainings should be cover anatomy and patients' management for complications.

Introduction: 6 Years experience with thread applications and last 4 years study in country as complication management author.
How we can prevent doctors and patients from undesirable results.
What are the trouble areas for patients and doctors for thread applications.

Materials / method: More than 1400 thread cases from all over the world, Surveillance, Diagnose, threat and manage of thread patients,

Results: Most of the inappopriate aplications should be prevent by training.
Complex techniques, wrong indications & patients and unexperienced practitioners are common trouble reasons. Practitioners prevent threads related problems and complications.

Conclusion: Thread procedure is a new area for that reason these procedures should be done by certified and experienced practitioners.
Thread trainings should be cover cadaver and live hands on sessions.
Materials, techniques, indications and patients’ assessment should be add to the training.
Main principles of secure thread interventions. How to prevent & avoid, threat and manage undesirable effects. Qualifications of troubles for patient & doctor. Most common troubles; Infections, foreign body reactions, thread visualities & migration,

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

Bruxism an epidemic - Causing premature aging of the lower face and a multitude of medical ailments

Objectives: The objective is to create awareness of the serious consequences of Bruxism and its role on premature aging of the lower face.

Introduction: Bruxism is a misdiagnose, misunderstood, disregarded and mistreated condition that it is accelerating the aging of the lower third of the face. This is specially seen on Generation X, and millenials.

Materials / method: powerpoint lecture that will create awareness on how to screen, treat and counsel our patients for a better aesthetic outcome of the lower third of the face and prevent associated medical conditions such as vertigo, migraines, ringing of the ear, etc.

Results: At home health care and treating muscles of mastication with neurotoxins is a great approach to alleviate this epidemic.

Conclusion: At the end of this presentation the attendee will be more aware of this issue and will start screening and treat patients that are suffering from Bruxism

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

Young male and aesthetics

Objectives: The attendees will be able to understand the psychology and current trends of young male patients seeking cosmetic procedures.

Introduction: Although older male patients feel they need cosmetic procedures to stay competitive at the work force, younger male patients are more adventurous and believe in prevention. In fact, millenials make sure to put money aside for their cosmetic procedures.

Materials / method: Powerpoint presentation describing the most common procedures for male facial enhancement: Frontoplasty, tear through, cheekbones, chin and jaw line.

Results: Level of young male attractiveness increase after cosmetic procedures.

Conclusion: Men comprise about 17% of the aesthetic market, but it is on the rise due to the new generation of Millenials who do not feel they need permission to do aesthetics procedures the way we seen in older aesthetic male patients

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

Beauty concept: cultural, religious and gender considerations

A key feature to patients in the 21st century is their racial, cultural and religious diversity.
Humans desire to blend in the with their environment, but at the same time mark themselves as different.
Many features can be perceived as favourable or instead unpleasant depending on the time, place and culture; well-known examples being tattoos, sized buttocks (which traditionally were a matter of laughter in the West but have now become a desirable feature), or a tanned skin. Certain ‘rarities’ are only considered attractive in specific cultures. For example, being cross-eyed was regarded favourably by the Mayas, and the Maasai emphasise the attractiveness of black tongues and gums.
Culture and religion establish the ideal expression of beauty, and, the same way the morphotype and phototype are noticeable at first sight, we must understand the culture and religion to know what has resulted in the patient being perceived as ‘beautiful’ or attractive.
Another characteristic of a patient in the 21st century is that the characteristics of the different races are losing strength due to increasing migratory fluxes.
The understanding and respect towards these differences in ideas of beauty is the starting point to providing with a cosmetic treatment appropriate to each group.
We want to give an identity and beauty to all ethnic and cultural varieties, respecting their traditions and beliefs, and avoiding the creation of clones which obey a dictated prototype for beauty shown in the magazines of that area/culture.
This is key in order to gain the trust of patients when they do not belong to the same cultural environment as ourselves, this being something increasingly frequent, due to the great diversity and richness of cultures present in Western countries.

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

All about carboxitherapy

This case report exposes our personal experience with a protocol developed in our clinic with the aim of achieving a bleaching of the perineal area in combination with a regeneration and rejuvenation of the whole surrounding area, published in the book “Cirurgía estética genital masculina y feminina” by Dr. Ramon Vila-Rovira.
The results present our particular protocol, which is a combination of different chemical peels at once, together with penetration of several drugs using microneedling and its particular skin stimulation.
We can see how results are much greater with the conjunction of these two techniques, peeling and electric microdermopunction, unlike the results obtained separately, ie chemical peels or skin needling isolated.

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 is presented thanks to the support of: BCN Institute

Treatment of acne scar with ultrapulse fractional CO 2 laser: approach based on ablative depth

Objectives: How to create optimal ablative depth in different type of acne scar
How to maximize collagen production by using ultrapulse laser in acne scar
Introduction: Acne scar can be treated with fractional laser with the mechanism of collagen remodeling. However the results of severe acne scar treatment is sometimes frustrating. Ultrapulse laser with shorter pulse width can ablate scar tissue deeper to induce deeper collagen remodeling with subsequent better result.
Materials / method: Patients with atrophic scar were recruited and treated with ultrapulse laser. Results will be presented
Results: The improvement of acne scar is significant in all patients.
Conclusion: Ultrapulse fractional CO2 laser is safe and effective in the treatment of severe acne scar.

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

Save your face and age nicely! An individualized approach to natural face reshaping - Supporting volumetry

Objectives: Every faces are different and needs special individualized reshaping protocols.
Male and female or transgender faces may age in specific sequences.
Introduction: Purpose of Supporting Volumetry is to achieve a reconstruction of lost volume in the strategy supporting-trophic subcutaneous layer (areas) and natural individualized face RESHAPING, REJUVENTAION and BEAUTYFICATION.
•The key-point of Supporting Volummetry is to start revolumising: from upper face level: (1-scalp, 2-temple/forehead), progress to mid-face level: (3-cheeks, zygo and periauricular areas) and finish at the lower-face level: (4-jaw line, chin, perioral (lips) area).
Materials / method: •Supporting Volumetry is a special technique using micro-cannula 25G - 50 mm or 22G - 70 mm to recreate and recotoure the degradation of the subcutaneous fat layer across the entire face.
•4 crutial entry points are located away from the main vessels and nerves and garanty low risk of blood vessel damage (bruising).
•Injection in uper frontal and temple and midface areas have to be injected in sub-SMAS layer.
In lowerface level - in subcutaneous fat layer.
The Supporting Volumetry technique uses cross-linked HA with high viscoelasticity values
Results: The Supporting Volumetry technique improves natural facelift and at the same time gives a natural face reshaping and rejuvenation result.
Conclusion: „Supporting volumetry” – supporting you in aging nicely!

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

Antigravity facelift - Nonsurgical SMAS lifting with supporting volumetry

Objectives:
Is it possible to have natural young look without gravitational effect?
Contemporary aesthetic medicine takes a comprehensive approach to treatment and is innovating at a fast rate. These new techniques focus on natural look. The key features of looking young are skin tension, skin quality and retained face oval.
Our innovative technique resists the gravitational effect of aging without the need for surgical intervention.
We conducted a study involving 20 patients with an age range of 45 to 60, all suffering from a sagging face oval.
Introduction:
With antigravity it is crucial to stress the underlying importance of facial anatomy - in particular the scalp, the forehead, the temples – in the process of a natural non-surgical facelift.
There is a direct correlation between the scalp layer (galea aponeurotica) and SMAS structures, and the interplay of the two help the skin maintain its natural position on the face.
With age, the hollow structures (aponeurosis) lose their resilience. This results in the degradation of deep underlying fat compartments. which causes changes to facial geometry and visible gravitational sagging.

Materials / method:
We use our Volumetric support technique to rebuild the natural face oval without any intervention in its natural shape. The procedure requires special high viscoelasticity hyaluronic acid, a micro cannula of 25G-50mm or 22G – 70 mm.
The treatment requires a special combination of entry points responsible for face lifting. From these points the HA is spread across the subcutaneous skin layer.
Revolumising begins with the upper face level, starting with the scalp and temple, and then progresses to the mid-face level. For optimal results we use 2-4 ml per session.

Results:
The treatment does not interfere with the natural contours of the face and, moreover, adjusts to the natural expressions of the face. A single treatment was needed to accelerate oval lift and moisturize the effect and synthesis of Hyaluronic acid. We recommend that the treatment be repeated every 3-6 months to optimize effects.

Conclusion: Case study - effects
The effectiveness of the procedure was evaluated by comparing before and after photographs. Additionally, patients assessed their satisfaction levels (scale from 1 to 5 where 1 was completely dissatisfied and 5 very satisfied). The results of the satisfaction survey confirmed that all patients were extremely happy.
Conclusion – treatment is very effective with a high level of patient satisfaction
Presentational materials
The presentation demonstrates the whole concept of antigravity procedure with use of antigravity volumetric support technique.

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

Bio nutri lips concept - Comprehensive approach to natural reconstruction of the perioral area, the chin and the jowl

Objectives: The perioral, chin and jowl area is the most important part of the face. Wrinkles, sagging face around the lip area, and narrowing lips are leading to a sad and tired expression. Such appearance confirms the age or even adds years to our face.
The aging processes are irreversible, but doctors can slow them down. Up till now doctors have pumped face to lift it and get rid of wrinkles. The newest approach is rather aimed at rebuilding and “rehanging” face instead of pumping it.
The study involved patients at the age 45-60 years with sagging skin and lips in the perioral area.

Introduction: The technique to “rehang” and rebuild the perioral area and the chin and the jowl has been created based on deep anatomy analysis. The technique rebuilds lost volume and elasticity of the anatomical layers of the area, which gives patient a natural lift effect.
The technique is based on a cannula method which precisely recreates volume of subcutaneous fat compartments. The technique shows how to combine injection technique dedicated to individual areas: upper lip, lower lip, nasolabial fold and chin area.

Materials / method: Hyaluronic acid filler with Hi-viscoelastisity values injected with 27 G-50mm cannula was used to accelerate volumising of the retro - orbicularis oris fat and subcutaneoust fat compartments. It is recommended to begin with the reconstruction of the upper part of philtrum followed by remodeling of the upper and lower lips. The final stage of remodeling concerns volumization techniques for the lip–chin area, including the mental fat compartments.

Results: The study shows that we are unable to reproduce, rebuild in a natural way the lip and its surrounding area without a proportioned rebuilt of subcutaneous fat compartments.
The effectiveness of the technique of Bio Nutri Lips concept was evaluated by comparing photographs of patients before and after procedure. The patients were questioned about their satisfaction level with the result of the reconstruction of the perioral area, the chin and the jowl (scale 1 to 5, where 1 is completely dissatisfied and 5 satisfied).

Conclusion: All patients were satisfied with the result of 5 points which indicates the highest level of satisfaction.
Bio Nutri Lips Concept technique- gives a natural perioral area, lips and chin reshaping and rejuvenation result with the shorter recovery time.

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

Infection control in aesthetic medicine and the consequences of inaction

Objectives: There is a substantial volume of evidence in the literature to support that infections that originate in the sinuses, face, ears or oral cavity have the potential to drain into the cavernous sinus with grave life threatening consequences, dermal filler associated infection in these areas are no exception. Cavernous sinus infection can lead to the formation of multiple abscesses and result in neurological and/or ophthalmological damage. A septic cavernous sinus thrombosis has the potential to occlude the retinal artery leading to permanent iatrogenic blindness.

Introduction: In the field of Aesthetic Medicine, the injection of dermal filler can incorporate multiple injection passes from skin to bone. There is a risk of an infectious complication arising if all traces of makeup are not removed and the skin disinfected, if there is inadequate hand asepsis, inadequate environmental disinfection and if aseptic technique is not executed during the delivery of these injections. This presentation will explore the subject of infection control within the field of Aesthetic Medicine and the consequences of inaction.

Materials / method: Methods: Electronic data bases, books, journals, google, electronic correspondence, survey questionnaire.

Results: Results: The findings of this study identified significant variations in infection control practice by healthcare professionals. The results from the survey also identified clinical practice of concern.

Conclusion: The author concludes that there is significant evidence in the existing literature and significant statistical data from the results of the survey questionnaire to support a correlation between sub optimal standards of infection control by healthcare professionals in the clinic setting when injecting dermal fillers and that the consequences can be grave and life threatening.

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 I compiled a 15,000 word dissertation as part of my MSc programme of study on the subject of Infection Control in Aesthetic Medicine and subsequently published a 3,000 word summary of my work in the Journal of Aesthetic Nursing August 2018

Heavy face, restrictions and possibilities of treatment

Objectives: I define 3 main problems of such patients: 1 tendency to swelling
2 tissue gravitation and sagging, 3 ligament’s weakness and fat compartments changes

Introduction: Patient with heavy face is always complicated to treat. They don’t complain on wrinkles in general. The main demand is to lift the face. But it’s not so easy to lift. The main what can we offer to make the face to look slimmer, to remove shadows on face and make it to look younger

Materials / method: I always start to work with skin layer and fat compartments. We should be carefull in choosing way of treatment at this step because of tendency to swelling.
We have contraindications in using high hydrophylic drugs and especially cross-linked HA. For decreasing swelling I use product with succinic acid in special lymph drainage technique. It helps to activate succinate dependance receptors GPR1 in fat, normalizing microcirculation and consequently decreasing interstitial edema and make face to look smaller
The most effective treatment for such patient is threadlifting. Which helps to solve problems of sagging and reinforce ligaments. We change position of tissues and hook on own ligament structures
To reduce the shadows I use cross linked HA deep on bones to reinforce ligament structure and change projection of folds. I usually use cross linked HA for chin, cheeks for making face longer and slimmer

Results: We see significant changes in heavy faces using different ways of treatments

Conclusion: According to knowledges of aging process we choose the comprehensive approach of such kind of patients at different levels of ageing, always remembering about tendency to swelling

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

Short pulse 1064 nm Nd:YAG laser treatment for previously treated capillary malformations in adults

Objectives: We conducted this single center, retrospective chart review to support the utility and safety of the short-pulsed 1064-nm Nd:YAG in treating previously treated and incompletely cleared capillary malformations.

Introduction: Capillary malformations (CM) include port wine stains (PWS), which are characterized by an increased number of ectatic cutaneous vessels. The pulsed-dye laser (PDL) is the standard of care for CMs and while some improvement is common, the vast majority of PWS do not completely clear and frequently recur, even in the setting of multiple PDL laser therapies. The 1064-nm Nd:YAG laser is among the available options for laser therapy and in our experience, using the short pulse high energy Nd:YAG is a useful tool for treating refractory lesions with patients' achieving meaningful results.

Materials / method: A single-center retrospective chart review was conducted of 20 patients with the diagnosis of PWS who had previously failed treatment with pulsed-dye laser therapy (up to 20 years prior). Patients underwent and average of 2-3 treatment sessions with treatment parameters as follows: 1064nm Nd:YAG, 140-170 J/cm2, 3mm spot size, and a 1 millisecond pulse duration. Two blinded dermatologists evaluated the clinical changes by comparing before and after photos of each patient.

Results: All patients were treated with the short pulse high energy 1064nm Nd:YAG laser. Significant improvement was noted in all the patient’s lesions, even years after previous treatment modalities were employed, with no adverse events reported.

Conclusion: Short pulse high energy Nd:YAG laser therapy is a not only safe but an efficacious modality when treating refractory lesions with the majority of patient’s achieving clinically meaningful results without permanent side effects.

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

Avoiding fat embolism in liposuction

Introduction.
Since introduction and widespread of liposuction, one special problem developed: fat embolism, which causes most of the dead’s in this procedure worldwide.
Material and methods.
We reviewed the actual literature related to this problem and cases described.
Results.
We found the cause for the transference from third space into vascular flow, also studied the cases and found difference in fat embolism presentation, a macroscopic and microscopic fat embolism, each one with a very different clinica presentations.
Analysis.
After data evaluation we changed the clinical criteria for diagnosis and also developed prevention measures every surgeon who perform the procedure should know..
Discussion.
Any surgeon should know not only the anatomical basis for avoiding fat embolism, but also it’s different clinical presentations, how to diagnose it and more important, how to prevent it or treat if it happens.

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

Combination therapy with Kligman's formula plus Q-switch laser for treatment of acanthosis nigricans: a cross sectional study

Objective: A variety of treatment modalities for acanthosis nigricans (AN) has been used with variable, but largely transient, success. Lasers may be a promising treatment modality. This study aimed at evaluating the efficacy and safety of combination therapy with Kligman's formula plus Q-switch laser for treatment of acanthosis nigricans.
Methods: In this cross sectional study, twenty-six patients suffering from AN were studied. Each patient was subjected to four sessions of Q-switch laser every other week and Kligman's formula daily at night. All patients were assessed every other week and evaluated after four sessions for the extent of improvement and satisfaction by three blinded dermatologists. Assessment was done according to the investigators and patients subjective assessment of their clinical response and digital photography at baseline and after each treatment session. All patients were followed-up for 1 month.
Results: Mean age of the patients was 34.52 ± 13.16 and their body mass index was 31.64±6.23 kg/m, respectively. The mean disease duration was 6.7 years. All patients showed improvement as regard hyperpigmentation, thickening, and the overall appearance (P<0.05). The physician assessment was excellent in fifteen lesions, moderate in seven, and was four in one. No side effects had been reported. The patient’s global evaluation at the end of the sessions was excellent in eighteen patients, moderate in six, and mild in two.
Conclusion: Combination therapy with Kligman's formula plus Q-switch laser is a useful and safe therapeutic option to treat AN.

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

Autologous fat transfer for breast augmentation and augmentation mastopexy

Fat grafting for primary breast augmentation is growing in popularity due to its autologous properties and the combination procedure of removing unwanted fat from other areas.
The procedure is still controversial due to ongoing concerns regarding the results and safety, most notably, concerns about breast cancer risk and detection.
Through this work we try to summarize the current knowledge between the safety and the benefit of autologous fat transfer for breast augmentation.
Autologous fat transfer for breast augmentation is not yet standardized. Therefore, the results vary widely, depending on the surgeon's expertise.
The majority of reported complications are of low morbidity, and based on available data, the procedure has a good long-term safety profile. Although there is no evidence that fat grafting increases breast malignancy risk, long-term follow-up is required.

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

The individualized needle-hub threading: developing a systemic approach to high-risk facial rejuvenation

Background: Thread lift is one of the most popular aesthetic procedures worldwide. Accurate preoperative planning combined with a systemic approach can improve precision and balance in facial rejuvenation techniques. Complete reviewing of history record and efficient procedure design are critical to optimizing aesthetic outcomes, especially in high-risk conditions. The purpose of this study was to evaluate the efficacy and complication of ten high-risk facial threadings with individualized needle-hub technique in China.

Methods From November of 2015 to January of 2018, ten high-risk patients between the ages of 35 and 70 (mean, 45 years) in China, who wished to rejuvenate their faces with minimally invasive thread lift procedures were studied retrospectively. Among them, 2 patients are with history of lung cancer, 1 with paroxysmal supraventricular tachycardia (PSVT) , 1 with malignant hypertension, 2 with double cancers (thyroid cancer & breast cancer), 1 alcoholism, and 3 with previous poor surgical outcome. Here we describe an individualized needle-hub technique that effectively corrects the aging face, performed under local anesthesia, and with great patient satisfaction.

Results The results over a mean follow-up period of 18 months were good, with high patient satisfaction. All the complications experienced by the ten patients were minor and temporary including temporal area pain(10%), hematoma(10%), and suture palpability(5%).There were no infection. Conclusion The ideal facial threading has the best efficacy, the fewest complications, and ultimately, the highest patient satisfaction. There exists no technique suitable for every patient. Our case study strongly suggests that the Individualized needle-hub threading provides an effective, much safer alternative to current procedures especially for high-risk populations and an urgent need for a systemic approach to growing high-risk population for minimally invasive facial rejuvenation.

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

Classification of the Asian eyelids

Objectives: Classification of the Asian eyelids

Introduction: Nowadays surgical reshaping of the upper eyelids is the most commonly performed aesthetic operation in Central Asia. The relevance of this operation is growing along with the migration of Asian representatives to the European part of the continent.
Although the Asian eyelid surgery is similar to the eyelid surgery of other ethnic groups, but there are significant anatomical and surgical differences.
The Asian peoples consider a long eyelid crease as an aesthetically desirable facial feature. Many Eastern women strive for having double eyelids using various adhesive tapes, adhesives and make-up.
Since 2002 in the Medical Center of the Kyrgyz State Medical Academy 900 "Europeanization" surgeries of the upper eyelids have been performed. During this period the anatomical features of the European and Asian eyelids have been studied, as well as the dynamics of the formation of the eyelid crease.

Materials / method: Consultation. Find out the expectations of the patient, determine recommendations and contraindications. Show the expected result, simulating the expected eyelid crease. Predict the result of the forthcoming eyelid surgery.
Pre-operative markings. Determine the level of a new eyelid crease by pulling the lateral part of the upper eyelid.
Anesthesia. Local anesthesia with lidocaine and epinephrine solution. The anesthetic is injected subcutaneously in a small amount so as not to cause any deformation of the eyelid.
Layered excision of tissues - the skin, the orbicularis muscle of the eye, the orbital septum.
Adequate excision of the orbital fat. Removal of visible fat of the central and lateral parts of the retrosternal area, so that the area near the aponeurosis of the muscle lifting the upper eyelid, would be completely exposed.

Conclusion: A new applied classification of the Asian eyelids has been developed and suggested. The algorithm, which includes the stages starting from pre-operative consultation and up to the postoperative patient management, had been workout. In order to obtain a good aesthetic result all these stages must be strictly observed.

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

Layered mastopexy with augmentation as a single stage procedure

Background and Objective.
The single-stage layered mastopexy with augmentation is a technique that is aimed to preserve the function as well as to restore normal parameters.
Methods. A retrospective chart review of 50 consecutive cases of layered mastopexy with augmentation mammoplasties was performed. All patients had their implants placed in muscle splitting pocket first and access for the pocket was closed prior to the commencement of mastopexy. Incisions for mastopexy were selected on the basis of pre-existing nipple areolar complex (NAC) to inframammary crease (IMC). Mastopexy is performed using a medially based pedicle, leaving a sufficient layer of breast parenchymal tissue covering the implant. Patients were divided into three groups.
Group “A” comprised patients who had periareolar mastopexy, Group “B” had vertical single scar mastopexy and Group “C” patients had their mastopexy performed using Wise Pattern markings.
Results
Group A. The group comprised 11 patients. The mean age of the patients was 28.82 years, mean preoperative and postoperative NAC to IMC measurement was recorded in 10 patient with the mean of 7.15and 8.35cm respectively. Mean size of the implant used was 379.55.
Group B. This group comprised 29 patients. Mean age of group was 35.17years and the mean preoperative and postoperative NAC to IMC crease was 8.53cm and 9.72cm respectively. The mean implant size used was 289.48 cc.
Group C. this group comprised 10 patients. Mean age of group was 39.60years and the mean preoperative and postoperative NAC to IMC crease of 10.11and 8.75 cm respectively. The mean implant size used was 287.00cc.
Conclusion.
Layered single stage mastopexy with augmentation allows better arterial supply, wider area for venous and lymphatic drainage, better sensory supply to NAC and maximises lactation potential. Selection of incision based on preoperative NAC to IMC measurements brings harmony in breast morphometry.

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

Impact of outpatient based abdominoplasty and early mobilisation on seroma formation

Abstract
Background and Objective. There are conflicting reports and lack of information that early mobilisation and outpatient based surgery is associated with higher prevalence of seroma formation. Current comparative retrospective study was carried out to establish whether outpatient based surgery and early ambulation can result in any higher incidence of seroma formation.
Material and Methods
Methods. A retrospective analysis of 112 cases of consecutive lipoabdominoplasties using same technique with Progressive Tension Sutures, over a period of 11 year, was carried out. Patients were divided into three groups on the basis of their stay in the hospital.
Results
Group A. The group included 27 patients who were operated as day cases. Mean age of the patients was 36.1 years with a mean BMI of 23.8 and 6 were smokers. Of the 27 patients, 1 required revision. No patient had infection, wound breakdown, seroma, haematoma, deep venous thrombosis (DVT), Pulmonary Embolism (PE), readmission to hospital or death.
Group B. The group included 68 patients who stayed for one night as inpatients. In this group, mean age of the patients was 40.6years with a mean BMI of 27.4 and 12 were smokers. Of the 68 patients, 4 required revision surgeries, 4 had wound break down and 1 had infection. No patient had seroma, haematoma, deep venous thrombosis (DVT), Pulmonary Embolism (PE), readmission to hospital or death.
Group C. The group included 17 patients who stayed in for two nights as inpatients. Mean age of the patients was 38.8 years, mean Body Mass Index (BMI) of 27.0 and 3 were smokers. Of the 17 patients, 2 required revision surgeries, 1 had wound break down and 1 had infection. No patient had seroma, haematoma, deep venous thrombosis (DVT), Pulmonary Embolism (PE), readmission to hospital or death.
Conclusion.
Lipoabdominoplasty with progressive tension sutures can be carried out as an outpatient based procedure with early mobilisation. These patients do not pose any risk.

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

Facial contouring with hyaluronic acid dermal fillers, some new points to achieve remarkable face lift in Indians: an innovative technique

Objectives: To suggest a new technique with some new injection points for a sleeker & contoured appearance of face without volumising it.

Introduction: Although some aspects of facial beauty are universal, aesthetic preferences also vary among ethnic groups as cosmetic concerns differ according to variations in facial bony anatomy, morphology, both in the relatively young & during aging. M.D codes definitely guide the physicians for various injecting points, nonetheless, they need to be tailored as per individual requirements.The structural & morphological features specific to the Indian face & differences from Western Asian populations in skin & soft-tissue aging, necessitate well defined aesthetic treatmment strategies for Indians.

Materials / method: 90 patients within the age range of 21- 45 years were enrolled for the study. All these patients had no history of any prior aesthetic procedures performed on their face.
Total 2 ml of hyaluronic acid based dermal was used, 1 ml being injected on each side. Points on lateral parts on the face were chosen for injection. Total of 0.4 ml was injected in multiple bolus on the forehead along the hairline.
0.2 ml each side, was injected at temporal fusion line. 0.2 ml on CK1 (MD codes) of each cheek. 0.2 ml on Jw1 point ( MD codes) each side & 0.2 ml on mastoid process each side.

Results: Photographs were taken as per global standardised photography & standardized light settings. In all patients, Faces started appearing slimmer and tighter and facial features looked more defined. Their faces now had a smooth ogee curve & did not appeared to be bulky at al, which is a very common problem in Indian patients otherwise. Patients were for followed-up at 1, 3 & 6 months. No aesthetic procedure were performed for 10 months minimum as patient were very satisfied with the results.

Conclusion: In Indians there is a presence of excess soft tissue in the medial part of the face means that restoration of age associated volume deficit is mostly required in the lateral part of the midface. A structurally smaller midface & relatively excess tissue in medial cheek further necessitates that fillers be used in peripheral facial zones to achieve lift & conservatively in the medial zones to avoid adding bulk here.Hence, by injecting on peripheral points including points on forehead & behind ear, provides a remarkably tightened & chiseled appearance of face without adding further volume to it

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

To study the efficacy of oral ranitidine in molluscum conatgiosum in pediatric age group patients

Objectives: To study the outcome of oral ranitidine in pediatric age group patients.

Introduction: Molluscum contagiosum (MC) is a common and self-limiting viral infection of the skin and mucous membrane, caused by molluscipox virus gene of the poxvirus family. Clinically it appears as small bump on the skin & primarily affects children. It is usually asymptomatic but can present with pain, pruritus, erythema and bacterial superinfection. In children, treatment options are very limited as extraction & TCA, KOH application is not feasible easily. Since it is contagious & can affect family members, it requires to be treated well.

Materials / method: We conducted this study on 100 pediatric age group patients ( less than 12 years of age). Patients were prescribed oral ranitidine in the dose of 5mg/kg twice a day for one month as a stand alone therapy. Global photography was performed under standardised light settings at baseline, & were followed up at a duration of 1 month, 2 months & 3 months. Objective Assessments were performed by 2 neutral dermatologists & Subjective Assessment was performed with the help of self assessment questionnaire filled by the patients and their parents.

Results: Grading in improvement was measured both quantitatively & qualitatively by decrease in number as well as dimension of lesions. There was an "excellent", "good" & "fair" improvement in 32%, 62%, 6% cases on Objective Assessment. Similarly, Subjective Assessment also showed an "excellent", "good" & "fair" improvement in 30%, 55%, 15% patients respectively. None of the cases showed "no improvement" at all. Patients were followed up for a duration of 3 months. 2 % patient showed recurrence at the site of lesion. None of the patients had any adverse effect during the entire course of treatment

Conclusion: To the best of our knowledge this regime of using oral ranitidine has been used first time anywhere & has yielded remarkable results in pediatric age group patients & has hardly shown any recurrence amongst them. The therapeutic effect is appreciable especially because in pediatric age group. the other modalities like tricholoroacetic application, potassium hydroxide application, cryotherapy, cautery are not feasible as easily as in adults. Children very easily consume ranitidine tablets/ syrup forms & it gives an advantage of compliance over other modalities.

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

Multiple basal cell carcinoma on a patient with goltz syndrome

The purpose of this case is to share a unique case of a patient with Goltz syndrome who developed multiple basal cell carcinomas only within the sites of blashkoid linear, atrophic plaques.

24-year-old male with history of basal cell carcinoma (BCC) on the right nasal bridge status post Mohs Micrographic Surgery (MSS) complicated by recurrence presented for consultation. At this visit, multiple new lesions were biopsied and came back as BCC. His medical history included right sided coloboma, extensive atrophic erythematous patches on right nasal sidewall, right hand, and right lower extremity, premature closure of the growth plate in the right leg, and history of polydactyly of right foot. He was previously told that he may have Goltz syndrome, and was seen by a geneticist at outside hospital but no specific genetic defect was determined. He had no family history of skin cancers.

A full body skin exam was significant for a blashkoid linear, atrophic, erythematous patch on the right dorsal hand extending to the ventral wrist. A pink pearly papule was noted on the base of the fifth finger. There were linearly arranged pits on the right palm. On the right medial ankle there was a blashkoid linear erythematous, atrophic plaque extending to plantar surface of the foot.

Subsequently, given the location of the tumors and history of multiple BCCs in a young patient, MSS was recommended and all the BCCs were excised. Patient was also referred to Genetics and blood was sent for PORCN gene mutation.

In Goltz syndrome, PORCN gene mutation leads to downregulation of Wnt signaling leading to downregulation of ß-catenin. Therefore, theoretically, patients should have a lower risk of developing BCCs, unlike our patient . We hypothesize that there may be an unidentified aberrant signaling of the Wnt pathway, or activation of Hedgehog (HH) signaling within the areas of focal dermal hypoplasia leading to tumor formation.

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

Proper assessment for female vaginal rejuvenation: the need to evaluate the relationship discord and body dysmorphic syndrome

Introduction: Only approximately 10% of women who undergo vaginal rejuvenation procedures report that there was an external influence that influenced their decision to undergo their cosmetic/ functional procedure. However, it is estimated that between 6-53% of women who undergo these procedures may suffer from some form of body dysmorphic syndrome (BDS). The importance of relationship assessment for women undergoing cosmetic rejuvenation procedures cannot be underscored, since both relationship discord, partner coercion and BDS need to be properly evaluated and possibly exclude before any intervention.

Methods: A med-line search was conducted with the combination of following key words, vaginal rejuvenation, vaginal laxity; a total of 58 articles were obtained. Animal, male studies, and those with unrelated topics, or foreign language publications were not included. 45 publications were all reviewed. When feasible methods and or inclusion/exclusion criteria were reviewed in detail.

Results: 45 articles were reviewed. Only 5 articles (11%) discussed partner influences or the importance of a relationship assessment. BDS specifically was mentioned in 1 article and it was estimated to be prevalent in the population seeking vaginal rejuvenation procedures including surgery, laser and radiofrequency treatments. While over 20 scales were mentioned of assessment toolbox, only one clinical trial implemented a personal distress scale.

Discussion: There is a lack of consistent relationship assessment for a woman prior to undergoing a vaginal rejuvenation procedure. BDS and relationship discord must be evaluated. The woman, herself, must be motivated for a functional/cosmetic improvement yet women with relationship discord should be offered counseling. While immediate satisfaction with interventions is prevalent (over 90%), long term happiness and satisfaction and repeat procedures remains unknown.

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

Eye rejuvenation

Objectives: Using of ErYag 2940nm in rejuvenation of peri ocular skin, and combined non surgical methods (injectables: botulinum toxin and filler).
A short oral presentation will discuss the different modalities for eye rejuvenation,with some tips and tricks to enhance the natural look with youthful appearance.
Introduction: The impact of aging on the body is not limited to the skin,bone and muscles but could be summarized around the eyes.
Materials / method: Laser (er yag 2940nm) could be used in rejuvenation of the periocular skin to maintain its quality.
Injectable have been widely used to improve sunken eyes and unhealthy look.
Treatment plan depends on the causes and usually combined treatment is preferable for complete rejuvenation.
Results: Combined treatment is the best for peri ocular rejuvenation and the laser is becoming widely used
Conclusion: Improvement of the peri ocular skin quality still has many efforts to be done,with restoration of natural look.

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

Tips and tricks in hand rejuvenation

Objectives:
A short oral presentation will discuss the different modalities for hand rejuvenation, with some tips and tricks to improve the youthful hands look.
Introduction: The impact of aging on the body could be summarized in some cases and may be earlier on their hands appearance.
Materials / method: Combined non surgical methods to improve the quality and function of the skin.
Laser such as NdYag long pulsed smooth mode could be used, in combination with injectable. We may over concerned about the hornnified epidemic layer.
Results: Lasers started to be introduced and utilized in combination with many other modalities to regain the youthful hand appearance.
Conclusion: Hand rejuvenation is becoming a big concern for patients who seeking rejuvenation.

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

Missed steps during face rejuvenation

Objectives: With some missing small steps we could preserve the skin in normal physiological manner,and to prevent skin aging.
A short oral presentation describes some missing and forgotten steps in skin rejuvenation .
Introduction: The changes at the ratio of the skin layers is the begining for the aging process to begin. In some treatment planes just mechanical peel could give a great improvement to the skin look,without any side effects and with much great effects on the other modalities.
Materials / method: Microdermabrasion either crystal or diamond peeling is my key word for keeping the epidermis in healthy and physiological manner.
Results: When aging begins to affect the skin it affects the whole layers ,and when we describe a treatment plan we should concern the whole layers from up down wards.
Conclusion: Some missing steps in skin rejuvenation could improve the Quality and restore the function of the skin keeping it’s youthful appearance.

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

Treatment of port wine stains with 595-nm pulsed dye laser in 27 pediatric patients: a prospective study in the Iranian population

Objectives: This study was conducted in order to evaluate the following purposes:
1: To assess the effectiveness and safety of using a 595-nm PDL to treat Iranian pediatric PWS patients.
2: To identify possible factors related to the response rate and the
the ideal number of required sessions.

Introduction: Port wine stain (PWS) is a congenital vascular malformation, which is visible at the birth as red patches, mostly on the face and neck. No optimal treatment modality has been introduced for this malformation yet and just a few studies have shown good efficacy and safety profile of 595-nm pulsed dye laser (PDL) in PWS of children. PDL has not been shown to be an ideal treatment for PWS because complete clearance occurs in less than 30% of patients and adverse effects such as redness, swelling, bruising, purpura, hyper, and hypopigmentation, as well as ocular risks, have been reported.

Materials / method: This was a prospective study to assess the efficacy and safety profile of pediatrics PWS treated with 595-nm PDL. Demographic data, past medical history, previous treatments and phenotypic characteristics of the lesions were recorded. The laser was applied with 4-6 weeks’ intervals and a photograph of the lesion was taken at the baseline and two months after the last session. The response rate was evaluated on the basis of the Investigator Global Assessment (IGA) which was graded by 2 dermatologists comparing the photos and Patient Global Assessment (PGA) graded by the patients’ parents.

Results: Twenty-seven patients, consist of 10 males and 17 females with the mean age was 5.7±2.8 (range 1-13) years old were included.
Fourteen (51.8%) of patients achieved a higher than 75% of improvement; nine (33.3%) patients experienced 50%-75% improvement, four (14.8%) patients experienced a less than 50% improvement.
Children with V1 segment involvement showed a significantly better improvement than the other segments, while the lowest mean improvement was for those with the involvement of only V2 segment.
The most rate of clearance was seen within 4-5 sessions of treatment.

Conclusion: Pulse dye laser seems to be relatively effective and safe modality but not perfect for the treatment of Iranian pediatric PWS patients with Fitzpatrick skin types III and IV.
We also found that V1 involvement and a marked improvement PWS within the first five sessions are the good prognostic factors of the treatment of PWS with PDL

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

In vitro melanin quantification and in vivo evaluation of a new non-hydroquinone, multi-action skin brightening cream

Objectives:
Melanin quantification of a non-hydroquinone (HQ), multi-action skin tone corrector (ETCS) using a 3D reconstructed skin model. Evaluation of efficacy and tolerability of ETCS alone and in combination with a retinoid/alpha hydroxy acid cream (AHA-Ret) in subjects with mild to severe dyschromia.
Introduction:
Dyschromia caused by photodamage is a common cosmetic concern and often a chief complaint reported to dermatologists by women. Facial hyperpigmentation can have a substantial negative psychosocial impact on self-esteem and quality of life and is challenging to treat. A new, non-hydroquinone, multi-action skin tone correcting cream (ETCS) has been developed to comprehensively inhibit melanin production throughout the cell signaling pathways that affect skin pigmentation without the accompanying adverse effects of melanocyte toxicity.
Materials / method:
In vitro testing of a 3D skin model comprised of human-derived melanocytes were treated for 14 days with 10µL and 2µL of ETCS, or 2µL of 4% HQ with water serving as negative control (NC). A clinical trial assessed twice-daily use of ETCS and ETCS + AHA-Ret (PM only) in subjects with mild to severe Dyschromia. Digital images were obtained and assessed for visible improvements for a variety of qualitative skin parameters at baseline, 4, 8, and 12 weeks. Melanin Index (Mexameter®) and self-assessments were also compiled. A 4-week extension study evaluated use over 16-weeks.
Results:
ETCS inhibited melanin production by 55% and 22% vs. NC (10µL and 2µL; p<0.05); while 4% HQ had 17% inhibition (p<0.05). Mean percent reductions from baseline occurred in Dyschromia for ETCS (n=42) and ETCS + AHA-Ret (n=10) at every timepoint over 12 weeks (p<0.0001, for each). Significant mean Melanin Index reductions occurred in both groups at every timepoint (ETCS: p<0.0001; ETCS + AHA-Ret: p<0.02, 4 weeks; p<0.0001, 8, 12 and 16 weeks). Substantial visible improvements occurred for all categories. Mild, transient AEs were reported.
Conclusion:
ETCS significantly reduced melanin content in a 3D skin model and reductions were numerically greater than 4% HQ (2µL). Use of ETCS led to early, significant reductions in Dyschromia and Melanin Index; the addition of AHA-Ret demonstrated enhanced reductions. ETCS effectively reduced hyperpigmentation, improved overall appearance of skin, and was highly tolerable in subjects with mild to severe dyschromia.

Disclosures

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

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

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 is presented thanks to the support of: SkinBetter Science

Protective effects of a comprehensive topical antioxidant against ozone-induced damage in a 3D human skin model

Objectives:
To determine the protective effect of an topical antioxidant formulation in protecting a human skin model from the effects of O3.
Introduction: Ozone (O3) is a known source of oxidative stress owing to its effect on lipid peroxidation. This study examined the ability of a comprehensive topical antioxidant serum containing water-soluble, enzymatic and lipid-soluble antioxidants (WEL-DS) to protect skin against O3-mediated damage in a 3D reconstructed human epidermal skin model.
Materials / method:
Utilizing a 3D human skin model, tissues from 4 separate groups (N=6, each) were evaluated: Group 1, untreated and unexposed; Group 2, untreated and exposed to O3 for 4 hours; Group 3, pretreated and unexposed; Group 4, pretreated and exposed to O3. Pretreated tissues were topically treated with 20uL of WEL-DS and incubated for up to 20 hours. All tissues, except Group 1, were then exposed to 0.4 ppm of O3. All samples were evaluated after 24 hours for Reactive Oxygen Species (ROS), hydrogen peroxide (H2O2) production, 4-HNE protein adducts, NFkB response and morphology.
Results:
Pretreatment with WEL-DS prevented ROS formation and H2O2 production in tissues exposed to O3 vs. untreated exposed tissues (p<0.05). Oxidative stress induction in tissues exposed to O3 was confirmed by increased levels of 4-HNE protein adducts, a marker of lipid peroxidation and oxidative stress. Application of WEL-DS prevented this effect in the skin model. WEL-DS prevented tissue damage in pretreated tissues exposed to O3 with no significant changes in epidermal structure. Pretreatment with WEL-DS decreased NFkB transcription factor signal.
Conclusion:
In a reconstructed human epidermal skin model, topical application of WEL-DS, a comprehensive topical antioxidant serum containing water-soluble, enzymatic, and lipid-soluble antioxidants, significantly diminished induction of ozone-induced oxidative damage. This finding suggests that WEL-DS would provide efficient protection against daily pollutant exposure.

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?
Yes
Please specify entities (individual, company, society): SkinBetter Science paid consultant

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 is presented thanks to the support of: SkinBetter Science

Transient receptor potential vanilloid (TRPV) inhibition is related to suppression of inflammation-associated hypermelanosis

Objectives: We sought to evaluate the expression level of Transient Receptor Potential Vanilloids (TRPVs) in the skin of patients with pigmented contact dermatitis (PCD) aiming at identifying crucial receptors related to inflammation-associated melanogenesis.
Introduction: Pigmented contact dermatitis (PCD) is a skin disorder caused by inflammation-related hyperpigmentation. Little is known of the pathogenesis of PCD, making its treatment quite challenging. Patients with PCD often report pruritus and burning sensation on affected areas. These clinical features suggest the possible role of transient receptor potential vanilloid (TRPV) channels in the pathogenesis of PCD as these calcium-modulating channels participate in diverse processes such as neurogenic inflammation, perception of pain and itch, and even cutaneous melanogenesis.
Materials / method: Immunohistochemical analysis was performed to evaluate cutaneous expression of TRPVs in PCD patients’ lesional skin in comparison to the corresponding peri-lesional skin. The mRNA levels of various melanogenesis-related genes were measured using Next-generation sequencing (NGS). Capsaicin, a potent TRPV1 activator, and AMG9810, a selective TRPV1 inhibitor, were used as TRPV regulators in in vitro assays using normal human melanocytes. The expression of melanogenesis-related proteins was assessed using Western blot assay.
Results: Expressions of TRPVs were increased in the lesions of PCD. Furthermore, Pmel, TYRP1 and S100A8 were increased in the lesions of PCD compared to peri-lesion. qRT-PCR analysis showed that tyrosinase, along with TRPV1 and TRPV3, was up-regulated in patients with PCD. We also demonstrated that TRPV1 regulates melanogenesis in human melanocytes as well as B16 melanoma cells and co-culture. TRPV1 activation promoted melanin synthesis in human melanocytes in vitro, while this effect could be reversed by TRPV1 blockade using AMG9810.
Conclusion: Our findings suggest that elevated expression of TRPVs in the skin links the clinically reported symptoms of PCD to its causative inflammation-related hyperpigmentation. TRPVs, particularly TRPV1, may play a crucial role in the development, aggravation and chronicity of PCD through modulation of ca2+/PKC/tyrosinase activity.

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

New hope for treatment of acute cutaneous leishmaniasis by oral zinc sulfate and oral ketocanazole (singly and in combination)

Background: Cutaneous leishmaniasis (CL) is an endemic disease in many countries and caused by different species of Leishmania parasite. It results in a deformed scar after a relatively long period. Many therapies have been tried in treatment of this disease.
ObjectiveTo compare the effect of oral zinc sulfate and oral ketoconazole singly and in combination in the treatment of acute cutaneous leishmaniasis.
Patients and Methods: This single, blinded, therapeutic, controlled study was conducted in the Department of Dermatology, Baghdad Teaching Hospital, Baghdad ,Iraq during the period, January 2015-July 2015. In total, 75 patients with acute CL were enrolled in this study. The total numbers of lesions were 327, and the duration of lesions ranged from 4-12(6.9± 0.7) weeks. The diagnosis was confirmed by smear and histopathology. Patients were divided into three groups: 24 patients in Group A were treated with oral zinc sulfate capsules 10mg/kg/day for 6 weeks, 24 patients in Group B were treated with ketoconazole tablets 200mg twice daily for 6 weeks and 27 patients in Group C were treated orally with a combination of zinc sulfate and ketoconazole for 6 weeks. All patients were seen regularly every 2 weeks for 6 weeks of treatment period, then monthly for the next three months as follow up period. Healing of the lesions was assessed by using Sharquieˋs modified Leishmania score to assess the objective response to the topical or systemic therapy.
Results: After six weeks, 75 patients have completed the treatment, 24 patients received zinc sulfate capsule, 24 patients received oral ketoconazole and 27 patients received a combination of both treatments. The cure rate was (60%) in the group receiving oral zinc sulfate capsule and (50%) in the one receiving oral ketoconazole tablet (P=0.146) and ( 96%) in the combination group (p˂ 0.04) .
Conclusion : The combination therapy using oral zinc sulfate and oral ketoconazole gave a high cure rate. The combination therapy is a

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

Melasma treatment using Q Switched Nd Yag and PRP in skin of colour

Objectives: A definitive protocol for treatment of melasma in skin of colour using a q switched and prp

Introduction: Melasma remains to be one of the most troublesome dermatological condition with no definitive treatment modality availible here we explore treatment with the q switched usfda approved nanosecond laser and compare our results with oral and topical therapies

Materials / method: Q switched ndyag ; Prp

Results: In 60 percent of the cases remission and improvement of 80 percent was seen
In 20 percent there was 30 percent improvement
In 10 percent there was no improvement
In 10 percent mild worsening was seen which recovered upon stopping the therapy

Conclusion: The q switched ndyag seems to be our best bet in long term treatment of melasma and with time and better sun protection the situation looks promising

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

Fire and ice, punch and blast: combination regime for fat reduction in the Indian context

Objectives: To evaluate the efficacy of radio frequency ultrasound and ultracavitation in combination with primary cryolipolysis in the Indian fat reduction scene

Introduction: The Indians speciallyales are prone to central obesity and fat deposits in the anterior abdominal wall and flanks
This study evaluates the use of various energy based devices to reduce the fat deposits without surgery

Materials / method: Cryolipolysis
Ultrasound
Bipolar RF
MONOPOLAR RF
ULTRACAVITATION

Results: Reduction in waistline
Reduction in cellulite
Reduction in stretch marks
Reduction in fat on flanks (love handles )
In 80 percent cases

Conclusion: In the modern area of body shaping and fat reduction we aim to provide the Indian perspective with different protocols of treaent and challanged the lots to get the desired results

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

Onychomycosis treatment using a Q switched Nd:Yag laser in itraconazole resistant cases

Objectives: In India presently dermatophytosis rampant and itraconazole resistance is a grave concern we try to break the biofilm and provide an alternative to the itraconazole resistance cases with the q switched ndyag treatment

Introduction: The q switched treatment shows promising results with 90 percent cases being benefits with the nail matrix being saved and zero down time

Materials / method: Q switched Ndyag laser nanosecond

Results: In 90 percent cases the disease showed improved and in 80 percent cases the nail matrix was saved

Conclusion: The q switched provides a ray of hope in the Indian onychomycosis resistance scenario as soon it can lead to an epidemic of not controlled

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

Marketing trends and digital communications in the Philippines - How they apply to the industry of aesthetic dermatology and dermatologic surgery

Aesthetic Dermatology and Dermatologic Surgery are strong industries in the Philippines, especially in highly urbanized zones. With their continuing growth, creative, interactive, and informative marketing and promotion strategies are being employed by Philippine businesses in order to reach and capture specific markets. Such strategies differ by market zone due to varying demographics in the country.
This presentation explores the different marketing practices across service-oriented businesses conducted by Rain Ramas Design Source - a business outfit catering to design, creatives, events, and promotions – and how such strategies are applied to dermatology clinics namely Gwapaha Medical Spa, The Ferrariz Clinic, and The Skin And Body Science Clinic. All from the southern city of General Santos in which reference practices are also situated. An overview of practices, approaches, and responses from other regions such as Manila are also discussed for comparison.
For references, the discussion includes the strategies developed and practiced in selected Philippine-based service-oriented clientele from the Rain Ramas Design Source portfolio including Hotel San Marco, 3G Hotel, Gensan High Street Food and Entertainment Complex, among others, and how such strategies align with effective marketing plans used for the aforementioned dermatology businesses. Customer responses, participation and attendance, and sales movement shall also be discussed in figures.
Promotional activities proven to increase customer awareness, participation, and engagement include: posted and distributed print marketing and its design; on-site and off-site events; public influencers and endorsers; and digital communications via mobile contacts,

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

Logo design: putting a face to your brand

The Business Logo is perhaps the most important element in business branding. It establishes the business’ presence, name recall, and creates a stronger professional bearing in any of its corporate or individual representations. The logo is the “face” of the business that gives it character.
This lecture takes the audience on a walkthrough of the different important elements in logo design to guide them in developing their own – whether they do it themselves or they outsource the service.
Topic points include the significance of color and lines, form composition and styling, universal design, visual impact and impression, personality, brand story, cultural meanings and factors like Feng Shui, and collateral translations. The lecture will include logos personally designed by the speaker for sampling.
The lecture aims to create an awareness of the importance of a business logo, and the value of the business owner's creative involvement in its development.

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

Biologic drugs treatment effect on psychologic morbidity on patients with psoriasis in remission in comparison to conventional therapy

Background: Introduction of biological agents lead to significant advances in the treatment of Psoriasis.
Objectives: To compare effects of biologic agents and conventional drugs on psychologic status of patients with psoriasis.
Methods: Psoriatic (PSO) patients 18 years and older, with biologics (Etanarcept, Adalimumab, Infliximab, Cosntyx), or with conventional therapy (CT), who are in remission were enrolled into the study. Patients were assigned to two groups: (biologics - Gr1, CT – Gr2).
Skin disease was assessed by BSA index, co- existing inflammatory articular disease was evaluated by DAS – 28 score.
Anxiety, somatization, and depression levels were evaluated by Patient health questionnaires (PHQ) – GAD7, PHQ15 and PHQ9 respectively.
Disability is assessed by the HAQ disability index (HAQ).
Results: 30 (mean age 51.7 ±14.9 years, female 50%) PSO patients with biologic, 14 (mean age 62.1±15.9 years, 50% female) patients on CT were enrolled in the study. Patients in both groups were in remission ( BSA <1, and DAS 28 < 2.1). There was no difference in body mass index, body surface area of psoriasis, disease duration and treatment duration between two groups.
The mood questionnaires did not show significant difference in their scoring (GAD 3.2± 3.9 in Gr1, 3.8±2.6 in Gr2, PHQ9 - 4.5±5.4 vs 4.8±2.9, and PHQ15 4.7±3.9 vs. 5.4±3.2). Nevertheless, PHQ15 mean score was higher than 5, showing mild somatisation in the patients of Gr2.
HAQ score was equal in two groups (0.44±0.54, and 0.22±0.31, p=0.17)
We found correlation between mood questionnaires and HAQ (r= 0.5, p<0.001).
The higher percent of patient with mild deprssion, anxiety and somatisation was found in gr2.
Patients in both groups with mood disturbance showed poorer perfomance (p<0.005) in their HAQ.
Patient without mood changes did not show difference in the HAQ between two groups.
Conclusions: Biologicals may provide valuable improvement in psychosocial status of the patients, and in their life.

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

Plasma exeresis: a multitasking technique to treat several skin conditions

Objectives: We will present different clinical cases involving wrinkle treatment, hyperpigmentations (seborrheic keratosis, solar lentigo), benign dermal nevi, acne and dermathocalasis.
Introduction: Plasma exeresis is a new technique to treat several skin conditions: through the ionization of the gases between the point and the tissue, it generates the plasma. The plasma hits the tissue to treat and gives the sublimation. The handpiece can be used in a single spot (for wrinkles and skin laxity) or continuous mode (to remove benign skin lesions).
Materials / method: MATERIAL & METHODS: We used one plasma exeresis medical device. It is a cordless micro-surgical hand operated device. Informed consent form was obtained. Topical anesthesia was applied one hour before on the selected area. After the treatment, the patient applied twice a day, disinfectant solution and covered the defect with foundation. Clinical images were taken before, immediately after and one month after the soft surgery.
Furthermore some patients, treated for dermathocalasis and acne, had confocal microscopy performed on the selected area before and after the plasma exeresis.

RESULTS: The evaluation of clinical images is significant for very good cosmetic result.
Confocal microscopy showed a peculiar reorganization of collagens boundles and neo-collagen formation for skin laxity and the resolution of acneic lesions.
CONCLUSIONS: Plasma exeresis is a good therapeutic options to many different dermatological conditions, without the need of local anesthesia; the post-treatment discomfort for the patient is very short. No major side effects were observed.

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

Nose volumeplasty

Back ground:
Rhinoplasty is a common surgical procedure to correct nose size or other abnormalities of noses
But many patients have minor bizarre shape or deformities of nose and refuse surgery
So we should find other techniques to correct these unwanted or undesired nose shapes
Objective: To use hyaluronic acid fillers to correct small nose or deformities, and to perform heat dermabrasion to reduce the size of bulky nose. Also to create new alar groove and to remove nose acne or traumatic scarring
Patients and methods: Forty five patients were included: Forty patients with heat dermabrasions, 21 females and 19 males and their ages ranged from 20-50 years. All patients had bulky nose, some had natural nodulation of nose and had acne or traumatic scarring. All patients were treated with heat dermabrasion after local xylocaine anesthesia and patients were received topical antiseptic and oral antibiotics to be seen after 2 weeks.
Five patients were treated with hyaluronic acid filler to increase size of nose, or correct deviation or saddle nose, all females with age range 30-50 year, and then topical corticosteroid was used to prevent post-inflammatory pigmentation.
Results: In all patients with bulky nose were improved and alar groove were created or maximized and gave satisfactory cosmetic results using heat dermabrasion.Post-inflammatory hyperpigmentation was noticed but overtime was gone. In patients with small nose or deviation were corrected by hyaluronic acid filler that gave accepted cosmetic appearance
Conclusion:: volumeplasty are new techniques to reduce size of bulky nose. Also the small nose could be improved by hyaluronic acid

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

Facial melanosis has great cosmetic impact on patients with dark skin: clinical and histopathological study with new concept

Background: Facial melanoses are a major cosmetic health problem in dermatological practice especially among dark skinned people. There are many etiological factors incriminated in its etiopathogenesis, singly or in combinations where there is increase in the melanin stores in the epidermis and dermis
Objectives: To study all cases of facial melanoses including clinical evaluation, Wood’s lamp examination and histopathological study and to assess the intensity of melanin stores in the dermis and epidermis.
Patients and Methods: Two hundred cases of facial melanoses were seen during the period from July 2013 -January 2014 in Department of Dermatology,Medical Teaching Hospital,Bahgdad. Clinical assessment was carried out including, Wood’s light examination and skin biopsy was done for histopathological examination.
Results: The following clinical types were recognized with some overlap between melasma and melasma versus butterfly lichen planus actinicus; melasma and melasma like butterfly lichen planus actinicus 122 (61%) patients, frictional melanosis 25 (12.5%), post-inflammatory hyperpigmentation 19 (9.5%) butterfly lichen planus actinicus 16 (8), facial acanthosis nigricans 15 (7.5%), nevus of Ota 2 (1%), phytophotodermatitis 1 (0.5%), Gazelle eyelike facial melanosis 1 (0.5%) and 1(0.5%) patient with hair dye dermatitis. The clinical and histopathological pictures are overlapping between these different variants of facial melanosis but in all of them there is increase in the melanin stores

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

A cross linked hyaluronic acid gel with calcium hydroxyapatite – a new dermal filler – my experience

Among all commercially available dermal fillers, hyaluronic acid (HA) is by far the most popular dermal filler for the management of skin aging. Microspheres of calcium hydroxyapatite (CaHA) have been widely used as dermal fillers for the past 15 years. CaHA is an effective dermal filler thanks to its volumizing effect and its ability to stimulate collagen generation. However, most physicians avoid using Calcium Hydroxyapatite fillers and prefer using hyaluronic acid (HA) based filler, mainly due to the ability of using Hyaluronidase to resolve and correct unwanted results and complications.
Adverse events resulted by dermal filler injection are rare, though can occur even with experienced practitioners. Immediate serious complications include vascular occlusion or hypersensitivity reaction, in both cases the material causing the problem should be removed in addition to other treatments.

Delayed-onset complication can also occur, these can involve acute inflammation, infections or biofilm. Dermal filler hydrogel matrices have been shown to support biofilm formation, making it hard to treat the infection with standard antibiotic treatment. Hyaluronidase has been shown to help break down the matrix, decreasing any associated biofilm mass, and is suggested as an optional treatment when dealing with complicated infections and prolonged inflammation.
Lately I have been using a new dermal filler composed of Calcium Hydroxyapatite microspheres which are embedded in a cross linked Hyaluronic acid gel. A major advantage of this CaHA- HA dermal filler is partial susceptibility to hyaluronidase due to its HA gel composition, which is approximately 70% w/w of its volume. The composition of CaHA in this filler is about 50% v/w, similar to that of other CaHA dermal fillers. Other benefits of this dermal filler are longer duration, synergistic effect of filling and firming together with reduced treatment-related side effects.

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

Creating a symbiosis of beauty and health by using new technologies for the treatment of pelvic muscle wasting

Objectives: 1. Comparing square of levator hiatus before and after treatment of pelvic muscle wasting.
2. Correlation between square of levator hiatus and severity of complaints.
3. Compare the effectiveness of High-Intensity Focused Electromagnetic technology and electrical stimulation for the treatment of pelvic muscle wasting.

Introduction: According to various studies, pelvic muscle wasting is observed in 25 to 77% of women in population and has no tendency to decrease.

Materials / method: The current study was performed in the Hospital Lapino and included 75 patients with such diagnose as pelvic muscle wasting. Participants were divided into 2 groups. Both had non-surgical treatment. First one - High-Intensity Focused Electromagnetic technology. Second one - electrical stimulation of pelvic floor muscles. All patients were given questionnaires (PISQ-12, FSFI), made three-dimensional transperineal ultrasound based on Omni-View VCI (Voluson 730) technology and electromyography before and after treatment.

Results: We achieved improving the quality of life. Aesthetics of vulvar area has improved by modification the square of levator hiatus.

Conclusion: Comparing both types of treatment were proved that High-Intensity Focused Electromagnetic technology is much more efficient than electrical stimulation of pelvic floor muscles.

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

Management of delayed skin necrosis following hyaluronic acid filler injection using pulsed hyaluronidase

Objectives: This report is unique because most of the intra-arterial occlusions and signs of ischemic skin necrosis occur immediately or within few hours of the filler injection going intravascular. There have been very rare reports of delayed necrosis all over the world following filler injections. In this case patient reported pain only after 48 hours following filler injections which is an important sign of intra-arterial injection. This is a caution for all injectors that signs and symptoms can occur even after 48 hours following injections and one has to be careful and vigilant.

Introduction: Facial fillers are minimally invasive aesthetic procedures done for facial rejuvenation and contouring all over the world. But as all good things have some negative effects, fillers even in the most experienced hands can lead to fatal complications such as vascular complications which need to be managed immediately with the help of hyaluronidase protocols mentioned in literature. We hereby report a case of delayed necrosis (>48 hours) following filler injections in the cheek area , in the infraorbital artery vascular territory which was successfully managed with pulsed dose of Hyaluronidase.

Materials / method: patient was asymptomatic with no signs of vascular occlusion like blanching or poor capillary refill for 48 hours. He came to the clinic more than 48 hours of the filler injection with complaints of pulsating pain in the right infraorbital and nasolabial area. We noticed necrosed microvesicles in the infraorbital artery territory with signs of impending skin necrosis and redness (Livedo reticularis) extending from infraorbital region up to the nasolabial fold and slightly medial to it with tenderness of tissues. He was treated immediately with 3 pulsed doses of hyaluronidase 500 units each.

Results: Skin had completely healed and by 15 days we noticed slight Post Inflammatory Hyperpigmentation (PIH) which was easily managed with Q-switched laser and creams.

Conclusion: We like to conclude by saying fillers though quite lucrative can lead to devastating complications if not managed properly and adequately. Thorough anatomical knowledge of the vascular territories is of utmost importance before venturing into injectables.

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

Holistic approach in injectable rejuvenation of nasolabial folds - Assessment and different approaches to deliver optimum total face result and patient satisfaction

Holistic approach in injectable rejuvenation of nasolabial folds. Assessment and different approaches to deliver optimum total face result and patient satisfaction.
The rejuvenation of a nasolabial folds is one of the most frequently requested option by mature patients. It can be defined as one of the natural structures of the face rather a fold formed as a result of ageing processes.
When planning the treatment of this area, it is important to take into account as patient functional as anatomical features, because it is one of the dangerous areas due the high risk of vascular compromise.
Rejuvenation of the nasolabial folds can be achieved in a different approaches:
by prevention with mesotherapy, PRP and chemical peels treatment;
direct with fillers (superficial or deep injections, needle or cannula) or "mash-threads";
indirect with filler by volumetric augmentation of mid face and temporal area,
lifting with threads, using botulinum toxin or EBD.
Aesthetic analysis of the face, right evaluation and correct indications type of treatment gives the optimum total face result and, of course, patient satisfaction of procedure.
The current report presents tips and tricks of different combination techniques for nasolabial folds rejuvenation treatment.

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

Combination of fractional laser co2 and PRP as a method for skin rejuvenation

Objectives: Fractional CO2 laser, through the induction of thermal damage, leads to neocollagenesis. Autologous mesotherapy (Platelet Rich Plasma) promotes the activation of stem cells, targeting cell rejuvenation and tissue healing. We examined the effectiveness of the combination of these two therapies.

Introduction: Fractional CO2 laser, through the induction of thermal damage, leads to neocollagenesis. Autologous mesotherapy (Platelet Rich Plasma) promotes the activation of stem cells, targeting cell rejuvenation and tissue healing. We examined the effectiveness of the combination of these two therapies.

Materials / method: The therapeutic protocol included 6 combined sessions of fractional co2 laser and PRP every 4 weeks on the face, neck, chest and dorsal surface of the hands. Digital photographs were taken in the beginning, at the end and 2 months after the last session. Fractional co2 laser was regulated as follows: Pulse energy 12-25 mJ, Power 8-10 W, density 81-100 dots/cm2. For PRP, 5ml of blood were taken, followed by double centrifugation, collection of plasma and addition of 0,05 ml calcium chloride/ml. The solution was applied by injections (30G needle) and by micro needling.

Results: We evaluated the results 2 months after the last session. A significant reduction of static and expression wrinkles of up to 80% was noticed. Photoaging skin lesions were improved up to 56%, while atrophic acne scars were reduced by 30%. Nearly all patients mentioned better appearance, skin quality and elasticity. None of them complained about any severe side effects, except for flushing and light roughness of the skin directly after the treatment.

Conclusion: The combination of Fractional laser co2 and PRP is a safe, minimally invasive treatment for acne scars, photoaging signs, and expression wrinkles at the face, neck, chest and dorsal surface of the hands. PRP promotes a faster healing and rejuvenation of the skin.

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

Absorbable threads for a new holistic concept of thread lifting

Introduction. In recent years, there has been increasing interest in thread methods for raising and strengthening the superficial soft tissue.
Each doctor is able to work, taking into account their preferences and goals. Therefore,the histological research of threads, the development of effective and safe mini-invasive methods of lifting, taking into account the features of topographical anatomy, still remain relevant.
Patients, materials and methods.
The method was developed by the department of skin diseases and cosmetology of the PEOPLES FRIENDSHIP UNIVERSITY OF RUSSIA (Moscow).
During the histological part of the research we implanted 20 different threads in a patient (in the abdominal area) at different times (1, 3, 6, 9, 12 months) with the aim of defining the type and characteristics of the fibre capsule around the thread implants.
During the anatomical part of the research we dissected 20 cadavers to define the best points of thread fixation.
During the clinical part from 2008 till 2015 we consulted 254 patients and threads with barbs made from L-lactic acid and polycaprolactone (Size 2/0 USP) were implanted in these patients.
Results:
As a result of this histological research work we define that the types of fibres around every thread are collagen and elastin. The earliest (after 1 month) fibrous capsule is formed from the material with LLA.
As a result of this anatomical research work we developed a scheme of thread implantation for lifting of the soft tissues according to the location of the supporting ligaments (temporal septum, zygomatic, masseteric, mandibularis, platisma ligaments).
We note that a long-lasting effect is dependent on correct fixation in the ligaments.
Conclusions:
• Lifting of the soft tissues can be achieved with good anatomical knowledge and histological results of polycaprolacton and L-lactic threads.
• A long-lasting effect can be supported with the forming of a thick supporting ligament structure and with an active process of neocollagenisation.

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

More than skin tightening: fractional RF treatment as a skin multi-tool

Objectives: Various treatment modalities including invasive and non invasive methods such as fractional lasers, microdermabrasion, peelings, HIFU and high power radiofrequency (RF) needling are used for skin tightening via neocollagenesis.
Most of these treatments lead to temporary short or long lasting side effects like edema, erythema, scaring, hypo- or hyperpigmentation.

Introduction: Based on our experience of more than 4,500 RF treatments, we developed a novel method using low fluence, almost no side effects and no downtime. As there is limited inflammation, this method is effective also in the treatment of various fibroblast- and seborrhea-related skin disorders and leads to dermal and subdermal-related volume augmentation.

Materials / method: Patients received facial treatments with alterning sessions of low power Fractora(c) RF microneedling and non-invasive Fractora Forma(c) over 3 month. Side by side comparison of pre- and post-treatment photographic assessment was taken both at their first visit and 6 month after the last treatment session.

Results: Improvement of skin tightening was visualised over the whole treatment area, especially in perioral and periorbital zones.
We noticed an important reduction of surgical- and acne-scars.
Surprisingly, we observed important volume augmentation of the zygomaticus and lateral cheek area leading to changes of the face shape which can be less explained by dermal neocollagenesis, but rather by changes in the subdermal layers.
What is more, this leads to reduction of sebaceous gland activity and can hence be used for treatment of pore refinement, oily skin, and seborrhea-related skin disorders.

Conclusion: Fractional RF treatment with low power is as effective for skin tightening as with high fluences - but has lower side effects. This method is a multi-tool in the treatment of various skin- and aesthetic disorders.

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

Speakers	Lecture title	Abstract	Number
Dr Madhuri AGARWAL	Autologous growth factor concentrate (AGFC) for hair loss	View	81401
Dr Madhuri AGARWAL	Upper face rejuvenation with dermal fillers in Indian patients	View	82023
Dr Madhuri AGARWAL	Comprehensive management of periorbital hyperpigmentation	View	82069
Dr Muhammad AHMAD	Can we predict hair loss? Introduction to the NPRT system	View	77181
Dr Muhammad AHMAD	Breast augmentation beyond photographs: breast-Q evaluation	View	78623
Dr Muhammad AHMAD	Thread facelift: photos vs satisfaction	View	78647
Dr Muhammad AHMAD	Nano-lipoaspirate stem cells and hair restoration	View	79563
Dr Munir ALAM	Chemical peel and its implications	View	75663
Dr Antonino ARACO	Association of a single session of platelet rich plasma and micro-focused ultrasound for dermal autologous collagen regeneration. A prospective study on periocular wrinkles.	View	79635
Dr Antonino ARACO	Prospective non-randomized observational study of female subjects treated with a FDA-cleared tissue stabilized-guided subcision (TS-GS) system for cel	View	81603
Mahran ASHOUR ELSAIED MOHAMED	The best way to predict the future of aesthetic surgery & cosmetic dermatology healthcare, is to create it	View	81565
Dr Ahmet ATALIK	Secure thread procedures for avoid patient and doctor troubles	View	82073
Dr Shino BAY AGUILERA	Bruxism an epidemic - Causing premature aging of the lower face and a multitude of medical ailments	View	82819
Dr Shino BAY AGUILERA	Young male and aesthetics	View	82975
Dr Abraham Alberto BENZAQUEN BARCHILON	Beauty concept: cultural, religious and gender considerations	View	78767
Dr Abraham Alberto BENZAQUEN BARCHILON	All about carboxitherapy	View	78955
Dr Carl Kuo Liang CHENG	Treatment of acne scar with ultrapulse fractional CO 2 laser: approach based on ablative depth	View	81217
Dr Robert CHMIELEWSKI	Save your face and age nicely! An individualized approach to natural face reshaping - Supporting volumetry	View	81033
Dr Robert CHMIELEWSKI	Antigravity facelift - Nonsurgical SMAS lifting with supporting volumetry	View	82113
Dr Robert CHMIELEWSKI	Bio nutri lips concept - Comprehensive approach to natural reconstruction of the perioral area, the chin and the jowl	View	82119
Helena COLLIER	Infection control in aesthetic medicine and the consequences of inaction	View	82689
Vasilisa Sergeevna DANILENKO	Heavy face, restrictions and possibilities of treatment	View	81993
Dr Dianne DAVIS	Short pulse 1064 nm Nd:YAG laser treatment for previously treated capillary malformations in adults	View	83041
Dr Hector Cesar DURAN VEGA	Avoiding fat embolism in liposuction	View	79629
Dr Mohamad GOLDUST	Combination therapy with Kligman's formula plus Q-switch laser for treatment of acanthosis nigricans: a cross sectional study	View	78763
Dr Foued HAMZA	Autologous fat transfer for breast augmentation and augmentation mastopexy	View	75955
Dr Wen Hsien Ethan HUANG	The individualized needle-hub threading: developing a systemic approach to high-risk facial rejuvenation	View	75217
Dr Isken KACHKINBAEV	Classification of the Asian eyelids	View	82827
Dr Umar Daraz KHAN	Layered mastopexy with augmentation as a single stage procedure	View	72861
Dr Umar Daraz KHAN	Impact of outpatient based abdominoplasty and early mobilisation on seroma formation	View	72893
Dr Stuti KHARE	Facial contouring with hyaluronic acid dermal fillers, some new points to achieve remarkable face lift in Indians: an innovative technique	View	81505
Dr Stuti KHARE	To study the efficacy of oral ranitidine in molluscum conatgiosum in pediatric age group patients	View	81511
Dr David Dong Soo KIM	Multiple basal cell carcinoma on a patient with goltz syndrome	View	71705
Dr Michael KRYCHMAN	Proper assessment for female vaginal rejuvenation: the need to evaluate the relationship discord and body dysmorphic syndrome	View	78029
Dr Lamya Hussein LABBIB	Eye rejuvenation	View	77823
Dr Lamya Hussein LABBIB	Tips and tricks in hand rejuvenation	View	77831
Dr Lamya Hussein LABBIB	Missed steps during face rejuvenation	View	77839
Dr Hamidreza MAHMOUDI	Treatment of port wine stains with 595-nm pulsed dye laser in 27 pediatric patients: a prospective study in the Iranian population	View	82991
Dr David H MCDANIEL	In vitro melanin quantification and in vivo evaluation of a new non-hydroquinone, multi-action skin brightening cream	View	80789
Dr David H MCDANIEL	Protective effects of a comprehensive topical antioxidant against ozone-induced damage in a 3D human skin model	View	80791
Dr Ik Jun MOON	Transient receptor potential vanilloid (TRPV) inhibition is related to suppression of inflammation-associated hypermelanosis	View	80569
Dr Adil NOAIMI	New hope for treatment of acute cutaneous leishmaniasis by oral zinc sulfate and oral ketocanazole (singly and in combination)	View	79247
Dr Amarendra PANDEY	Melasma treatment using Q Switched Nd Yag and PRP in skin of colour	View	81475
Dr Amarendra PANDEY	Fire and ice, punch and blast: combination regime for fat reduction in the Indian context	View	81479
Dr Amarendra PANDEY	Onychomycosis treatment using a Q switched Nd:Yag laser in itraconazole resistant cases	View	81481
Rain RAMAS	Marketing trends and digital communications in the Philippines - How they apply to the industry of aesthetic dermatology and dermatologic surgery	View	79639
Rain RAMAS	Logo design: putting a face to your brand	View	79643
Dr Tatiana REITBLAT	Biologic drugs treatment effect on psychologic morbidity on patients with psoriasis in remission in comparison to conventional therapy	View	78587
Dr Elena ROSSI	Plasma exeresis: a multitasking technique to treat several skin conditions	View	80453
Dr Khalifa SHARQUIE	Nose volumeplasty	View	79055
Dr Khalifa SHARQUIE	Facial melanosis has great cosmetic impact on patients with dark skin: clinical and histopathological study with new concept	View	79281
Dr Tzachi SHELKOVITZ	A cross linked hyaluronic acid gel with calcium hydroxyapatite – a new dermal filler – my experience	View	61973
Dr Elena SILANTYEVA	Creating a symbiosis of beauty and health by using new technologies for the treatment of pelvic muscle wasting	View	83005
Dr Sukhbir SINGH	Management of delayed skin necrosis following hyaluronic acid filler injection using pulsed hyaluronidase	View	82759
Dr Regina SOSOACA	Holistic approach in injectable rejuvenation of nasolabial folds - Assessment and different approaches to deliver optimum total face result and patient satisfaction	View	78051
Dr Amalia TSIATOURA	Combination of fractional laser co2 and PRP as a method for skin rejuvenation	View	82225
Dr Olga ZHUKOVA	Absorbable threads for a new holistic concept of thread lifting	View	78057
Dr Frank ZIPPRICH	More than skin tightening: fractional RF treatment as a skin multi-tool	View	82479

IMCAS World Congress 2019
Program

FOCUS ON E-PUBLICATIONS

Lectures of the session

Recommended sessions

IMCAS World Congress 2019 Program

FOCUS ON E-PUBLICATIONS

Lectures of the session

Recommended sessions

IMCAS World Congress 2019
Program