Objectives: How to combine the different injectables like Botulinum toxin,filler injection s and thread lift for attaining the best results in the treatment of Ageing face

Introduction: Right combination of the injectable treatment s, botulinum toxin injections, filler injections and thread lifts in the right proportion gives the best results than when any of these treatments are done alone

Materials / method: This was a practical observation seen in the cosmetic dermatology practice in a private set up over years by observation and analysis

Results: With the advent of Thread lift treatments too, combining this with Botulinum toxin injections and filler injections have found to be providing far superior results and high amounts of patient satisfaction and patient compliance too.

Conclusion: To attain best results in treating ageing face , combine thread lift treatments with Botulinum toxin injections and filler injections in the same sitting or do the botulinum toxin injections and thread lift in the first sitting and follow up with filler injections 2 or 3 weeks later once the effects of the other treatments have set in

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Objectives: An increasing number of Asian people are seeking nonsurgical facial aesthetic treatments. The authors proposed the Future Codes design describing the art of facial injection in Asians. The concept encompasses a systematic overall design for the art of facial injection in Asians, and these procedures are easy to learn and perform safely.This is systematic solution available in the clinic that can be used to design facial aesthetics and rejuvenation in Asians through Eastern philosophy and culture.

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Objectives: The objectives of this presentation:
1. Describe the histological evidence of skin aging and the loss of collagen
2. Discuss the evidence behind 4 main groups of biostimulators - hyaluronic acid, Ca-hydroxyapatite, Poly-L-Lactic acid, and Polycaprolactone.
3. Explore the published literature about the combination of energy based devices with biostimulators.

Introduction: Biostimulators have major role in aesthetic medicine. They can be suggested to most of our patients. However, a common problem of physician is to decide which product to choose, what to expect from its injection, and how to combine it with other therapeutic modalities, including energy based device.

Materials / method: Review of the literature discussing skin aging, biostimulators, and combination of biostimulators with energy based devices. It included free search in Pubmed, and articles sent by the leading marketing companies in Israel.

Results: Biostimulators result in great change in the quality of the skin, and it can be injected to almost every patient.
From all the biostimulators, PLLA proved to have the longest effect (up to 25 months) with the highest amount of new collagen in the tissue (up to 66.5%).
Calcium hydroxyapatite and polycaprolactone act as scaffolder, hence, although result in less new collagen, they have dual affect of biostimulation and volumizing the tissue.
Regarding combination with energy based device, the combination is not yet proved in vitro, nevertheless, many clinical study shows excellent results.

Conclusion: Skin aging is a complex process, resulting in the net loss of collagen. Biostimulators have a major role in skin rejuvenation, and should be used in combination with other modalities and chosen according to their strength.

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Objectives: This systematic review aims to provide quality evidence about the success of non-surgical rhinoplasty procedures in terms of patient satisfaction and complications.

Introduction: A perfectly structured nose enhances the beauty of the entire face. “Rhinoplasty” is a cosmetic surgical procedure, demonstrating a downward trend in recent years owing to its high risks and potentially limited predictability of the aesthetic results. Therefore, non-surgical rhinoplasty using hyaluronic acid dermal fillers is becoming increasingly popular as it is less invasive in nature and has minimal downtime.

Materials / method: A systematic electronic literature search using keywords and MESH search terms over the PubMed/Medline, Cochrane Central, Scopus, and EBSCO online databases was conducted from November 2005 to February 2021. Additionally, the reference lists of included systematic reviews were hand searched. Data collected included patient satisfaction and complications from prospective and experimental studies providing highest level of evidence. Articles were critically appraised, and MINORS scale was used to assess the risk of bias.

Results: Based on the search criteria, 11 articles were included in the study. The average satisfaction of patients in the studies was found to be >90%. In all the studies, transient edema and erythema, post-injection pain, and bruising were some temporary complications. Rare complications that were reported were vascular impairments and hematoma.

Conclusion: Non-surgical rhinoplasty is a good, minimally invasive alternative over conventional rhinoplasty. There is however a paucity of quality data in the form of experimental and prospective studies regarding the accuracy, effectiveness, and complications of non-surgical rhinoplasty.

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