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IMCAS World Congress 2020
Program

FOCUS ON S121, S122

IMCAS Alert - Injectables & threads complications

Room: Room Ternes - level 1
Date: Friday 31 January 2020 at 08:00 to 10:00
Format: CLINICAL CASE STUDY > unusual or difficult cases laid forth by experts followed by assessment of different treatment outcomes and patient care

Chairs

Prof Daniel CASSUTO

Plastic Surgeon

Israel

Dr Bernard MOLE

Plastic Surgeon

France

Prof Berthold RZANY

Dermatologist

Austria

Dr Patrick J TREACY

Cosmetic Surgeon

Ireland

Lectures of the session

Hours	Speakers	Lecture title	Abstract	Number
08:00	Dr Patrick J TREACY	Presentation of vascular complication cases	View	99472
08:10	Dr Catherine RAIMBAULT GERARD	Discussion of vascular complications		99469
08:10	Dr Hyoung Jin MOON	Discussion of vascular complications		99471
08:10	Dr Ji Soo KIM	Discussion of vascular complications		99470
08:50	Dr Bernard MOLE	Debate and consensus guidelines		99473
08:50	Dr Patrick J TREACY	Debate and consensus guidelines		100202
09:00	Prof Berthold RZANY	Presentation of inflammatory & threads complications	View	99476
09:10	Dr Sahar Foad GHANNAM	Discussion of inflammatory & threads complications		99477
09:10	Dr Ronald FEINER	Discussion of inflammatory & threads complications		99478
09:10	Dr Po Han Patrick HUANG	Discussion of inflammatory & threads complications		99479
09:10	Prof Hussein GHANEM	Discussion of inflammatory & threads complications		99972
09:50	Prof Daniel CASSUTO	Debate and consensus guidelines		99973
09:50	Prof Berthold RZANY	Debate and consensus guidelines		100203

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Complications

Fillers: HA (hyaluronic acid)

Dr Patrick J TREACY

Cosmetic Surgeon

Ireland

Other author(s) :

Presentation of vascular complication cases

Objectives: Although aesthetic complications are presently popular in the news, Dr Patrick Treacy shows they are certainly nothing new and looks back at his case files over a period of twenty years or more. The lecturer will review the most common complications associated with toxins, dermal fillers, chemical peels, dermaroller, volumisers and threads. The audience will then learn how to prevent the occurrences of these complications and provide the corrective action required to resolve the issues.

Introduction: He takes us on a twenty years journey of the treatments for HIV facial lipodystrophy and its BioAlcamid complications, the polylactic acid granulomas, the polyalkamide problems, the problems of Macrolane, the failure of collagen during the advent of bird flu and mad cow disease and more later the unwelcome rise in vascular occlusion accidents. He remembers a time when doctors from America referred their hyaluronic

Materials / method: Botulinum toxins, Permanent and HA Dermal Fillers with Swelling, Lumps(Hyalase,), Necrosis, Infection, Delayed Onset Nodules, Granulomas, Central Retinal Artery Occlusion (blindness), Cavernous Sinus Thrombosis, Orbital Cellulitis and Tyndall Effect

Results: The Prevention and Management of Complications in Aesthetic Medicine- Twenty Years of Experience

Conclusion: In conclusion, complications are inevitable in aesthetic practice; however, the challenge lies in handling them carefully and successfully to enable us to carry on our work with the same enthusiasm we started with.

Disclosures

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

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

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

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

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

Dr Catherine RAIMBAULT GERARD

Dermatologist

France

Other author(s) :

Discussion of vascular complications

Dr Hyoung Jin MOON

Facial Plastic Surgeon

South Korea

Other author(s) :

Discussion of vascular complications

Dr Ji Soo KIM

Cosmetic Surgeon

South Korea

Other author(s) :

Discussion of vascular complications

Dr Bernard MOLE

Plastic Surgeon

France

Other author(s) :

Debate and consensus guidelines

Dr Patrick J TREACY

Cosmetic Surgeon

Ireland

Other author(s) :

Debate and consensus guidelines

Prof Berthold RZANY

Dermatologist

Austria

Other author(s) : Daniel Cassuto

Presentation of inflammatory & threads complications

Objectives: To give a subjective overview on submitted cases and the discussion of theses case

Introduction: Challenges with filler treatments are frequently discussed at IMCAS alert. Usually there is an allignment of answers but occasionally different views are presented.

Materials / method: Entirely subjective selection

Results: Four cases were selected: A: a patient with unilateral facial swelling after filler treatment suggesting an Involvement of the parotid gland B: a patient with the differential diagnosis of hematoma of the lip / versus vascular occlusion C: a patient with vascular occlusion in the glabella / forehead area and D: a very unusal case of a cheek ulceration after a permanent filler. Except case 4 all other cases were lively discussed. Follow-Up Information was given in 2 cases.

Conclusion: Imcas Alert is a well used forum for searching help in complication cases. To even be more useful the case presenting physicians should be encouraged to give a Follow-Up on the course of the event and if the discussion was deemed to be helpful for them.

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: IMCAS Alert

Dr Sahar Foad GHANNAM

Dermatologist

Kuwait

Other author(s) :