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Conference Series Ltd invites all the participants across the globe to attend 13^th International Conference and Exhibition on Cosmetic Dermatology and Hair Care Paris, France.

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Day 1 : October 26, 2017

Keynote Forum

Clemens Esche

Beautiful Skin Institute PLLC, USA

Keynote: Vein illumination for facial neuromodulators and fillers helps minimizing post-procedure bruising

Time : 09:30- 10:35

Conference Series Cosmetic Dermatology 2017 International Conference Keynote Speaker Clemens Esche photo

Biography:

Esche is a board-certified dermatologist and founder of The Beautiful Skin Institute in Northern Virginia. He has received more than 10 academic awards for his research, and has authored more than 70 scientific publications. Dr. Esche became the National Winner of the Doctor’s Choice Award in Dermatology in 2014 and again in 2015

Abstract:

The increasing demand for cosmetic facial rejuvenation with minimal risk and no downtime has led a surge in minimally invasive procedures. However, injection of both neuromodulators and fillers may result in bruising even in experienced injectors. The AccuVein bruise prevention device (AccuVein Inc., Huntington, NY) helps minimize bruising following injectable treatments by visualizing veins that otherwise cannot be seen by the naked eye. The hand-held 9.7 ounce vein illuminator projects a steady and safe infrared beam onto the skin. The light is absorbed by hemoglobin and reflected by surrounding tissue. The competing VeinViewer (Christie Medical Holdings, Inc., Memphis, TN) appears to represent a feasible alternative for minimally invasive facial rejuvenation, while the Veinlite vein finder (Translite LLC, Sugarland, TX) is more suitable for venipuncture mostly due to its smaller area of illumination. The Site-Rite Prevue Ultrasound System (C. R. Bard Inc., Murray Hill, NJ) is also more suitable for peripheral venous access. We use the AccuVein device mostly for neuromodulator treatment in the lateral canthal region and for filler injection in the tear trough, nasolabial folds and lips. In summary, both Accuvein and VeinViewer appear to be useful accessories for cosmetic facial injections. In conclusion, vein illumination will likely become a new standard of care for minimally invasive rejuvenation.

Keynote Forum

Helena Rosengren

Skin Cancer College, Australasia

Keynote: Effect of a single prophylactic pre-operative oral antibiotic dose on surgical site infection following complex dermatologic procedures on the nose and ear: a prospective, randomized, controlled, doubleblinded trial

Time : 10:15-11:00

Conference Series Cosmetic Dermatology 2017 International Conference Keynote Speaker Helena Rosengren photo

Biography:

Having completed general practice training in the UK Dr Helena Rosengren immigrated to Australia in 1994. She has worked as an accomplished skin cancer doctor in Townsville for more than a decade establishing the Skin Repair Skin Cancer Clinic in 2009. As a fellow of the Skin Cancer College of Australasia, she is sent many referrals from fellow GPs undertaking complex skin cancer surgery with meticulous attention to cosmetic results. Passionate about teaching and research, Dr Rosengren is a senior lecturer at James Cook University, has published several research papers in medical journals and teaches at skin cancer workshops for GPs all over Australia.

Abstract:

Background: With limited published research studying the effect of antibiotic prophylaxis on surgical site infection (SSI) in dermatologic surgery there is no consensus for its use in higher risk cases. Objective: The aim of this prospective double-blinded, randomized, placebo-controlled trial was to determine whether a single oral pre-operative antibiotic dose would significantly reduce SSI following flap and graft dermatologic closures on the nose and ear. Methods: 154 eligible participants in a primary care skin cancer clinic in North Queensland, Australia were randomized to 2g oral cephalexin or placebo 40-60 minutes prior to skin incision. Results: Overall 8/69 (11.6%) controls and 1/73 (1.4%) in the intervention group developed SSI (P=0.015; absolute SSI reduction 10.2%; NNT for benefit 9.8, 95% CI 5.5, 45.5). In males 7/ 44 controls 0/33 in the intervention group developed SSI (P=0.018; absolute SSI reduction 15.9%; NNT for benefit 6.3, 95% CI 3.8, 19.2). SSI was much lower in female controls (1/25) and antibiotic prophylaxis did not further reduce this (P=1.0). There was no difference between the study groups in adverse symptoms attributable to high dose antibiotic administration (P=0.871) Conclusion: A single oral 2g dose of cephalexin given before complex skin closure on the nose and ear reduced SSI.

Keynote Forum

Bill Kortesis

H K Plastic Surgery, USA

Keynote: The hybrid approach in modern gluteoplasty and a proposed decision-making algorithm

Conference Series Cosmetic Dermatology 2017 International Conference Keynote Speaker Bill Kortesis photo

Biography:

Bill Kortesis, MD, FACS, a Co-owner and Partner at H K Plastic Surgery received his Doctor of Medicine degree from Wake Forest University School of Medicine in Winston-Salem, from which he graduated as a topper. He completed his Residency at Wake Forest University Baptist Medical Center in the Department of Plastic and Reconstructive Surgery and is a member of the Phi Beta Kappa Society. He has extensive teaching experience and has received teaching awards for his efforts in furthering medical student education. He is a Board-certified Plastic Surgeon specializing in both Reconstructive and Cosmetic Surgery. With significant contributions to the field of Plastic Surgery, he has established himself as a talented and caring Surgeon with a genuine desire to help others within the medical community and beyond

Abstract:

The gluteal region is an important aesthetic symbol of the body and represents a major component of sexual attraction. Buttocks descent and atrophy are common presenting complaints for patients seeking elective improvement of their body. Gluteal surgery has a recent history of technique evolution, with various reported methods and refinements, including autologous tissue and alloplastic materials. It has been gaining popularity, and an exponential growth in buttocks procedures has been recorded in the recent years. Modern comprehensive gluteal rejuvenation must address both gluteal atrophy and ptosis. Gluteal implants can give a rounded and enhanced appearance to the buttocks while lifting in the form of excisional techniques can address the ptosis. These techniques may be applied together in one surgical procedure or performed in a staged sequence. This report describes the combination of lifting and enhancement techniques to achieve improvement in the gluteal region. An algorithm, to assist with decision making, based on the gluteal deformity encountered, is also proposed. Two separate clinical examples are described, a patient with gluteal implants with synchronous buttocks lift and a patient with pursestring gluteoplasty followed by gluteal implants at a later time. The presented algorithm will enhance the participants’ decision making process when encountering gluteal deformities. The audience will learn new and innovative approaches to gluteal augmentation through autologous and alloplastic techniques. With improved decision making ability, the audience will be positioned to offer cutting edge gluteal surgery in a safe and effective manner.

Keynote Forum

Gaurav Bharti

H K Plastic Surgery, USA

Keynote: Tissue liquefaction liposuction gluteal augmentation: A new technique for sculpting, harvesting and transferring fat

Conference Series Cosmetic Dermatology 2017 International Conference Keynote Speaker Gaurav Bharti photo

Biography:

Gaurav Bharti, MD, FACS, Board Certified Plastic Surgeon, Co-owner and Partner at H K Plastic Surgery believe that plastic surgery requires a balance of compassion, understanding, and technical skills. He performs a full range of cosmetic procedures under general and local anesthesia, including breast augmentation, mommy makeovers, breast revision surgery, body contouring, facial surgery, and vaginal rejuvenation surgery. He graduated from Medical School at Quillen College of Medicine at East Tennessee State University. Following completion of medical school, he and his family moved to Winston-Salem, NC, where he completed his Plastic Surgery Residency at Wake Forest University School of Medicine. After residency, he held a position as Associate Professor at Quillen College of Medicine, Department of Surgery where he had a busy Aesthetic & Reconstructive practice. During that time, he mentored numerous medical students and surgical residents at Quillen College of Medicine, ETSU

Abstract:

Large volume fat transfer for gluteal augmentation can be associated with long operative times and surgeon fatigue. Numerous modifications have been introduced to obtain fat in a more efficient method while improving fat graft take. A novel method for fat harvest involves Tissue Liquefaction Liposuction (Hydrasolve®). This technique allows for fat transfer that is removed with an atraumatic technique. Using this vehicle, we aim to show that large volumes of fat can be harvested and transferred safely, reliably, and with consistent results. Autologous gluteal augmentation with fat transfer is a commonly performed procedure. Hydrasolve® liposuction is a novel technique for fat harvesting that utilizes liquefaction of the fatty tissue. This results in minimal trauma both to the fat cells and surrounding tissues. Large volumes of fat may be harvested and transferred safely. We have seen excellent results with high rates of patient satisfaction, stable graft take, and minimal complications. This presents a novel technique for fat harvesting that utilizes tissue liquefaction. This technique allows the surgeon to rapidly remove fat while producing a bloodless, uniform layer of fat for grafting in a closed system. This technique for fat grafting improves the process for the surgeon and the outcome for the patient

Dermatological Procedures | Aesthetic Surgery: Surgical & Non-Surgical Procedures | Skin Pigment Disorders | Hair Care | Cosmetics and Drugs | Hair Care| Shaping: Face and Body and their Challenges | Aesthetic Surgical Procedures

Location: sunset 2

Chair

Clemens Esche

Beautiful Skin Institute PLLC, USA

Co-Chair

Helena Rosengren

Skin Cancer College, Australasia

Session Introduction

Laurence Benouaiche

Plastic, Reconstructive Surgery and Aesthetics Clinic, France

Title: New methods of face and neck rejuvenation with minimal invasive thread lifting methods - Aptos

Biography:

Laurence Benouaiche a Plastic, Reconstructive and Aesthetic Surgeon was the former Head of University Clinic. She is a Hospital Assistant in Necker Sick Children University Hospital, Department of Plastic and Maxillofacial Surgery, Pediatric Stomatology; Doctor of Sciences of the Life and Health of the National Museum of Natural History of Paris. She is also the Former Student Official at the Normal High School, Paris. She is a Teacher at the University Paris Descartes. She contested in PCEM1 course in Necker Sick Children University Hospital.

Abstract:

The last decades have seen new priorities in treatment of a flabby, ageing face towards minimally invasive aesthetic surgery, to be accompanied and followed by the requirements to perform such interventions with the maximally reduced health hazards, with inconsiderable injury, without cuts and, respectively, to be followed by no resulting scars, as well as a short postoperative period. Many methods complying with these requirements have been proposed. One of them is the so-called APTOS method, which has received wide recognition amongst surgeons and dermatologists in more than 50 countries. These various methods can be associated to improve face réjunévation simultaneously or according to a planed strategy. We propose a new reviewing presentation, including new absorbable APTOS threads: Light Lift, Excellence and Nano. After having explained the technology of the threads, we will discuss the good patient indication, the criteria which determine the choice of the threads and methods for each type of patient. There are many techniques and we will present them with videos. Then, we will discuss the results, unsatisfactory outcomes obtained and complications encountered, as well as how to improve the cosmetic outcomes to be obtained. To conclude, we will propose a strategy for the long-term treatment of the neck and the face, preventing surgical management of the ageing process. The report is based on our experience gained in applying the Aptos barbed threads devised by the authors and using the respective methods for treatment of more than 100,000 patients suffering from facial soft-tissue ptosis, manifested wrinkles and folds. Along with it, we discuss a new method of facial thread lifting the so-called APTOS Light Lift, Excellence, and Nano.

Takashiro Akitsu

Tokyo University of Science, Japan

Title: Application for UVA sunscreen: Light absorption of Schiff base metal complexes with TiO2

Biography:

Takashiro Akitsu is a Full Professor in Department of Chemistry, Faculty of Science Division II at Tokyo University of Science. He completed his undergraduate school training (chemistry) from Osaka University, Japan and his graduate school training (physical & inorganic chemistry, especially coordination, crystal and bioinorganic chemistry) from Osaka University, Japan. He has published up to about 150 articles in peer-reviewed journals and has had posters presented at international level. He has been a peer reviewer of many journals

Abstract:

The sunscreen agent accounts for 3% of the market value of cosmetics market in Japan (2015) and the shipment volume of 5,000 t is on the rise. In addition to skin color correction and skin care, addition of safety, whitening and anti-aging due to the effect of vitiligo problems, there is a demand for value. Normally, as a sunscreen agent, ultraviolet light scattering agent of titanium oxide or zinc oxide is used in combination with an organic ultraviolet ray absorbing agent. However, it reaches the dermal layer of the skin, and is known for skin aging, melanin pigmentation and active oxygen generation etc. There are few absorbents that can completely absorb light in the range of UVA (320-400 nm) wavelength area. So far, we have been aiming at practical application of ultraviolet absorption by a composite material of amino acid derivative Schiff base metal complex and titanium oxide. In this time, zinc (II) complexes were employed. Structural and chemical studies on the complexes will be presented. In addition, molecular design process using the related copper (II) complexes will be also mentioned in the keynote lecture.

Gerhard J Mohr

Joanneum Research, Austria

Title: Smart indicator textiles and nonwovens for detection of pH on skin and in wounds

Biography:

Gerhard J Mohr received his PhD in Chemistry (1996) at Karl-Franzens University Graz in the field of optical sensors for anions. Then, he moved to the Centre for Chemical Sensors at ETH Zurich where he was engaged in the synthesis and characterization of new chemo-sensor dyes and functional polymers. From 2001 until 2008, he was Marie Curie and Heisenberg fellow at Friedrich-Schiller University Jena and from 2009 to 2011. He established and led the Fraunhofer workgroup Sensor Materials in Regensburg, focusing on new functional dyes, fluorescent nano-sensors and their combination with polytronic systems. Currently, he is Senior Researcher at Joanneum Research developing new indicator dyes for textiles and nonwovens and combining them with information and communication technology.

Abstract:

Statement of the Problem: The acid mantle of the skin has a pH of about 5.5, which is slightly acidic. This protects the skin against bacteria, fungi and dryness. Therefore, skin-friendly (so-called pH skin-neutral) detergents, shampoos and shower gels have a slightly acidic pH. Soaps and low-cost cleaning products however, are often alkaline (pH above 8), which can lead to skin irritation in both infants and dermatitis patients. Alkaline washing agents used for laundry with pH values above 10.0 can also cause skin irritation if clothes are not rinsed properly or if too much washing agent is used. Furthermore, wound pH is a relevant parameter for monitoring progress of wound healing. The purpose of this work was to develop a simple method to detect undesirable changes in pH via color changes from green to red. Methodology & Theoretical Orientation: Textiles and nonwovens were covalently functionalized with indicator dyes that change color when pH causes skin irritation or is too high for proper wound healing. The colored nonwoven is not cytotoxic and all textiles were certified by OEKO-TEX® Standard 100, class I. Findings: Indicator washcloths show a visible and fully reversible color change from green (ideal pH) to red (irritating washing solution). Indicator labels show a color change when clothes contain residual amounts of alkaline washing agents. Indicator cotton swabs show a color change to red when wound treatment may be necessary. The color changes can be interpreted by the naked eye as well as by an optical color measurement device. Conclusion & Significance: Smart indicator textiles enable the determination of pH in washing agents, on the skin, and in wounds. The convenient format and easy interpretation make indicator textiles and nonwovens helpful for assisted living, consumer care and medical diagnostics.

Laurie Ke

University of Massachusetts, USA

Title: Aesthetic Correction Techniques for Vitiligo, Alopecia and Other Hair Loss Related to Follicular Damage, Hypothyroidism and Trichotillomania

Biography:

Laurie graduated from The University of Massachusetts as a member of the High Honour Nursing Society and is on the Nursing Advisory Board for Berkshire Community College. She has over 3 decades of experience in aesthetics and a background in fine art. She’s received awards for her clinical excellence, as well as 3 U.S. and international awards for her technique in creating the appearance of realistic micro pigmented and micro bladed eyebrows. She owns Advanced Image Artistry, in the Berkshires, MA, and has satellite clinics in Los Angeles and Sarasota, where she specializes in alopecia, scar revision, paramedical and aesthetic procedures, along with her facial feature feminization/de-feminization through the gender reassignment process

Abstract:

Numerous disorders can cause follicular damage, which can result in hair thinning and loss on the scalp, as well as the face, including the eyelashes and eyebrows. Some medications, such as chemotherapy, often have the same effect, and can frequently be permanent. Hair loss, not only on the scalp, but in the eyebrow/eyelash region can be due to hormonal changes, decreased thyroid function, nutrient deficits, emotional trauma or stress, and commonly occurs during the natural aging process. Complete hair loss, and even mild thinning, can have a variety of psychological effects such as anxiety, depression and even social withdrawal. Depending on etiology, certain pharmaceutical approaches, namely Minoxidil or steroids, in conjunction with nutritional supplementation and/ or laser therapies, for example, have proven helpful for some patients who are losing scalp hair. For those with follicular damage to the eyebrows and eyelashes, products containing Bimatoprost are becoming increasingly more popular. While some patients may experience regrowth and even lengthening of their eyelashes, most report no efficacy in the regrowth of their eyebrows. For patients whose efforts to mitigate hair loss have been unsuccessful, hair transplants may be an option for the scalp or the eyebrow area. In addition to the aforementioned treatment modalities, there is also an alternative or adjunct procedure that can be done with little to no side effects, and relatively no down time: Micropigmentation. This technique involves the use of tiny needles situated closely together, and along with expertly matched and placed pigments, can create the look of natural eyebrows. There are limitations for large areas of hair loss on the scalp, though advanced practice procedures not only help reduce the appearance of bald patches or receding hairlines, micropigmentation is also very effective for those suffering from trichotillomania, as it can completely restore the look of hairs in the eyebrows and scalp that the patient has previously pulled out from those areas. It is also recommended for the illusion and restoration of natural appearing eyebrows in cases of follicular damage, and to darken the lid at the base of the eyelashes. Micropigmentation can also be used to camouflage and aesthetically correct scars after the surgical repair of a buccal hemangioma, cleft lip, and hypopigmentation from scarring, UV ray sun damage, for areola color restoration after mastectomy, and on the grafted skin of a burn survivor.

Huseyin Kandulu

Bilecik State Hospital, Turkey

Title: Abdominal liposculpture (abdominal etching) for male patient with ultrasound energy (vaser)

Biography:

Huseyin Kandulu completed his primary and college education in Cyprus and he moved to Turkey to study medicine. He graduated as a Medical Doctor in 2003 and began his residency training in the field of Plastic Reconstructive and Aesthetic Surgery in which he had a strong interest during his medical education. In addition to many reconstructive operations, he was strongly involved in nose, breast and body aesthetics during his residency training and carried out many surgeries. He completed his thesis, entitled “The Effect of Chitosan on Microvascular Anastomosis Applications with Minimal Suturing Technique” in the field of Microsurgery in 2010 thus completing his Residency in Plastic Reconstructive and Aesthetic Surgery and has specialized in this branch. He has more than 12 years of surgical experience, performing all manner of body surgeries and reconstructive surgeries, in addition to various other aesthetic surgeries and procedures. In the last seven years however, he has focused almost exclusively on high definition body sculpting, working closely with world renowned surgeons to develop and hone his skills. With his vast experience, and knowledge of the latest technologies he has become one of the foremost surgeons in the field of body sculpting. Because of his unerring commitment to patient safety and happiness, he believes that all surgeons wishing to specialize in body sculpting should seek the best training available, and is therefore able to provide advanced courses in VASER® Hi-Def body sculpting.

Abstract:

In the field of plastic surgery liposuction succeeded in becoming the most frequently performed cosmetic surgery procedure during the last decade in both man and women. First liposuction was described with curettage technique and then dry, wet and super wet techniques performed as suction assisted liposuction (SAL). The first aim with liposuction is removing excess fat and making body smaller. On the otherhand, last ten years everything was changed and liposuction techniques are different due to understanding fat anatomy under the skin. To get better results all innovative plastic surgeons need more superficial liposuction with less complications, so more dynamic liposuction or liposculpture techniques was essential. When we want to get shaping on the body we should do more superficial liposuction. Third generation ultrasound energy (Vaser) is giving 36 Khz sound energy per second and it helps to emulsifying fat without any damage to surrounding tissues. Vaser (vibration amplification of sound energy at resonance) has provided liposculpture techniques to the superficial fat layers and this technique is more applicable for abdominal etching with less complication. Vaser is currently the gold standard for use in abdominal etching. Vaser Hi - def surgeries provide less complication and more successful results. The technique decision depended on the BMI (it must be <28), degree of skin excess, skin elasticity, patient's sportive history. Between December 2010- August 2016, 221 patients have undergone Vaser liposuction among which 89 cases were male and 132 cases were female. In this case abdominal Vaser hi def procedure was performed in the field of cosmetic surgery to 43 Male patients by same surgeon. All patients were satisfied with aesthetic results of their Vaser Hi-Def within the time of follow-up. Seroma rates were 8%, unsatisfied definition rates were 1% due to patient selection, hematoma rates were 1%, skin necrosis did not occur.

Diaa Eldin Hassan

Kuwait

Title: wokshop

Biography:

Abstract:

Angelo Rebelo

Clinica Milenio, Portugal

Title: Mastopexy with breast implants areola-vertical technique under local anesthesia

Biography:

Angelo Rebelo began his educational experience at the Faculty of Medicine of the University of Lisbon where he was graduated in Medicine in 1980, he received his specialty training in Plastic, Reconstructive and Aesthetic Surgery at the São José and Santa Maria Hospitals and he completed in 1990. He is registered in the South Regional Section of the Portuguese Medical Association and possesses the title of Specialist in Plastic, Reconstructive and Aesthetic Surgery, and holds the Professional Certificate Number Twenty-Three Thousand and Five. He has been in private exclusive practice for more than 25 years; in the last 20 years, he’s in exclusivity at Clinica Milénio in Lisbon, as Clinic Director and Aesthetic Surgeon. He has been invited to made consultations and aesthetic surgeries in several countries such as: Germany, Spain, Belgium, Netherlands, South Korea, Chine, etc

Abstract:

There are several techniques to perform breast lift and all have the same basic principles: Preserve anatomy and physiology of the breast, avoid nipple necrosis, maintain sensibility of the nipple, do not interfere with lactation or the ability to breast-feed, have a good shape and size, smaller scars and good final appearance. The author describes a technique with only an areola-vertical final scar with indications in almost all types of ptotic breasts and all grades of ptosis. It’s a versatile technique with no conventional measurements or draws. He makes the pre-op marking in the right breast, and one of the key point being the final position of the nipple and the other where finishing the vertical at the inframammary fold. All the other draw/markings are made by the handling of the breast. After marking the right breast by hand, measurements are taken and the other breast is marked to achieve a good symmetry. He performs all the cases under local tumescent anesthesia with oral and IV sedation. One of the advantages of this technique is less risk of hypertrophic or colloid scaring with few limitations in dressing any type of clothes. This technique doesn’t interfere with normal breast anatomy and physiology and it’s less traumatic, less oedema, less painful and no bleeding. Patients make a quicker recovery and can do many things in few days. Tumescent local anesthesia – about 200 cc of the modified Klein’s formula are infiltrated in both breasts. Local anesthesia is performed in the line incision, surgical technique/ procedure - De-epithelization of the area from the upper part of the areola to the lower part of the areola (Schwarmann’s maneuver). Creating the pocket for the implant undermining under the gland and above the aponeurosis of the pectoralis major. Placement of cohesive gel silicone implant, round shape, low, medium or high profile according to the type of the breast (Eurosilicone). Closure is made in layers to avoid tension in the final wound. No drain is used routinely and all patients have a complete clinical history, pre-op routine examinations plus mammography and/or mammary echography

Roberto Avanzato

Lâ€™Albereta Relais & Chateaux Espace Chenot Health Wellness & Spa , Italy

Title: A revolutionary mini-invasive treatment for cellulite blemishes: One year of experience

Time : 16:55-17:20

Biography:

Roberto Dell' Avanzato MD is the Past Medical Director of L’Albereta Relais & Chateaux Espace Chenot Health Wellness & Spa, Italy. He is a Specialist in Surgery,
Expert in Aesthetic Medicine and Cosmetic Surgery. He pursued his Master Degree in Aesthetic Surgery and he is an Honorary Member of the Israel Academy of
Beauty.

Abstract:

Introduction: Tissue release for cellulite has been practiced for decades with limited success. In October 2016 we started our experience with a novel procedure that represent the only FDA-cleared minimally invasive treatment clinically proven to improve the cellulite blemishes for nearly four years in only one session.
Materials & Methods: I report my one year of personal experience. The procedure is performed in a practice by a qualified physician and the treatment takes maximum 45 minutes. Cellulite dimples are marked and the device is applied to stretch and stabilize tissue in a vacuum chamber, while local anesthesia is delivered. Then, a precise minimally-invasive subcutaneous release of the connective bands (TS-GS: stabilized-guided subcision) is performed with a microblade, without cuts or incisions. After treatment, a light
compression is applied and patients can go about immediately to their daily life.
Results: The procedure treats the primary structural cause of cellulite blemishes, represented by the connective bands crossing throughout fat in thighs and buttocks. The most common side effects reported by patients were soreness and bruising.
Conclusions: This revolutionary FDA-cleared procedure for the cellulite puckering, combines a proven approach with an innovative technology to treat the primary structural cause of cellulite blemishes.

Amit Patel

University of Kentucky, USA

Title: Anatomical considerations for facial fillers

Time : 17:20-17:45

Biography:

Amit Patel received his Medical Degree at the University of Louisville, Louisville, KY. He completed his Residency in Otolaryngology at the University of Illinois at Chicago, Chicago, IL. He went on to complete a fellowship in Facial Plastic & Reconstructive Surgery at Meridian Plastic Surgeons/Affiliation with Indiana University, Indianapolis, IN. He currently holds the position of Assistant Professor with the Department of Otolaryngology-Head & Neck Surgery at the University of Kentucky where he practices Clinical and Surgical Otolaryngology specializing in facial plastic and reconstructive surgery and is also active in the education of residents and medical students. He is Board Certified by the American Board of Otolaryngology-Head & Neck Surgery and the American Board of Facial Plastic & Reconstructive Surgery. He is currently working on a patent for nasal drug delivery application.

Abstract:

In this talk, I will explore the increased use of fillers for aesthetic rejuvenation of the face that have been mirrored by innovation of different filler agents, increased patient demand, and also increased awareness of filler complications. It is, therefore, essential that aesthetic providers understand the different aspects of facial anatomy to improve both aesthetic outcomes, as well as patient satisfaction. I will discuss facial anatomy via aesthetic subunit with special attention to vasculature, soft tissue compartments (including ligamentous boundaries and fat compartments), fascial planes, and bony landmarks to help guide physicians/providers toward safer and improved outcomes. I will utilize intra op surgical photographs and landmark anatomical articles to illustrate the anatomical points.

Shereen Adel

Fayoum University, EGYPT

Title: Platelet Rich-Plasma (PRP) in treatment of melasma

Time : 17:45-18:10

Biography:

Shereen Adel has her expertise in diagnosis and treatment of dermatological diseases and passion in improving the health and wellbeing of patients via continuous evaluation and studying pathogenesis and management with subsequent impact on disease nature and treatment outcome for improving healthcare. She is building this experience by research, evaluation, teaching and administration both in hospital with and University where she teaches as lecturer of Dermatology.

Abstract:

Statement of the Problem: Melasma is an acquired symmetrical hypermelanosis with recurrence and resistance to treatment modaleties. Platelet-Rich Plasma (PRP) may serve as a source of growth factors reducing the pigmentation. The purpose of this study was to evaluate the clinical efficacy of PRP as a new treatment in melasma and role of intense pulsed light (IPL) as an activator for PRP. Methodology & Theoretical Orientation: Twenty female patients with facial melasma were treated with PRP combined with IPL in one side of the face and PRP only on the other. All cases were assessed by MASI score, modified MASI, photos before and after and patient and physician satisfaction scoring. There was no statistically significant difference (p-value >0.05) between study groups regarding patient and physician satisfaction. Most results reported moderate (25-50%) physician and patient satisfaction. The reduction in MASI score was 33.13% and modified MASI score of group1 showed 23.85% improvement and in group2 was 22.86%. Conclusion & Significance: PRP is considered moderately effective treatment for melasma. We don’t advise to follow injection of PRP by IPL as it didn’t improve the results. However, further studies are required.

Kanwar Aryamman Singh

MIMER Medical College, India

Title: Acne scar management: A prospective approach combining PRP and fractional CO2

Biography:

Kanwar Singh has completed his Bachelor of Medicine and Bachelor of Surgery at Barkatullah University, India. He is Junior Resident, pursuing his Master’s degree in Dermatology at Maharashtra University of Health Sciences, Nashik, India.

Abstract:

Acne is very common in skin outpatient department and scars are seen in almost 95% of cases. As acne scars are causing significant impact on psychosocial wellbeing of an individual and hampering day to day routine activities and creating low self-esteem. Though, there are numerous modalities of treatment (like chemical peels, dermabrasion, derma-roller etc.) but researchers are still trying for a single modality to treat the complications due to its variety in shape and depth and reduce the duration of treatment. As autologous PRP has already shown tremendous potential in field of dermatology in enhancing wound healing and fractional CO2 is being considered to have good approach for acne scarring. So, planned of combining the two to enhance the treatment modality in acne scars and decrease the duration and its psychosocial impact. The main objective of this study was to assess the efficacy of a combined modality in terms of clinical improvement and reduced treatment duration

Dermatological Diseases | Aesthetic and Cosmetic Dermatology | Dermatology: Therapies and Advances Clinical and Medical Dermatology | Hair and Nails | Melanoma | Aesthetic Non Surgical Procedure | Oral-Maxillofacial Surgery | Advances in Cosmetic Procedures

Location: sunset 2

Chair

Marcelo Mayorga

Uriarte Cirugia Plastica, Bolivia

Session Introduction

Mustafa Jaber and Diaa Jaber

Cairo University, Egypt

Title: Alopecia is not an immune disease, It's a hormonal deficiency

Biography:

Mustafa Jaber has completed his MD at the age of 25 years in 1973 from Cairo University - School of Medicine. He holds medical consultant certificate in 1985 from Paris Modern medicine. He has published more than 27 papers in reputed journals.

Abstract:

Alopecia totalis is a widespread disease, more than 200 Million people suffer from this disease especially in cold cloudy countries such as European where there is a shortage of UV rays. Here in Jordan about 25.000 patients experienced my new method of treatment (hormonal approach) in my private clinic who suffered Alopecia Totalis and the result was more than 95% success and got complete cure. Alopecia totalis is considered as an autoimmune disease , my experience with this category of patients , I found that they shared a hormonal disturbance in all patients suffering from alopecia totalis. I will discuss in details in my research, deficiencies of hormones and lack of some organic metals that I noticed in alopecia patients. Keeping normal ranges of those hormones and metals resulted in full hair growth all over the body in all patients from different countries and ethnic groups all over the world. Nearly 25000-26000 alopecia patients from different countries have been cured and got new hair and good lives after treatment in my clinic.

Shamma Aboobacker

KMCT Medical College, India

Title: Melasma: Unknowingly multifarious

Biography:

Shamma Aboobacker graduated from Yenepoya Medical College, India. She completed professional training as MSc in Clinical Dermatology at Cardiff University and MD DVL at Pondicherry University. She has expertise as Clinical Dermatologist since 2011, in United Arab Emirates and India, and currently an Assistant Professor at KMCT Medical College. She has keen interest in research activities and focuses on delivering up to date patient care. Her areas of proficiency include pigmentary disorders, skin malignancy, psoriasis and platelet rich plasma therapy. She is currently working on research involving melasma and another on platelet rich plasma therapy. She has published papers in reputed journals and has been serving as an Editorial Board Member of Journal of Surgical Dermatology.

Abstract:

Melasma, derived from the Greek word ‘Melas’ meaning black and ‘Chloazein’ meaning green, is an acquired symmetric hypermelanotic condition that has a striking appearance and resultant mental impact. There are a number of norms linked with melasma including role of ultraviolet exposure, occurrence in pregnancy, female predisposition and even its nature through the earliest report of melasma as ‘Lihei Ban’ in Chinese medicine meaning persistent condition. Much of research focused on etiology is highlighted however a consensus is lacking. The peculiarity in lesional skin is the presence of hyper functional melanocytes that possess increased expression of estrogen receptors and PDKZ1 domains that are involved in increased melanogenesis. The rather indirect roles exhibited by UV light, drugs, anaemia and systemic conditions may be noted.

Shaunak Patel

ADORN Cosmetic Clinic, India

Title: Newer indications of Q-switched Nd: YAG laser in skin of color

Biography:

Shaunak Patel is a recipient of Chancellor’s Gold medal in Dermatology & Founding President of Society of Aesthetic Advancements India (SAAI). He is a National Faculty in many dermatology conferences in India and a Trainer and Faculty Demonstrator for thread-lifting and micro cannula approach for filler injections. His research areas of interest are Pigmentation and Non-surgical face remoulding.

Abstract:

With the evolution of Q-switching technology in the field of Nd:YAG lasers, the safety profile improved dramatically making the use of higher energy density to be delivered with much safety and accuracy. The availability of this laser system as a 1064 and a 532 nm ensures optimally gratifying results from the patient’s perspective for a variety of pigmentary lesions, the settings can be tweaked for a number of off-label uses which I routinely use in my clinical practice. The effects of a Q-switched Nd:YAG system are primarily because of photoaccoustic effect. Dermal heating also results in satisfying anti-aging results which develop progressively over time. We try to harness this very inherent nature of the laser system and stretch this capacity to the maximum. While some of the applications about to be discussed resulted from a working knowledge of the mechanics involved whereas others were discovered randomly across study groups. Changing the combinations like spot size, frequency and energy density resulted in development of protocols which warrant the use of it in such unique ways. Application of milli-pulse free running mode is chiefly employed for ablative and thermal purposes as we shall see. The Q-switched & fractional Q-switched modes find uses in novel pigmentary & antiaging applications. A special collimated hand-piece was also employed for subliminal excitement of nerve fibers in acute and chronic neuralgias.

Badria Mahmoud

Hamad Medical Corporation, Qatar

Title: Hormonal acne in adult female

Biography:

Badria Mahmoud, MD, MS, is an Attending Senior Consultant in the Department of Dermatology, Hamad Medical Corporation of Qatar and the owner and medical Director of Dr. Badria Dermo-cosmatic and laser Center in Qatar. She completed her Undergraduate Degree from King Faisal University in Kingdom of Saudi Arabia. She completed a residency program at Hamad Medical Corporation in Department of Dermatology & Venereology and went to Ain-Shams University medical school in Egypt for her Master’s Degree in Dermatology & Venereology, followed by a fellowship in Dermatopathology from St. Johns institution of Dermatology in London.

Abstract:

Acne is one of most common skin diseases in the general population especially among adolescents. However, the number of patients aged over 25 years referred to dermatology department complaining of acne are increasing. The complaint is more common in females. Based on the time of onset; two subtypes of acne have been recognized in females; “persistent acne” as a continuation of adolescent acne and the late onset acne is first present in adulthood. Different names have been given to the adulthood acne; late onset acne, hormonal acne and acne tarda. The causes of adulthood acne remain to be fully elucidated, and hormones, colonization by resistant bacteria, the use of cosmetics, drugs and chronic stress have been put forward as possible etiological factors. Since adult acne is more common in women, there has always been an emphasis on underlying hormonal imbalance. End-organ hypersensitivity and not androgen levels may be the central factor in development of adult acne in women. Increased sensitivity of the sebaceous gland to androgens or increased local metabolism of androgen hormones in the skin to potent androgen metabolites may offer alternative mechanisms for the pathogenesis of this disorder. Hormonal agents are one of the standard systemic medications in addition to antibiotics and isotretinoin. Appropriate patient selection is the key to start hormonal agents as treatment for acne.

Alice Connolly and Bronwyn Connolly

Peach Clinics, Australia

Title: Combining permanent hair removal and permanent makeup to reshape facial features

Biography:

Alice Connolly is a Director of Peach Clinics in Sydney, Australia. Peach Clinics specializes in providing permanent hair removal and permanent makeup. She received a Bachelor of Electrical Engineering from the University of Technology, Sydney. She has been active in developing advanced equipment for hair removal with the aim of combining permanent hair removal with permanent makeup to reshape facial features, particularly for transgender women. She has been collaborating with Irma Hulscher of Aprils Touch in the Netherlands to develop a process to achieve lasting and naturally shaped eyebrows free of the limitations enforced by natural hair growth.

Abstract:

Statement of the Problem: Many women are unhappy with the shape and thickness of their eyebrows. They use various beauty techniques to give the effect of fuller, shapelier eyebrows yet none of these techniques can achieve a permanent result. Enhancing eyebrows using permanent makeup has been limited to filling and adding to the eyebrow, as substantial alteration to its shape and location would require endless removal of outlying hair by the client. Until now, the only solution to eyebrow relocation has been cosmetic surgery. However, a novel combination of two well- established techniques has provided a permanent solution. This discussion describes a non-surgical technique to achieving beautifully shaped eyebrows free of these constraints. Methodology & Approach: Aprils Touch and Peach Clinics have combined the techniques of permanent makeup and permanent hair removal in a process to achieve lasting, naturally-shaped eyebrows. Eyebrows are important in the perception of gender. Men have thicker brows and they are usually straighter with less defined edges. To soften and feminize the face, the eyebrow needs soft curves rather than sharp corners. Neatly shaped and symmetrical eyebrows make the face look more feminine. After determining the exact shape for the revised eyebrow, galvanic electrolysis is used to permanently remove all eyebrow hair outside this area. Galvanic electrolysis has been in use for over 140 years and remains the only method permitted to call itself “permanent” by the US FDA. The accuracy of galvanic electrolysis and its ability to target individual hairs means eyebrow shaping can occur with absolute precision. Aprils Touch MICROFEMINIZATION® technique is then used to recreate the brow in detail defining, shaping and heightening the eyebrow to a soft feminine appearance. MICROFEMINIZATION® is a unique method of skin pigmentation which was specifically developed to feminize the features of the face. Findings: Using this technique, Aprils Touch and Peach Clinics have been able to provide a permanent and natural looking solution to full and shapely eyebrows. Whilst this technique has been developed to enhance the perception of femininity in transgender women, it has general application to all women and can also be applied to reshaping the forehead hairline.

Kenji Momo

Teikyo Heisei University, Japan

Title: Assessment of indomethacin oral spray for the treatment of anticancer therapy induced severe oral and oropharyngeal mucositis

Biography:

Kenji Momo from Japan has his expertise of the drug formulations, pharmacokinetics and pharmacoepidemiology. He worked at Tsukuba-university hospital in Japan for 13 years as a clinical pharmacist belonged to palliative care team. From 2016, he moved to Teikyo Heisei University (faculty of pharmaceutical sciences) as an associate professor. Indomethacin spray preparation that introduce in this session, used in Japan as an alternative therapeutic optionfor uncontrollable pain for the oral mucositis and oropharyngeal mucositis caused by cancer therapy. He is trying to develop this indomethacin spray to commercially based drug.

Abstract:

Statement of the Problem: Oropharyngeal mucositis (OM) and Oral mucositis is an adversity of chemo- and radio-therapy and is accompanied by severe throat and oral pain in patients with CTCAE grades of over 3, which includes 30% of cancer patients treated with radio-therapy. OM often impairs quality of life (QOL) and leads to discontinuation of chemo- and radio-therapy because severe pain compromises oral intake and nutritional status. In this study, we tried to use the Indomethacin oral spray (IM-OS) preparation to relief the pain that induced cancer therapy. Methods: We observed 35 patients (male/female: 20/15, 53 ± 17 y) with oropharyngeal mucositis, who treated with IM-OS preparation for pain relief at University of Tsukuba hospital, Japan. Analgesic effects were assessed using the six-grade face scale for pain in 28 patients at the start of IM oral spray treatment. Systemic exposure was assessed by determining urinary excretions of IM in seven patients. Results: Pain relief was achieved in 26 (93%) patients at 25 (5–60) min after applying the IM-OS preparation (15.6 ± 3.4 μg/kg) and analgesic effects were maintained for 120 (10–360) min. The pain was significantly decreased after using the spray (3.6 ± 0.7 vs. 2.4 ± 0.9, p < 0.01). Moreover, urinary IM excretion rates after applying the IM spray preparation were 1.8 ± 0.8% of the IM oral spray dose (130.5 ± 77.7 μg/kg/day), which was markedly lower than that following oral administration of IM (60%). No adverse events were observed following application of the spray. Conclusions: The present IM spray is an effective and safe for pain relief and can be used as an alternative therapeutic option for oropharyngeal mucositis in cancer patients.

Amit Patel

University of Kentucky, USA

Title: Design thinking & aesthetic rhinoplasty applications in nasal ala reconstruction

Biography:

Amit Patel received his Medical Degree at the University of Louisville, Louisville, KY. He completed his residency in Otolaryngology at the University of Illinois at Chicago, IL. He went on to complete a Fellowship in Facial Plastic & Reconstructive Surgery at Meridian Plastic Surgeons/Affiliation with Indiana University, Indianapolis, IN. He currently holds the position of Assistant Professor with the Department of Otolaryngology-Head & Neck Surgery at the University of Kentucky where he practices Clinical and Surgical Otolaryngology specializing in facial plastic and reconstructive surgery and is also active in the education of residents and medical students. He is Board Certified by the American Board of Otolaryngology-Head & Neck Surgery and the American Board of Facial Plastic & Reconstructive Surgery. He is currently working on a patent for nasal drug delivery application

Abstract:

Vascular occlusion following facial fillers is rare, but unfortunately has the potential for some complications. In this talk, I will discuss the aesthetic, design, and key points for my specific surgical technique considerations for successful reconstruction following deficits of the nasal ala and tip. The reconstruction of large defects of the nasal ala requires an understanding of anatomy, nasal aesthetics, and complete functionality. This surgical technique, with design in mind, likely improves the ability to recreate a nasal airway to restore physiologic function while simultaneously allowing a symmetric and natural looking external contour. In the same fashion, translating aesthetic rhinoplasty techniques into the design process facilitates the proper outcome. Striving for proper surgical technique, while keeping in mind creativity and design often leads to the best outcomes and the most satisfied patients, specifically when it comes to aesthetic rhinoplasty applications in nasal ala reconstruction

Sabreen Zamil

Sabreen Zamil Clinic, Kuwait

Title: Reduction mammoplasty in males my preferred technique

Biography:

Sabreen Zamil is in practice of plastic surgery for 22 years. She is the Head of Unit in Al Babtain Center of Plastic, Reconstructive Surgery and Burns. Also, she was the Former Tutor at the Faculty of Medicine, Kuwait. She is the first female Kuwaiti Plastic Surgeon, currently she is the Owner and Director of SabreenA clinic.

Abstract:

Surgical treatment of grade III gynecomastia requires more scarring than grade I& II. Reduction mammoplasty in males has been recently more encountered since the introduction and the uprising of bariatric surgery. Yet it is more challenging than in the female breast as it requires certain modification to reach a modest male breast shape. Since the year 2010 up till now we adopted and modified a technique that eliminates the vertical Scar and carries the NAC on a wide pedicle simulating a Pec. Major contour, as much as possible then delivered through a hole in the superior skin flap. A series of cases performed since 2010 by myself and adopted by some colleagues in the department afterwards (around 32%) of the total no. of cases; two incidences of NAC mal positioning however did not affect the patient satisfaction. The future is to combine it with high definition lipo sculpture in selected thin built patients.

Marisse Venter

Netcare Milpark Hospital, South Africa

Title: Analyzing the effects of facial fat fills as explained by an animal study: The effect of lipo-aspirate on wound healing

Biography:

Marisse Venter is a successful, highly qualified Plastic and Reconstructive Surgeon. She has a special interest in breast reconstruction and cosmetic surgery. She is the only female Plastic and Reconstructive Surgeon in the Breast Care Centre of Excellence at Netcare Milpark Hospital. She qualified from the University of Cape Town in 2002 and her specialization encompassed 4 years of general surgery and a further 4 years of plastic surgery at the University of the Witwatersrand from where she qualified as a plastic surgeon. In 2004 she completed 1-year military training in North West Mafikeng & Potchefstroom at the Military health units. She was also an Acting Consultant at the Helen Joseph Hospital, teaching breast reconstruction to training doctors

Abstract:

Background: Adipose derived stem cells have been shown to have multiple regenerative properties including accelerated wound healing. Stem cells are harvested, purified and cultured to provide an adequate cellular yield. This isolation process required large financial contributions, trained laboratory staff, intensive procedure utilizing multiple purification solutions and expensive equipment. The aim of the study was to investigate the effect of simple lipo-aspirate on wound healing without stem cell cultivation, thereby reducing the cost but still maintaining the adipose stem cell advantage. Methodology: This is a prospective, interventional animal study to investigate the effect of lipo-aspirate on wound healing. Histological evaluation will be discussed. Results: Evaluation shows accelerated wound healing with the treatment of adipose tissue compared to control wounds. Wound healing markers such as epidermal growth, new vessel formation, new collagen formation was all statistically significantly increased. The bacteriology results showed no significant differences and fat treated wounds had a clear histological advantage compared to control wounds. From the histological analysis it appears that fat changes the architecture of the underlying dermis. Analyzing the before and after pictures of patients having received facial fat fills shows the textural changes seen with facial fat fills in facial rejuvenation. 30-50 patients will be discussed as well as management of associated complicates. Conclusion: Facial fat fills aid facial rejuvenation in a process like lipo-assisted wound healing as shown in an animal model.

Iqbal Bukhari

1Imam Abdulrahman AlFaisal University, Saudi Arabia

Title: Spontaneous resolution of lipedematous scalp after 13 years

Biography:

Iqbal Bukhari is highly motivated professor and consultant dermatologist with more than 25 years of good experience in many dermatological diseases and their management. Special interest in laser therapy, phototherapy, dematopathology, cosmetic dermatology and study of genetic diseases. Has many publications in various international medical journals

Abstract:

Lipedematous scalp (LS) is a condition in which there is localized accumulation of fatty tissue in the subcutaneous layer of the scalp without hair abnormalities. Clinically it is detected by palpation of the scalp exhibiting a localized soft and non-tender swelling. Currently, there is no effective treatment for LS but surgical treatment and oral mycophenolate mofetil were documented to be effective in LA. Here we report the first case in the medical literature of spontaneous resolution of lipedematous scalp in a patient whom we diagnosed and reported in 2004 to have Lipedematous scalp. A 69-year-old southern Arabic female presented to our dermatology clinic as a follow up case of lipedematous scalp diagnosed in our clinic in 2003. She is a known case of supraventricular tachycardia and hypercholesterolemia well controlled with medication. Besides, the patient scalp condition was last evaluated four years prior to her current visit in our clinic with no significant change. Interestingly, on examination of the scalp, there was absence of the spongy feeling on palpation and there was no loss of hair. Axial computed tomography of the skull showed scalp thickness in the high occipitoparietal region of 8 mm as compared to 21.1 mm in 2003. While midsagittal reconstructed computed tomography showed a scalp thickness at the high occipitoparietal region of 9 mm as compared to 16.9 mm in 2003. Subcutaneous fat thickness was almost 6 mm at the occipitoparietal region which is normal compared to 19.2 mm reported in 2003 for the same region. So, we confirmed our impression of spontaneous complete resolution of lipedematous scalp after thirteen years duration and it is the first reported case in the medical literature.