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[EN, ES, IT, RU] Injectables: real integration or just tissue support? - (under educational grant from IBSA Farmaceutici)

Partner of the session

DASIL

The Dermatologic & Aesthetic Surgery International League

International

The Dermatologic & Aesthetic Surgery International League

皮肤科和美容外科国际联盟（DASIL）的使命是建立一个全球性的社团，让专业皮肤科医师与美容外科医师能公开交流知识和创新。通过我们的不断的教育活动，并通过建立更高的关怀标准，生活在世界各地的人们将受益于更安全，更有效的皮肤和美容治疗。

聚焦大会日程

会议室： Webinar
日期： 2021年 4月 7日星期三从 11:00 至 12:30
组织形式： 聚焦课程 > 涵盖大会的一个主要议题

主席

Daniel CASSUTO Prof

整形外科医师

意大利

本场演讲内容

小时	讲者	演讲标题	讲稿摘要	数字
11:00		Simultaneous translation available in Spanish, Italian & Russian		110513
11:00	Dominique DU CREST	Introduction		108913
11:05	Hema SUNDARAM 医师	The new science of fillers: practical implications of hyaluronic acid rheology		108914
11:17	Martina J KERSCHER Prof	Hyaluronic acid for skin quality improvement: what can we achieve?		108915
11:29	Pierre NICOLAU 医师	Filler induced collagenesis and role in skin metabolism control	查看	108916
11:41	Ronald FEINER 医师	Challenging cases from IMCAS Alert	查看	109039
11:53		Q&A and discussion with the audience		108917

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Simultaneous translation available in Spanish, Italian & Russian

Dominique DU CREST

企业代表

法国

其他作者 :

Introduction

Hema SUNDARAM 医师

皮肤科医师

美国

其他作者 :

The new science of fillers: practical implications of hyaluronic acid rheology

Martina J KERSCHER Prof

皮肤科医师

德国

其他作者 :

Hyaluronic acid for skin quality improvement: what can we achieve?

Pierre NICOLAU 医师

整形外科医师

西班牙

其他作者 :

Filler induced collagenesis and role in skin metabolism control

Objectives: This presentation aims at explaining the complex mechanisms involved in Filler induced Collagenesis. Knowledge of these elements allows for a better understanding of the Mechanotranduction factors and of some of the adverse events encountered.

Materials / method: Knowledge of the anatomical and physiological changes induced by tension mechanisms within the skin allows us to understand the modifications in the "youth appearance" of the skin through fillers injections

Results: The concept of "tension integrity" or "tensegrity" is based on the knowledge of "mechanotransduction" mechanisms, through which mechanical forces are changed into chemical signals to modify and regulate the cells, mainly the fibroblast.
These mechanisms are well studied in wound healing, and are the same that applied to the consequences of the Foreign Body Reactions, occurring when fillers are injected within the tissues.

Conclusion: It is therefore possible to influence the skin metabolisms in order to recreate a softer, more elastic, younger skin.
But the type of the collagen produced has a major influence on the quality of the final results, and should be taken into account to avoid some or treat some complications.

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请注明名称（个人，公司，学会等等）: Sinclair Pharamceutical

你是否拥有或者您已经为您此研究中的工具，药物或材料申请任何专利？
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这项工作没有任何直接或间接的资金支持。由作者自己承担责任。

Ronald FEINER 医师

医师

澳大利亚

其他作者 : Nil

Challenging cases from IMCAS Alert

Objectives: 3 challenging cases from IMCAS Alert are presented for consideration.

Introduction: The reliability of any particular filler integrating is dependent on several interrelated factors. For optimal integration, the intrinsic biochemical property of the filler utilised should ideally be matched to the recipient tissue histo/biological bed (and indeed the anatomical tissue plane) into which it is injected. For example, high viscosity fillers injected into the subcutaneous malar tissue plane can result in sub-optimal outcomes including complications such as chronic oedema and Tyndall effect.

Materials / method: 3 Case Studies

Results: Many ancillary factors need to be considered including sterile technique; instrumental mode of injection (i.e., needle or cannula); atraumatic delivery; the localised vascular challenge; patient age; patient co-morbidities and of course ambient communicable disease and immunisations (such as the current pandemic). The aesthetic objective should be well planned to minimise disappointment. For example, filler over use may result in a poorly integrated outcome. It may be better to aspire to an objective outcome in serial filling episodes rather than trying to achieve everything desired at once.

Conclusion: Many clinical complications and challenges are submitted by colleagues to IMCAS Alert facility.
Collegiate responses generate intense discussion and invaluable assistance to colleagues in need of assistance. It is anticipated that the 3 cases selected for this webinar will create interest for all participants.

利益冲突声明

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否

您是否接受过关于这项研究的任何酬金或其他报酬？
否

你是否和任何与您的研究所涉及的药物，材料或工具有密切联系的实体存在财务关系？
否

你是否拥有或者您已经为您此研究中的工具，药物或材料申请任何专利？
否

这项工作没有任何直接或间接的资金支持。由作者自己承担责任。

Q&A and discussion with the audience

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学院 大会日程

[EN, ES, IT, RU] Injectables: real integration or just tissue support? - (*under educational grant from IBSA Farmaceutici*)

主席

本场演讲内容

学院
大会日程

[EN, ES, IT, RU] Injectables: real integration or just tissue support? - (under educational grant from IBSA Farmaceutici)

本场演讲内容