Day 3 :
- Track 7: Cosmetic Dermatology Track 10: Cosmetics and Skin care
Track 13: The Business of Cosmetology Track 14: Aesthetic Business
Location: Dubai, United Arab Emirates
Session Introduction
Alain Tenenbaum
Swiss Academy of Cosmetic Dermatology and Aesthetic Medicine, Switzerland
Title: How to increase your E-Notoriety after a workshop of E-Marketing for cosmetic physicians ( Dermatologists, Plastic Surgeons, Aesthetic Medicine practicioners)
Biography:
Alain Tenenbaum (MD, PhD and DSc). His Specialties are ENT and Facial Plastic Surgery- Paris, Aeronautic and Cosmonautic Medicine-Paris, Human Biology-Paris, Biological Physico Chemistry-Paris and Ex-Associated Prof. of Informatics-Nancy
Abstract:
Introduction: There are actually many congresses as workshops proposing to learn or update new as already known techniques, to increase your arsenal for proposing more to your patients. Also since social networks, chats have taken a big place in our daily life; patients do not speak between each other anymore to recommend a physician. They just chat on line and some of them (increasing number) use the net to diffuse a bad reputation to their physician, even if legal ways do not condemn the practitioner. What is forbidden in Europe? European Union as Switzerland has engaged too many burocrats (bourreaux-crats in French) to find in physicians websites all so called by them, illegal data, so that results are a penal law suit against the physician - a fine from 50.000 €-the immediate closure of the website. It is forbidden to insert any commercial name of medical devices or medicines on your website, to insert pictures of patients before and after, to make a promotion of off-label uses of a registered commercial product, in some countries to publish prices for some treatments. And you are also responsible of all contents with all links to other websites: this means that you should never make any links with commercial companies. To avoid problems: You should put your website outside the EU or Switzerland by choosing a domain which finishes by .com, .net, .info and .org for example choosing a hosting outside EU and Switzerland, preferentially in USA (internet freedom). In China, Internet Freedom Restrictions are worse than in EU: Facebook and Google cannot be reached. Proxys can be used at own-risks. Baidu (the Chinese, Google) selects in function of Chinese laws the websites according to Chinese laws to be referenced there. Which links not to do: To increase your website in the SEO (search engines optimization) correlated to your e-notoriety, never make links with websites from authorities (acting always against you), bad-ranked in search engines (if there is no reciprocity), commercial companies so called, ethical label which are private and even less ethical than your own website ! Which links to do to increase your e-notoriety and to push you up in SEO?- Recommended are to make links with yellow pages where your name is inside; scientific directories (high-ranked) and without commercial links with free registration and scientific societies with their members.
Mohan Thomas
The Cosmetic Surgery Institute, India
Title: Anatomical and mechanical concepts in facial rejuvenation using fi llers
Biography:
Mohan Thomas is an American trained and Board certified cosmetic surgeon and a Consultant at Breach Candy Hospital and Hinduja Healthcare Hospital in Mumbai, India. He is the Chairman and Managing Director of the Cosmetic Surgery Institute, Mumbai, India. He has made significant contributions to the plastic and aesthetic surgery literature including publications in the American Academy of Cosmetic Surgery Journal, Plastic and Reconstructive Surgery Journal, Aesthetic Surgery Journal, Journal of Plastic Reconstructive and Aesthetic Surgery, Journal of the American Academy of Cosmetic Surgery and the prestigious clinics of North America.
Abstract:
Aim: To analyze a novel method of facial filling “The pillars pyramids and tie beams (PPT)” technique based on the anatomy of the area to be injected and the longevity of the results achieved due to the newer mechanical concept of injection is analyzed. Subjects & Methods: A novel technique of injecting the dermal fillers was employed on 112 patients visiting our clinic. These patients were followed up for a period of three years. Results: We observed that the amount of filler material required in initial sitting remains the same, however the frequency of touch up visits is decreased and so is the amount of filler material required for follow up injections. Conclusion: Facial contour remodeling is being revolutionized by the new filler materials for volume augmentation and no uniform consensus has reached on the techniques currently used in clinical practice. We advocate this novel PPT technique of facial filling in facial rejuvenation to restore a youthful look as a primary goal.
Amira Amin Zayed
Cairo University, Egypt
Title: A new adjuvant sequential peel therapy for the treatment of acne vulgaris in ethnic skin: A pilot study
Biography:
Amira Amin Zayed has graduated from Kasr El Ainy Hospital, Cairo University in 1987 and completed a Master’s degree in Dermatology in 1992 and Doctorate degree in Dermatology in 1998. She is a Professor of Dermatology at Kasr El Ainy hospital, Faculty of Medicine, Cairo University from 2011 till date. She is a founding member of the Aesthetic Academy of Egypt. She has published several papers in national and international journals.
Abstract:
Both glycolic acid (GA) and salicylic acid (SA) peels are used as adjuvants for the treatment of acne vulgaris. GA causes corneocyte dysadhesion, leading to exfoliation; while SA acts on the sebaceous follicle and has a lipophilic, comedolytic and an antiinflammatory action. Using GA 70% and SA 20% peel in a sequential manner has not been discussed before. It is suggested that GA 70% peel might enhance the penetration of SA 20% leading to a greater depth of the peel, with less chances for post inflammatory hyperpigmentation especially in ethnic skin groups. The aim of the study is to evaluate both the safety and efficacy of GA 70% and SA 20% as an adjuvant sequential peel modality for moderate and severe acne vulgaris in ethnic skin. Twenty five patients, skin types IV and V with moderate to severe acne vulgaris were enrolled in the study. GA 70% and SA 20% were applied on the whole face sequentially at 3 week intervals for 3 months. Safety was assessed by evaluating the adverse effects, while the efficacy was evaluated by counting the acne lesions by Acne Grading method using Photographic Standards. Patient’s satisfaction was estimated by Visual Analogue Scale (VAS). There was a highly significant reduction in acne lesions (p<0.01) at the end of the sessions. 76% of patients were highly satisfied with their results. The sequential peel therapy was very well tolerated in all patients without any persistent side effects. Using glycolic acid 70% and salicylic acid 20% in a sequential manner seems to be a safe, effective adjuvant modality for moderate and severe acne vulgaris in ethnic skin.
Biography:
Shuba Dharmana is a crowned “Woman Entrepreneur of the Year 2012” amongst several other prestigious awards. She is founder and CEO of Lejeune group of Medspas, which she presently runs in Bangalore and Hyderabad and consults at various multispecialty hospitals across India. After graduating from the Andhra Medical College, India, she left for UK where she trained and practiced for 10 years in General Practice and undertook a Post Graduate Diploma in Clinical Dermatology from the University of Cardiff. She discovered her passion in aesthetic medicine and trained under eminent Aesthetic physicians, working for several clinics all across UK. She also trained in Hair Transplantation Techniques in Poland under one of Europe’s most reputed Hair Transplant Surgeons, Dr. Marwan Saifi.
Abstract:
Acanthosis Nigricans is a condition involving symmetrical hyperpigmentation and thickening of the skin in the flexures like neck, axilla and groin. It is strongly associated with insulin resistance, obesity, Polycystic Ovarian Syndrome and some malignancies. It is important to screen people with AN for insulin resistance and advocate lifestyle changes, weight reduction etc. to reduce the risk of diabetes and its complications. Whilst underlying causes need to be corrected, lightening of the patches poses a problem. It’s often resistant to treatment and recurrence is common. A variety of topical skin lightening agents like Hydroquinone, Azelaic acid, triple combination cream, chemical peels, keratolytic agents like salicylic acid, emollients, calcipotriol, Metformin, octreotide, oral and topical retinoids , CO2 ablation, long pulsed alexandrite laser are all used to improve appearance.
Alberto C P Dias
University of Minho, Portugal
Title: Wound healing and antimicrobial activities of cosmeceuticals containing natural products and their nananoparticles: A translational approach
Time : 10:25-10:45
Biography:
Alberto Dias has a degree in Applied Biology from University of Lisbon in 1989 and MSc in Biotechnology (IST, 1993), PhD (UMinho, 2001). He is a coordinator of CITABUM research centre at the University of Minho. His research includes the study of plant metabolites and their bioactivities, focusing on antioxidant, anti-inflammatory and neuroprotective properties. More recently, he developed products incorporating biofunctional extracts and compounds in several matrices (nanoparticles, cosmetics and nutraceuticals). He was coordinator of several national and international projects. He participated in the organization or was Chair of several national and international meetings and is author of more than 70 SCI papers and several book chapters.
Abstract:
Extracts, infusions, or other types of preparations from medicinal plants have been used for the treatment of various diseases, in what is commonly designated as “folk medicine”. In recent years, science has prove that some plant extracts, fractions or specific compounds may have an important role as drug sources with relevant properties. Over the last years the incorporation of natural products, particularly plant based products, in cosmeceuticals has also increased. In this work, particular emphasis will be given to antimicrobial and wound healing properties of specific plants/compounds incorporated in some cosmeceuticals. New approaches, including nanotechnology, will be addressed. Based on specific plant extracts and oils it was possible to develop some particular cosmeceuticals used clinicaly. These formulations were applied into adult volunteers (more then 150) with skin disorders, namely skin burns, recalcitrant wounds, and psoriasis. The synergy of the properties of the plant extracts and oils, in specific treatment situations, resulted in very positive results. In all cases, after repeated applications, notorious improvements or complete treatment were observed, without side effects. The action of the formulations revealed to be associated to a high degree of skin hydration, cellular skin regeneration, and antimicrobial activity. The results demonstrated, at least, a similar effectiveness when comparing to the conventional treatments.
Dhelya Widasmara
Brawijaya University School of Medicine, Indonesia
Title: Low-fluence 1064 nm Q-switched Neodymium-Doped Yttrium Aluminum Garnet (1,064 nm) laser for the treatment of facial melasma in Fitzpatrick skin phototype III
Time : 10:45-11:05
Biography:
Dhelya Widasmara has completed his PhD and Post-doctoral studies from Airlangga University School of Medicine. She has began staffing the Dermatology and Venereology at Saiful Anwar General Hospital, Malang Indonesia in 2012. Until now she provides lectures for residents and medical students through the Dept. of Dermatology, the Dept. of Leprosy noon lecture series. She has been serving as member of PERDOSKI Malang and also member of study group International union against Sexually Transmitted Infections (IUSTI) Asia-Pacific region since 2011 and Intenational Leprosy association (ILA) since 2015.
Abstract:
Multiple treatment modalities have been employed for the management of melasma with minimal to no success. Recently the low sub-thermolytic fluence, 1064nm Q-switched Nd Yag laser therapy has been widely used because of its efficacy and safety even in Fitzpatrick skin type III-IV patients with darker skin tone. A 35-year-old female with a Fitzpatrick skin type III came with the complaint of having a few patches of brown pigmentation on both her cheeks for about 10 years, but worsening for the past few years. She had no known medical illness, did not take any oral contraceptive pill and was not undergoing hormone replacement therapy. There was no significant aesthetic and surgical history. Dermatology examination showed that a few patches of brown pigment macule on both malar and temporal area were suggestive of a mixed melasma. Modified MASI score showed 7.2. Started initially on low fluence 1064nm Q-switched Nd Yag laser at 10Hz, spot size of 8mm, at the fluence of 2.0-2.5J/cm2 with multiple passes. Follow up in 1 month after single session was showed decreasing modified MASI score. Modified MASI scoring showed 4.8. Slight erythema was observed after the treatment, lasting for approximately 1 to 3 hours. A remarkable improvement of melasma after a single session of laser was achieved. Low fluence Q-Switched Nd:YAG lasers provide a method of targeting both the superficial melasma, and melasma that is rooted deeper in the dermis. Many studies have been published which demonstrate Q-switched Nd:YAG laser technology as a useful treatment modality.
Biography:
Anup Dhir specializes in cosmetic & aesthetic surgery of the face and body. He attended Govt. Medical College, Patiala as an undergraduate and received his Medical Degree from Punjabi University, India. He completed his Post-graduate residency surgical training at Government Medical College & Rajendra Hospital Patiala leading to M.S. and M.Ch. (Plastic Surgery). He obtained a clinical fellowship in Plastic Surgery at Tata Memorial Hospital, Bombay. He has done a fellowship in maxillo facial surgery from Ludiwigs-Maximilians University Munich, Germany. He has also worked as a British Association of Plastic surgeons sponsored trainee at Plastic, Aesthetic, Hand & Burn Surgery units at Newcastle General Hospital & Royal Victoria Infirmary, Newcastle upon Tyne, UK and Queen Victoria Hospital, East Grinstead, UK.
Abstract:
Millions of people suffer from pain & discomfort due to scars caused by trauma, burn injuries, surgery and acne etc. Now a new technique is being used which involves injection of patients own fat cells into hard contracted scars. This was used in hard & contracted scars which did not improve with conservative treatment. This presentation describes the procedure, instruments, techniques of harvesting & refinement, surgical protocol and results. The conclusion drawn is that lipoinjection improves the aesthetic & functional results of these hypertrophic scars and makes them less painful.
Pierfrancesco Bove
Chirurgia della Bellezza, Italy
Title: The “smart†mastoplasty
Time : 11:40-12:00
Biography:
Pierfrancesco Bove founded CHIRURGIA della BELLEZZA, a Plastic Surgery network in 2013. He is a consultant maxillo-facial surgeon and obtained Master’s degree in Aesthetic Surgery at the University of Padua. He is a Professor at the University of Foggia in Italy and work as plastic sur-geon in Milan, Florence, Rome, Naples and some more Italians cities, under the brand CHIRUR-GIA della BELLEZZA. Moreover, he wrote several chapters in medical book in the field of plastic surgery.
Abstract:
Introduction: Breast augmentation with implants is the most performed procedure performed, in aesthetic plastic surgery, worldwide. Several techniques have been described for surgical access ra-ther than for implant’s pocket and so on. However, it is really important to analyze psychological aspects of women undergoing breast augmentation (BA); nowadays a large part of patients request-ing BA are 30, 40 years old working ladies who can’t have too many “days off “ from work. This is why is really important to perform a fast and save BA technique. Authors describe their experience with a personal protocol of breast augmentation performed with an IMF approach and a low sub-muscular dual plane placement of anatomic implants. Methods: 122 patients undergone breast surgery in last 24 months were retrospectively evaluated; from the study group only the ones requiring breast augmentation with no need of any kind of mastopexy (round block, vertical mastopexy, T-shaped mastopexy and so on) were included. 86 of the patients undergone BA with implants, 18 received round implants and 68 anatomic ones. Of 86 patients only 64 were followed up at least for 12 months. The technique described by the authors, called “Smart” mastoplasty, was performed in all the cases. Mean OR time was 34 minutes. Capsu-lar contracture, implant infection, bleeding and seroma were not recorded. In 6 times, 2 bilaterally and four mono-laterally, wound dehiscence occurred requiring surgical closure. Results & Conclusions: Aesthetic results were in all the cases, at least, aesthetically pleasant; pa-tients get back to work in 48 hours in almost all cases. The “smart” mastoplasty, taking in count the short follow up of the present study, looks a safe and fast technique for women requiring BA.
J Sathish Kumar
Sri Ramachandra Medical University Hospital, India
Title: Micro and non-micro surgical reconstrction of post traumatic hand injuries
Time : 12:00-12:20
Biography:
J Sathish Kumar is a plastic and aesthetic reconstructive surgeon with special interest in micro-neural and micro-vascular surgery. He is an examiner and surgical skills tutor for the Royal College of Surgeons of Edinburgh. He has been a visiting professor to Washington University School of Medicine, St. Louis, Missouri, USA.
Abstract:
Post traumatic hand injuries are fairly common in a developing country like India and are usually due to road traffic or industrial accidents. Although traditional non-micro surgical methods of reconstruction provide excellent functional results the role of microsurgery in current day hand surgery is immense. In re-plantation it offers the ultimate in cosmesis and rehabilitation. The author’s experience in such procedures including immediate thumb reconstruction and pollicisation is presented.
Ardeshir Vahidi
University of Leicester Affi liated Teaching Hospital, UK
Title: “Psychoaesthetics†is a new term in medical terminology, specifi cally in Plastic Reconstructive surgery and Cosmetic Surgery
Time : 12:20-12:40
Biography:
Ardeshir Vahidi originated the term ‘psychoaesthetics’. As a cosmetic surgeon, he believes that there is a psychological reason behind needs of patients for surgery, cosmetic surgery can only be well done when creates the balance between mind and body, understanding of both the patients inner view of themselves and how they want to represent themselves outside. He works with this ethic to deliver ‘pain free’ intervention and both surgical and microsurgical techniques that leave minimal scarring or bruising. He is passionate about seeing cosmetic surgery as an art to help accentuate the natural curves and lines rather than inflate them.
Abstract:
It is about scientific research started earlier at the beginning of my medical studies, observation of human behavior, a very serious study subject when I started my internship in Plastic Surgery on 1995 starting with Psycho-Cybernetics of Dr. Maxwell in 1960 and other studies regarding dysmorphophobia, patient’s desire for change and their inner happiness and psychological comfort lead me to find the key objective of this term. As an example I would stress eyes, lips and the arc of Cupid as principal elements, centre of attraction, important role in expression of women’s sensuality. “Informational lines of intense sexual signals” 30 Beginning with idea of “informational lines and forms with intense sexual signals”. In this publication I would like to stress thatbehind all surgical procedures there is a desire, which leads to improvement of lines and forms, willingly or unwillingly. We do IMPROVE the lines, contours and forms toward PERFECTION, which enhances sexual attraction. Conclusion: Medical science, Art and philosophy in one word, “Psychoaesthetics” is a meaningful term and concept, improvement of lines and contours, beautiful body design for psychological comfort, sexual attraction, leading to fulfillment of the hidden formula for perpetuation of human species. Discussion & Observations: Would we, as medical professionals or as human being to admit thatwishing of Surgical Procedures - Plastic Reconstructive Surgery or Cosmetics Surgery are hiding a hidden sexual desire? This publication brings evidence and scientific proof that the onlyreason, hidden behind the unconscious desire of patients’ wishes is improving of informational lines which have the maximum sexual signals.
Quintin L Gunn Sr
Doctors Social Media Practice Consulting & Development LLC., USA
Title: Is social media good for your practice?
Biography:
Quintin L Gunn Sr is Lead Strategic Planner and CSO for Doctors Social Media Practice Consulting & Development LLC. Their primary focus is on Practice Development and effective Medical Marketing techniques for health care practitioners and medical practice groups. He has a successful track record of helping medical practice groups and individual doctors struggling with low to stagnant income, and improved understanding of the Internet and Social Media’s impact on their medical practice image and patient retention efforts. In 2014, he was selected as one of the Featured Panelists by Oracle Customer Experience Group related to Helping Health Care Organizations Leverage Social Media. This program was focused on helping providers integrate Social Media into their practice communication process. In 2013 & 2011, he was awarded Top Consultative Sales and Practice Development Specialist for PracticeDock and LocateADoc.com. He is a Member of Physician Office Managers Associaiton of America (POMAA) , Dallastown, PA, USA; The National Office Managers Association of America (NOMAA) Dallastown, PA, USA; The National Aesthetic Spa Network, (NASN) Ozark, MO USA; National Healthcare Leaders Association (NHCLA) Orlando, FL. Most recently, he has written and is publishing via LinkedIn, a series of Practice Development modules to help improve practice performance titled “Annual Practice Assessment: The Prescription for Success!”; “Is Social Media Good for Your Practice?”; “Social Media Search and Consumers”.
Abstract:
In speaking with many general practitioners, doctors and practice managers, social media is still considered the unknown business development and marketing frontier. However, within the fee for service, cosmetic and aesthetic industry, social media has effectively galvanized the power of social brand building and lead generation. Not only that, but many now use social media as an effective alternative to getting the word out about their practice and to acquire real time customer reviews. In this discussion, we will examine the most commonly used social media tools, how they work and why they should be integrated into your medical practice.
Hiroshi Ikeno
Ikeno Clinic of Dermatology & Dermatological Surgery, Japan
Title: Long maintenance therapy, more than 2 years, of Sodium L-ascorbyl-2-phosphate, for moderate to severe
Time : 09:20-09:40
Biography:
Hiroshi Ikeno has completed his M.D at the age of 27 years from School of Medicine, Mie University and postdoctoral studies from Osaka University School of Medicine in Japan. He is the director of Ikeno Clinic, a dermatology & dermatological Surgery. He has published more than 10 papers in reputed journals.
Abstract:
Background: We have reported the efficacy of sodium 5% L-ascorbyl-2-phosphate lotion (5% APL) in the treatment of acne since 2003. APL shows the excellent effect for the prevention of oxidation of squalene, which was reported as a possible role of acne etiology and as a trigger of micro-comedo. While many effective treatments for acne have been reported recently, there are few reports regarding effective long maintenance therapy, more than 2 years, of acne. This time, we studied the efficacy and safety of 5% APL as maintenance therapy for moderate to severe acne in comparison with 0.1% adapalene gel (ADG). Methods: In a randomized, multi-center, open label, parallel study, 45 patients of moderate to severe acne, successfully treated in a previous 12-week study of the combination therapy with 5%APL plus 0.1%ADG, were enrolled. They were assigned to receive 5% APL (n=41) or 0.1%ADG (n =35) topically once or twice daily. This study was carried out in accordance with the method of D. Thiboutot et al. Efficacy was assessed in 5 grades at the beginning and at 2, 6, 12, 18 and 24 months of treatment based on the skin-analysis device ( VISIA ). Patients were instructed to refrain from receiving any other treatment for 16 weeks prior to enrolment in the study. Results: The number of patients who complied with the treatment protocol was 16 on APL, 12 on ADG. The number of patients of who maintained at least 50% improvement from baseline in lesion counts at 6 months of treatment was 14 on APL and 9 on ADG,　at 12 months of treatment, 15 on APL and 7 on ADG, and at 24 month of treatment was 14on APL and 4 on ADG. Both of agents were well tolerable and showed no remarkable adverse effects. 　 Conclusion: The maintenance rate at 12 months for APL was 93.8% compared with 58.3% in the ADG treatment group. The maintenance rate at 24 months for APL was 87.55% compared with 33.3% in the ADG treatment group. The efficacy of the maintenance therapy of APL was remarkably superior to ADG. This data showed the efficacy and safety of 5% APL as maintenance therapy for moderate to severe acne in comparison with 0.1% adapalene gel (ADG).
Dammika Dissanayake
National Hospital of Sri Lanka, Sri Lanka
Title: Avoiding scars and treating scars- Two sides of the coin
Time : 17:35-17:55
Biography:
Dammika Dissanayake obtained his MD in year 2000. He initially had training in General Surgery that was followed by Plastic Surgery which included special training in Hand Surgery. His special interests include aesthetic surgery and micro surgery. He was trained in Sri Lanka, India, Australia and Singapore. He has several publications in indexed journals to his credit. He also has delivered many lectures/presentations in international forums. He has been instrumental in conducting several free reconstructive surgery sessions for the underprivileged patients amounting to hundreds of operations over the years.
Abstract:
Scarless surgery is every patient’s wish. Plastic Surgeons know that it is not a goal that is achievable. However, it is within the capacity of Plastic Surgeon to minimize scarring – and treat them quite satisfactorily when bad scars do occur. A systematic approach to ensuring minimal scars following open surgery is not easy to find in the literature. Even more difficult to find is a systematic approach to surgical management of existing scars. In this presentation, I will put forward a systematic approach to avoidance of unacceptable scars at surgery. This includes proper tissue handling, meticulous wound debridement, judicious use of suture materials and suture techniques etc, the details of which will be duly mentioned. More importantly, a systematic approach to scar revision is proposed. Numerous types of unacceptable scars including anti-tension line scars, stretched scars, depressed scars, bridle scars, trap door scars, hypertrophic scars, keloid scars etc will be outlined and surgical and ancillary treatment will be described. These include various types of plasties including variants of Z plasty, and variants of W plasty.
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