5^th International Conference and Expo on Cosmetology, Trichology & Aesthetic Practices April 25-27, 2016 Dubai, UAE

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.

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.

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.

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.

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.

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.

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.

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.

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.

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).

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.

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: In the 21st century, to be attractive nude parts like the face and what can appear through destroyed jeans are not enough anymore. Not nude butts covered by fashion jeans or pants are also a posterior visit card to get attention. Until these years, anti-aging focused only on volume augmentation using fat grafting, fillers, prosthesis or endoprosthesis as suspensions sutures or threads. With these techniques called improperly endopeel for special reasons, butts can be reshaped in ½ hour a butt as a tailor, keeping same mass and volume of the muscles, in a 3D dimension by -Chemical myoplasty or reshaping and tightening the gluteal muscles. -Chemical myopexy by lifting the banana fold and the gluteal muscle. -By projecting the desired chosen projections point instead of volume augmentation. -By chemical myotension giving back the tension of gluteal muscles lost during the last years. Material & Methods: We do use a patented chemical mixture containing an oily carbolic acid with pKa=6.6 different from phenol (pKa 9.9–orbitals sp2-sp3 overlapping…). The techniques are so called Endopeel. Experimentation studies have been made during 16 years on rats and humans and we never got any necrosis, infections or chronic complications. We use special patterns according to the ethnicity, the sex, the sports activity, the fashion and desires of patients. Muscles are considered as visco-elastic elastomers and can be reshaped by units with 1 vector and 2 anisotropic tensors. 3 parameters have to be chosen as the projection point, the distance between the inferior point of the pre-sacral triangle and the infra-gluteal diamond losange as the banana fold lifting line regarding the sex and/or ethnicity. Injections are all subcutaneous. Patients are females, males, old and young, sporty or not sporty, post lipoplasty patients, cellulitis and metro-sexuals (highest rate). In case of gluteal atrophy of muscles or paralysis, the technique can be applied with satisfactory results. Results: Immediate results can be seen and average duration is 6-7 months. Maintenance each 2-3 months with low quantity are the best to keep the butts in shape as, Endopeel, is a progressive lifting too. Goals are to get a tightening, lifting and projecting effect of the gluteal mass. Results are adapted to gender, fashion, ethnicity as the 5 types of clinical gluteus. Side effects: They are transitory as edema, ecchymosis. No paralysis, no infection, no necrosis and no reported lawsuit since 16 years for physicians using this method with original product. Conclusion: Fashion 3D butts taylor shaped with projection instead of volume augmentation can be done in 15 minutes with immediate results for metrosexuals, sporty patients and others with a 6 months duration effect bestens kept by maintenance. This method is purely medical without social eviction, painless, scarless and patients can go back to their normal activity 1 hour after the procedure.

Biography:

Thomas Haffner MD is a board certified cosmetic and vascular surgeon from Germany. He has established the Aesthetic Carré, a Private Clinic for Aesthetic-Plastic surgery 15 years ago in Cologne, Germany. He specialized in plastic surgery through the senology department of the Szabolcs University Clinics in Budapest between 1985 and 1989. He attended courses and trained with Prof. E Biemer in the endoscopic plastic surgery and with Prof. Werner Mang. He attended various plastic aesthetic workshops including those of Steve Hoping, Anthony Erian and other German plastic and HNO surgeons. His primary focus is the breast and facial surgery using minimal invasivity and endoscopic methods.

Abstract:

RADIESSE is calcium based non hyaluronic acid filler hydroxyapatite. It has a growing importance in the rejuvenation of the whole face. Radiesse can be used for the treatments of wrinkles, similar to other fillers, but Radiesse has a better material for the correction of volume deficiencies and of contour losses of the face. Proper applied Radiesse works lifting by filling, a Radiesse "Facelift" can be especially suggested by a ptotic face with not too much skin excess. Radiesse is produced by the German Company "Merz Aesthetics", which is renowned among the “top three” producers of aesthetic medical materials. The magic of Radiesse liquid lift is that the patient’s has a lifting effect without surgery within minutes and a social ability is usually prompt after the procedure. Qualified specialists need only two invisible punctures on the face to perform the bloodless and almost painless special needle lifting according to Radiesse augmentation. The term liquid lift arises by the special dilution of the injected crystals of calcium hydroxy-apatite, which is completely inert and reabsorbed being substituted by collagen fibers, these create a tridimensional collagen structure which stretches and supports the face, when placed in proper vectors. The procedure is shown in the workshops. Simultaneous applying of superficial, epi-SMAS and deep layer infiltrations promote the three dimensional symmetry of a Radiesse lift and rejuvenation.

Biography:

Angelo Rebelo has concluded his medicine studies in the Faculty of Medicine of the University of Lisbon, Portugal in 1980 and he became a specialized in Plastic, Reconstructive and Aesthetic Surgery in 1990. Since 1997 he opened his own outpatient private clinic for aesthetic-plastic surgery in Lisbon, Portugal, in the last 18 years, he’s in exclusivity at Clinica Milenio in Lisbon - Portugal, as Clinic Director and Cosmetic Surgeon. He is precursor in several techniques of Cosmetic Surgery performed under Local Tumescent Anesthesia and outpatient. Internationally, he has been invited to teach and perform several surgical demonstrations in many countries. He is frequently sought out by the media as an authority in his field. His surgical techniques and advancements have been the subjects of interviews in Portuguese and international media, he’s also author of numerous videos, lectures and articles presented at congresses and scientific journals. He is also an active member of several Professional Societies and Associations through the world.

Abstract:

Otoplasty is a surgical procedure for correcting the deformities and defects of the ear consequent to congenital conditions. Ear surgery creates a natural shape, while bringing balance and proportion to the ears and face. Correction of even minor deformities can have profound benefits to appearance and self-esteem. The main indication for Rebelo’s technique are prominent ears, protruding ears occurring on one or both sides in varying degrees, adult dissatisfaction with previous ear surgery. These appear prominent when the man or the woman is viewed from either the front or the back perspective. Age is not important to decide to do the surgery, but is better earlier ages after 5 years old. The surgery is performed upon a patient under local anesthesia with sedation as an outpatient. The operating time varies between 30 to 60 minutes. The surgeon places a needle with ink through the skin, to model the cartilage and to emplace the retention sutures (Nylon 4/0) that will affix the antihelix and conchal bowl areas. An incision is made behind the ear and becomes inconspicuous and hopefully almost invisible. Blunt undermining is performed to expose the cartilage. A small incision, behind this cartilage, is made as approach to the anterior cartilage in order to make condroplasty with a specific rasp. Before making the final shape of the ear, washing the entire ear, inside and outside with a cold saline solution. Then 3 sutures are placed with Nylon 4/0, permanent suture non-absorbable, through the pre marked points with the needle with ink, giving the shape and the model we found good. Skin closure with Vicryl Rapid 5/0 continuous suture. No dress is made. Antibiotic per os during one week. The patient wears a loose head-band (tennis style) one week day and night and two more weeks at night. The percentage of recidives is very low with this technique.

Biography:

Smarrito Stéphane is an experienced Aesthetic Surgeon (Switzerland and France). He had performed over 400 laser nymphoplasty and combined labiaplasty procedures. He had articles, about intimate surgery, published and submitted in the “Plastic and Reconstructive Surgery” medical journal. He is the member of the GRIRG.

Abstract:

We sought to assess benefits from a combined labiaplasty technique for the labia minora and majora. We conducted a retrospective study of 93 labiaplasties performed between 2005 and 2014, looking for hypertrophy of the labia minora and atrophy of the labia majora. A laser nymphoplasty was performed according to the technique described by the author in the Plastic Reconstructive Surgery, relating to a lipo-filling of the labia majora. The average age of patients was 32. The complications were comprised of 4 cases requiring a revision surgery, 1 complete lipo-filling failure, 2 cases of excess labia volume and 3 cases of dyspareunia after 1 month that finally regressed. Finally, 90 patients were “very satisfied” with the operation. The fat resorption rate varied from 30 to 50% (Initial volume averaging 7cc per side). The combined procedure is more difficult than a simple labiaplasty, especially during the cutting of skin flaps just before the lipofilling. Patients should be informed of the long-term consequences of the operation, because the initial appearance may provoke anxiety. Disunion rates, the principal complication described in the literature for labiaplasty is lower with this method, and is comparable to rates reported for laser labiaplasty. No case of fat infection was reported. This technique is an approach that is more restorative than purely centered on sexuality. We recommend this method that includes an additional procedure over a simple nymphoplasty, because it results in a natural, anatomically correct appearance, which can be the cause of much satisfaction among patients.

Biography:

Martain Pierre Jean Loonen is a specialist of plastic surgery with extensive experience and interest in plastic, reconstructive, cosmetic and hand and wrist surgery. He is a recognized fellow of the Collegium Chirurgicum Plasticum of the Board of Plastic Surgeons of Belgium and holds recognized membership of the Dutch Society of Plastic surgeons. He holds a Doctoral Degree in Plastic Surgery and has achieved his degree with outstanding honors as the youngest PhD candidate to have attained that distinction at his Alma Mater, the University of Utrecht in the Netherlands.

Abstract:

A 45-year-old woman underwent a delayed breast reconstruction with a free Deep Inferior Epigastric Perforator Flap (DIEP flap) with total flap failure on the fourth postoperative day. Hematological investigation to exclude thrombofilia revealed a resistance to activated protein C (APC) with a factor V Leiden heterozygous mutation. The post-operative course was further complicated by delayed wound healing probably due to ascorbic acid (Vitamin C) related cytotoxic activity to fibroblasts. The surgeon must be aware of the use of preoperative nutritional supplement administration among patients. Future cost-effectiveness analyses should be made to warrant preoperative thrombophilia screening to prevent free flap failures.

Biography:

Jonathan R Abbas completed his undergraduate studies from the University of Birmingham. From there he went on to foundation years 1 and 2 at Salford Royal NHS Foundation Trust. He published and presented multiple papers and has just begun his surgical training in Otolaryngology in the Northwestern Deanary, United Kingdom.

Abstract:

Introduction: Columella reconstruction is a challenging task for surgeons and a number of different techniques have been described in the literature. We report a case where the defect involved columella, caudal septum and the nasal floor. Due to the defect and patient choice, many of the current well-known techniques could not be performed. Materials & Methods: A 70-year-old heavy-smoker female presented with squamous cell carcinoma (SCC) of the columella involving caudal septum and floor of the nose. This was resected using a wide local excision leaving her with a significant defect of the nasal columella, caudal septum and nasal vestibule floor. The reconstructive technique involved 4 distinct operative stages. It is a combination of transposition flaps, pedicle flaps, cartilaginous grafts and skin grafts. Discussion: Many different techniques are available currently. Each has distinct advantages and disadvantages and the anatomy of the defect we wish to reconstruct largely determines the chosen technique. Other factors in technique choice include patients pre-morbid condition, and of course, patient choice. Our technique was reviewed 12 months later and revealed good skin color matching and minimal scarring due to lack of regional flaps. There was slight loss of tip projection however this is minimal. Overall this complied with the patient’s wishes and is a reproducible technique. Conclusion: The nasal columella is a difficult subunit of the nose to reconstruct. There are many factors involved when selecting one of the numerous techniques for reconstruction. Our technique has produced satisfactory results and importantly was compliant with the patient’s wishes.

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:

Brachial plexus injury in adults has variable incidence throughout the world – commoner in those countries where motor cycle use is widespread as a mode of transport. Other types of road accidents, falls from heights, heavy objects falling on shoulder, shoulder dislocation, and entrapment in narrow spaces (machinery) are some of the other universal aetiological factors. Though upper brachial plexus injury is highly treatable surgically there is still scope for improvement in approach as well as technique. On the other hand, surgical management of global brachial plexus injury is still far from being perfect. In fact, variability and unpredictability in surgical results have left many a surgeon think twice before embarking upon certain procedures. Also, I personally feel that surgery at its contemporary standards have not much more to offer. However, there is definitely room for radical thinking that should develop new surgical procedures resulting in excellent outcomes. At the same time, there is a need for radical thinking that should incorporate fast emerging technologies such as robotics, nanotechnology, stem cell research and genetic engineering etc to help regain hand function in global plexus injury patients. In this presentation I have tried to propose a rational approach to decision making and surgical management of both upper and global brachial plexus injuries. This is based on our extensive experience in managing these injuries over the years. It will be presented mainly in the form of algorithms and guidelines.

Biography:

Tiziana Lazzari obtained her degree in Medicine & Surgery in 1988 and a degree in Dermatology and Venereology in 1991 from the Faculty of Medicine & Surgery at University of Genoa. She is currently working as dermatologist expert in anti-aging medicine and cosmetic surgeon in Genoa. She is a speaker at conferences in Italy and abroad, she teaches courses in cosmetic medicine. She’s a member of several Italian scientific and academic associations. She’s also a member of ASLMS and AACS.

Abstract:

Today thanks to the efficiency of fillers and botulinum toxin and progress in injection techniques it’s possible to achieve natural, visible younger-looking skin. Combining hyaluronic acid filling with calcium hydroxyapatite, PDO threads and botulinum toxin in a right way is granted to give a younger look maintaining natural appearance and preserving facial emotions. Depending on the facial type and the age of the patient, I treat all the face in a personal way using the same products in a different dosage and with a different technique. The right product in the right place is the only way to allow patient to experience a new face and to look younger, a new found beauty in one session with no downtime.

Biography:

Dr. Jung Soo, Lee has completed his M.D., Ph.D. from Korea University and postdoctoral studies from Korea University School of Medicine. He is the President of Youtiful Vom Plastic Surgery. He has published a paper in Journal of the American Society of Plastic Surgeons and papers in the Korean Society of Aesthetic Plastic Surgery about Mammoplasty, Foreheadplasty and Malarplasty. Also, has participated as a contributor of the U.S. Plastic Surgery textbook 2nd Edition (Cosmetic Surgery of the Asian Face).

Abstract:

Endoscopy assisted malar reduction with greenstick fracture is a treatment method for preserving body eminence and improving arch protrusion. However, there were limitations to the application when needing the malar body reduction. For the limitations, we invented a new method using endoscope without intraoral incision, which reduces body protrusion and tried to apply the method for malar reduction. We enrolled 261 patients who visited the clinic from January 2013 to December 2014. Their ages with an average of 31. After a scalp incision, an incomplete osteotomy was done on the most prominent portion of the body of zygoma and then a complete osteotomy on the arch. Osteotomy of body was proceed from frontozygomatic angle until zygomaticomaxillary suture line. This section makes a right angle with zygomaticomaxillary suture and it form L-Shaped zygomatic body. The segment formed with L-shaped incomplete osteotomy and complete osteotomized arch used an inner cortex of zygomatic body as pivot and we applied inward rotation. (L-rotation Technique) Among the 261 patients with the L-Rotation technique, 242 patients were given a corticotomy. From those patients, 15 patients underwent a different degree of a zygoma reduction on both sides. Most patients were satisfied with it and there were no specific complications. Endoscopically assisted malarplasty using ‘an L-rotation technique’ enables an arch and body protrusion to be improved, and is able to control the site and numbers for corticotomy based on the zygomatic body protrusion. Surgeons, as well as patients, were satisfied by the results.

Biography:

ÇaÄŸatay Sezgin completed his medical education at Çukurova University Faculty of Medicine during 1985-1991 in Turkey. During his last year at medical school, he passed the Student Exchange Program Examination and become one of the ten eligible students to join the medical training program in Madrid, Spain; He worked as a General Practitioner during 1991-1993. He passed the examination for specialty in medicine and started his General Surgery education at Osmangazi University, Faculty of Medicine in 1993 and completed in 1999. Following this education, he worked as Assistant Chief Physician and Manager of Operating room, Emergency and Intensive Care Units at Osmaniye Public Hospital. He established Adana Marmara Estetik-Hair transplantation clinic in the year 2000 and joined the Certification Program organized by the Ministry of Health and received his certificate as a Medical Aesthetician. In 2001, he became a Member of International Society of Hair Restoration during the 9th International Assembly of the society held in Puerto Vallarta, Mexico at which he as well participated. He was the 3rd Turkish Member of this society. He attended several national and international conferences.

Abstract:

The Follicular Unit Extraction (FUE) method of Hair transplantation is becoming more popular because of the patient preferences and it has advantages of rapid recovery, comfortable post-operative period and chance of much more graft transplantation than strip method in some cases. Complications in this method are rare and donor site complications are very rare in the literature. I want to present and discuss one of these rare donor site complications that I have encountered: a 39 year old male patient with donor site ischemia and necrosis which progressed and increased during the graft extraction period and then healed with a scarring alopecia area. Conclusion: Heavy smoking, thin subcutaneous tissue, prolonged pressure on donor region and perhaps increased blood viscosity together and/or solely may reduce tissue blood circulation and that may lead to tissue ischemia and necrosis in FUE harvesting.

Biography:

Barry Lycka is one of North America’s foremost authorities on cosmetic surgery, skin cancer surgery, reconstructive surgery and laser surgery of the skin. He graduated from the University of Alberta in Medicine, in 1983. He completed his internship at the Misericordia hospital in Edmonton, and then did his residency in Internal Medicine at University of Alberta. He completed a 2nd Residency interning in Dermatology at the University of Minnesota in 1989.

He is recognized by the College of Physicians and Surgeons of Alberta as a specialist in Dermatology. Dr. Lycka founded the Canadian Skin Cancer Foundation and Co-developed a telephone app for Dr.’s called “Dermatologist in your pocket”. He is a proud member of the Doctors for the Practice of Safe and Ethical Aesthetic Medicine, The Rotary Club, and volunteers with many organizations; as he believes it is very important to give back to the community and those less fortunate.

Dr. Lycka has traveled to many countries speaking with and teaching other Dr.’s the latest methods in scar correction; as he takes great pride in teaching the next generation of cosmetic surgeons, as well teaching about the importance of skin protection.

Abstract:

Introduction: Breast augmentation has been the number one cosmetic procedure in the world for a number of years (ASPS). The modern era of silicone prostheses commenced with Frank Gerow’s implantation of the patient Timmie Jean Lindsey in 1962. Despite its ubiquity and generally inert nature, silicone-based implants generated intense debate, and litigation, particularly in America. Still, it is not without complications as they occur in 5-7% in their immediate postoperative course. The worst of these include infections and capsular contracture. What is needed is a more natural augmentation process. Fat has been used as a natural reconstructive substance. Coleman recently reported impressive results in primary BA grafting a remarkable mean of 277 cc fat per breast. However, fat poses several problems – it can become necrotic, calcify and can mimic or hide breast cancer (2). That is why the American plastic surgery associations have been hesitant to recommend it. As a result, the authors of this paper have developed a technique of fat augmentation they have named SVELT that minimizes these complications. It utilizes small volume lipo transfer, serially, injected into the dermal plane above the breast tissue to produce results previously only attainable by augmentation mammoplasty with silicone or saline implants. Study: From 2013 to 2015 Daryl K. Hoffman and Barry A. S. Lycka performed the SVELT procedure in their respective offices in Stanford, California, USA and Edmonton, Alberta, Canada. During those dates 130 patients were treated. Methods and Procedure 100 cc’s or less) are harvested from abdomen, flanks or thighs under sterile tumescent anesthesia, purified and transferred to breasts. Discussion - Breast augmentation by fat injection has been a controversial topic. It was criticized by the American Society of Plastic and Reconstructive Surgeons in 1987 for potentially obscuring carcinoma of the breast upon subsequent mammographic examination, necessitating repeat biopsies to assess the numerous false positives that may arise. (2) In 2007, the American Societies of Plastic and Aesthetic Plastic Surgeons issued a joint caution against fat injection of the breast, stating that its radiological sequelae would compromise the detection of breast cancer on subsequent mammography. Despite this, both societies “strongly support the ongoing research efforts that will establish the safety and efficacy of the procedure.” (2) The main complication of fat augmentation is fat necrosis and fat absorption. Both are dependent on amounts transferred, trauma to the harvested and transferred cells and placement of the material. Small amounts of fat, harvested a-traumatically, administered into the dermal plane of breast tissue augmentation where blood supply is rich, was posited by Hoffman to solve this problem. Since small volumes do not solve the aesthetic need for fullness of this appendage, the thinking progressed to repeating the procedure serially to solve aesthetic need. As discussed, 130 procedures have been completed. There has been minimal resorption and pleasing volumes achieved. It is safe, economical, and with extremely low risk when done as a carefully controlled surgical procedure on well selected patients. Based on the results of this clinical study, SVELT (Serial Small Volume Elective Lipo Transfer) is a new augmentation procedure with minimal complications and a high degree of patient satisfaction.

Biography:

Horia Remus Siclovan is a Specialist Plastic Surgeon certified by the Romanian Ministry of Health (2004) and by The Ministry of Health, United Arab Emirates (2008). He completed his Fellowship in Aesthetic - Cosmetic Surgery and Facial Palsy Surgery at the Clinic of Plastic Surgery “Prof. Dr. Fausto Viterbo” under the supervision of Professor Fausto Viterbo, Head of the Division of Plastic Surgery, Botucatu Medical School, Sao Paulo State University, Brazil (2006 and 2013). Currently, he is a Specialist Plastic Surgeon at MedArt Clinics, Riyadh, Saudi Arabia (2007–2008) and MedLife – Genesys Hospital, Arad, Romania (since 2009). He is the first Romanian Plastic Surgeon whose scientific articles were published in Aesthetic Plastic Surgery Journal (Official Journal of the International Society of Aesthetic Plastic Surgery). He is also a renowned Member of International Society of Aesthetic Plastic Surgery (ISAPS) and American Society of Plastic Surgeons (ASPS). He attends and presents his work at various conferences around the world. These include conferences in Rio de Janeiro (Brazil), Paris (France), Santiago de Chile (Chile), Geneva (Switzerland), Prague (Czech Republic), Dubai (United Arad Emirates), Riyadh (Saudi Arabia), Botucatu (Brazil), Szeged (Hungary), Doha (Qatar), and Budapest (Hungary).

Abstract:

Background: For an optimal result in augmentation mammaplasty, the implant must have adequate soft tissue coverage. One of the most important factors in the dynamics established between the implants and the soft tissues after breast augmentation is the pocket plane. The implant placed in the retroglandular space may have significant disadvantages if the soft tissue coverage is inadequate (implant palpability, visibility and capsular contracture). To correct these problems, use of the retropectoral space has become common place. Although this provides adequate soft tissue coverage, the problem of implant displacement with contraction has resulted. A reasonable solution to the problem of acquiring adequate soft tissue coverage without displacement of the implant through pectoralis muscle contracture has been to use the muscle splitting biplane breast augmentation. The use of the muscle splitting biplane technique seems to yield the benefits of both planes without the deficits. Methods: Since 2010, 300 patients with hypomastia have undergone muscle splitting biplane breast augmentation. Results: Pleasing long-term results have been obtained, with maintenance of a natural breast shape and cleavage, a smooth transition between the soft tissues and implant in the upper pole, and low morbidity. There were no capsular contracture and no displacement of the implants. Conclusions: The muscle splitting biplane breast augmentation offers improved long-term aesthetic results due to the creation of a stronger supporting system for the implant’s superior pole. The trade-offs of the classic subpectoral approach have been significantly reduced and factors such as morbidity and postoperative recovery are acceptable.

Biography:

Horia Remus Siclovan is a Specialist Plastic Surgeon certified by the Romanian Ministry of Health (2004) and by The Ministry of Health, United Arab Emirates (2008). He completed his Fellowship in Aesthetic - Cosmetic Surgery and Facial Palsy Surgery at the Clinic of Plastic Surgery “Prof. Dr. Fausto Viterbo” under the supervision of Professor Fausto Viterbo, Head of the Division of Plastic Surgery, Botucatu Medical School, Sao Paulo State University, Brazil (2006 and 2013). Currently, he is a Specialist Plastic Surgeon at MedArt Clinics, Riyadh, Saudi Arabia (2007 – 2008) and MedLife – Genesys Hospital, Arad, Romania (since 2009). He is the first Romanian Plastic Surgeon whose scientific articles were published in Aesthetic Plastic Surgery Journal (Official Journal of the International Society of Aesthetic Plastic Surgery). He is also a renowned Member of International Society of Aesthetic Plastic Surgery (ISAPS) and American Society of Plastic Surgeons (ASPS). He attends and presents his work at various conferences around the world. These include conferences in Rio de Janeiro (Brazil), Paris (France), Santiago de Chile (Chile), Geneva (Switzerland), Prague (Czech Republic), Dubai (United Arad Emirates), Riyadh (Saudi Arabia), Botucatu (Brazil), Szeged (Hungary), Doha (Qatar), and Budapest (Hungary).

Abstract:

Background: Current techniques for correction of breast asymmetry and minor ptosis requires incisions on the breast but often the patients are dissatisfied with scars. Objectives and methods: A technique combining muscle splitting biplane breast augmentation with internal suture mastopexy that consist of sutures placed in the deep surface of the gland from the upper part of the splitted pectoralis muscle is presented. This technique leaves no scar on the breast. Results: This procedure was performed on 50 patients, with a mean follow-up of three years. Pleasing results have been obtained and the patients and the surgeon have expressed satisfaction with the procedure. Conclusions: The internal mastopexy combined with muscle splitting biplane breast augmentation is an effective alternative in selected patients.

Biography:

Afschin Ghofrani’s current position as the Medical Director and owner of Aestheticon® has been the path of an ever increasing level of specialization with a constant focus on Plastic Surgery and Hand Surgery since 1992 and further concentration on Aesthetic Surgery since 1997.

At Europe's largest clinic, the RWTH Aachen in Germany, he studied human medicine and graduated with final marks amongst the top 2% of students. In 1992 he started his medical career at the Clinic of Burns and Plastic-Reconstructive Surgery in Aachen. In the following 5 years he got educated in the treatment of severe burned patient, intensive care, management of hand trauma, reconstructive and plastic surgery. During this period he also completed his doctoral thesis.

From 1997 to 2002 he worked as an assistant medical director and consultant representative at hospitals in Cologne and Dortmund in departments of Plastic Surgery and Hand Surgery.

In 1998 he received the certificate ‘Specialist of Plastic Surgery’ from the medical chamber in Nordrhein-Westfalen/ Germany and in 2001 the additional certificate ‘Specialist of Hand Surgery’. Furthermore he is a trained and certified emergency doctor with many years of experience in intensive care medicine.

From January 2003 until August 2010 Dr. Afschin has been the Head Physician at the Evangelische Hospital Giessen/ Germany and additionally the Medical Director of his private practice of Plastic/Aesthetic Surgery and Hand Surgery. During this period he focused besides his other specializations mainly on aesthetic surgery of face and body.

In September 2010, Dr. Afschin moved to Dubai to establish his concept of a plastic and aesthetic surgery center. After working as a specialist consultant at two different clinics in Dubai during the setup of his own clinic, Aestheticon ® opened in May 2012.
Regarding Dr. Afschin’s scientific career, he was the initiator and leader of various research projects and has published diverse articles in national and international specialists’ journals and books. Consistently he is invited to give lectures at scientific conferences and workshops.

Abstract:

Introduction: Breast enlargements remain one of the most popular plastic surgical procedures worldwide. Many different implant types, shapes and consistencies are available, as well as different pocket planes. However, given the choice, one need to truly understand how to utilize the variables of access, pocket plane and implant shape in order to achieve the best result from case to case. Methods: We routinely utilize inframmary and peri-areolar approaches. The implant pocket can be sub-glandular, sub-muscular or dual plane depending on the requirements. Anatomical or round implants are used of different gel types and projections. If needed, a lifting procedure can be performed simultaneously. In this lecture we will show how to access and plan the right combination of above mentioned variables for different preoperative findings. Potential pitfalls and how to avoid them will also be discussed. Results/ Discussion: The breast augmentation has two aspects. On the one hand it seems to be an easy to medium level surgery regarding the difficulty, on the other hand one needs expert skills to achieve superior results consistently. Each patient requires an individualized approach, a clear understanding of the possibilities and boundaries, as well as the limits. A one-technique-for-all approach is an anachronism which rarely leads to the desired outcome.

Biography:

Punam Bijlani has completed her basic medical qualifications and super-specialisation in Plastic Surgery from the prestigous Grant Medical College, Mumbai, India in 1998. She returned as Assistant Professor for Plastic Surgery. She now heads the Plastic Surgery Department at Lifeline Health Care Group, in Dubai. She has presented extensively in the UAE and UK on various topics in Aeshtetic Surgery and has also been a Reviewer for abstracts for conferences and has chaired sessions in aesthetic surgery in India and overseas. She is the recepient of the Award for Meritorious Service to the Emirates Plastic Surgery Society.

Abstract:

This study develops on the author’s experience and includes a review of other studies that pinpoint to threats to unsuccessful breast device salvage and recurrent infection/exposure while developing an effective management guideline. Amongst the conceivable complications accompanying the usage of breast implants are peri-prosthetic infection and device extrusion. While there are several recommendations, there is no firm effective algorithm for the management of these situations. A retrospective review of 21 patients with peri-prosthetic infection or threatened or actual device exposure treated by the author along with a review of 110 articles by a PubMed search were included in this study. A retrospective analysis of multi-surgeon breast implant usage from 2004 to 2015 was performed. The author’s studies were comparable with a large number of reviewed studies where over 75% with no infection were salvaged with aggressive surgical and conservative therapy, whereas less than 25% are salvageable when infection or lack of soft tissue cover availability is demonstrated. Based on the author’s experience and those of the reviewed articles, a working algorithm to salvage breast prosthesis has been formulated.

Biography:

Angelo Rebelo has concluded his medicine studies in the Faculty of Medicine of the University of Lisbon, Portugal in 1980 and he became a specialized in Plastic, Reconstructive and Aesthetic Surgery in 1990. Since 1997 he opened his own outpatient private clinic for aesthetic-plastic surgery in Lisbon, Portugal, in the last 18 years, he’s in exclusivity at Clinica Milenio in Lisbon - Portugal, as Clinic Director and Cosmetic Surgeon. He is precursor in several techniques of Cosmetic Surgery performed under Local Tumescent Anesthesia and outpatient. Internationally, he has been invited to teach and perform several surgical demonstrations in many countries. He is frequently sought out by the media as an authority in his field. His surgical techniques and advancements have been the subjects of interviews in Portuguese and international media, he’s also author of numerous videos, lectures and articles presented at congresses and scientific journals. He is also an active member of several Professional Societies and Associations through the world.

Abstract:

Inverted nipple is not a rare situation that causes dissatisfaction and discomfort to many women in any age. In the majority of the situations, it is consequent to congenital conditions. Also, it can occur after breast surgeries. There are many techniques to correct this situation and many of them with a significant percentage of recidives. The author learned from Sakai, a Japanese Plastic Surgeon, one technique that was found very efficient, with good results and very low or no recidives. The main indication for Sakai technique are inverted nipples and the cause doesn’t matter, occurring on one or both sides in varying degrees and also dissatisfaction with previous surgery. Age is not important to decide to do the surgery. The surgery is performed upon a patient under local anesthesia with sedation as an out-patient. The operating time varies between 30 to 60 minutes. The technique is based in two small triangle flaps. The retention sutures (Nylon 4/0) are placed deeper to remake the nipple shape and closed superficial with Vicryl Rapid 5/0. Small molding dressing was done. The patients are advised that they cannot breast feeding anymore. Antibiotic per os during one week was prescribed. The percentage of recidives is very low or zero with this technique.

Biography:

Allen Rezai MD is a Lead Consultant of Elite Plastic & Cosmetic Surgery Group in Dubai Healthcare City. He is a Senior Consultant Plastic & Reconstructive Surgeon in Harley street London, UK. He attained his medical degree at the Lund University in Sweden, completed his Cosmetic, Plastic and Reconstructive Surgery training at major plastic surgery centers in Sweden and United Kingdom. He attained his fellowships in Microsurgery at the renowned Chang Gung Memorial Hospital, in Taipei, Taiwan and the Micro-surgical training center at Christus St. Joseph Hospital of Houston Texas, USA. He specializes in the advanced microsurgical techniques used in breast reconstruction and head and neck reconstruction. In addition, he has an enormous breadth of surgical experience in aesthetic breast and facial surgeries. He is a member of renowned affiliations such as EPSS (13-0186.)- Emirates Plastic Surgery Society, Associate Member of British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS), The Royal Society of Medicine, UK, GMC (UK, 4228875) Specialist Register for Plastic Surgery, World Society for Reconstructive Microsurgery, American Academy of Cosmetic Surgery, World Academy of Cosmetic Surgery (WAOCS), European Society of Plastic, Reconstructive and Aesthetic Surgery, International Society of Aesthetic Plastic Surgery (ISAPS) etc.

Abstract:

Among various types of autologous breast reconstruction, perforator flap reconstructions are the most advanced surgical technique applied in breast reconstruction. Abdominal flaps such as deep inferior epigastric perforator (DIEP) flap and superficial inferior epigastric perforator (SIEP) flap are generally the first choice for Perforator flaps. Perforator flaps are “free” flaps consisting of, skin, fatty tissue and tiny blood vessels (perforators) which are micro-surgically removed from the donor site and transferred to the chest for reconstruction of the new breast. With experience in microsurgical techniques and perforator selection, the DIEP flap offers distinct advantages to patients, in terms of decreased donor-site morbidity and shorter recovery periods. Mastery of this flap provides reconstructive surgeons with more extensive options for the treatment of post-mastectomy patients.

Biography:

Kamal T Sawan completed medical education at the Royal College of Surgeons in Ireland in 1993. His training in Plastic Surgery was completed at Johns Hopkins Hospital in the USA. He worked at the University of Oklahoma and was the Chief of Plastic Surgery and Program Director for 10 years. He is a respected member in the field of Plastic Surgery and the American Society for Aesthetic Plastic Surgery with many publications. Having a passion for innovation and best results, he launched Sawan Surgical Aesthetics in Oklahoma in 2015. His focuses in practice are facial rejuvenation and body contouring after weight loss surgery.

Abstract:

Facial aging with change in facial shape and deepening of the Nasolabial fold, jowling and neck rhytids are some of the undesirable effects of the normal aging process. Face-lifting techniques continue to evolve with focus on different layers of the face to maximize and prolong the results. Regardless of the method used, best natural results are achieved by addressing five main areas: The neck platysma muscle, the Nasolabial fold, the Jowls, Fat and volume distribution and Symmetry. In this presentation we will present how to address these areas in the five step approach.

Biography:

Vesna Mikulic has completed her Medical Schooling, in 1991, in Belgrade University of Serbia. In 1997, she completed specialisation of Dermatovenerology, also in Belgrade University. She has vast expirience in out-patient work, for 18 years. She is EADV, IDS, EADO Member. She has published 15 papers in national and international journals, conducted 3 clinical researches and was one of the Authors of monography “Pruritus of the skin”.

Abstract:

I present three different clinical presentation of melanoma in situ, all confirmed by Histopathology (HP): (1) 3 mm dark brown lesion on the lower leg of 20 year old female, clinicly non suspicious, looking like junctional mole, but dermoscopicaly had positive criteria for Melanoma; (2) 25 mm black lesion that lasted 2 years in pectoral region of the 45 year old mail, clinically suspicious leasion according to ABCDE criteria and diagnosis of melanoma was made even with naked eye. Dermoscopy confirmed it, but HP was not expected but rather much deeper melanoma; and (3) 6 mm multicoloured lesion in the back of 36 year old female, only 2 ABCDE criteria for malignant lesion. Dermoscopy confirmed positive criteria for melanoma. The clinical presentation of melanoma in situ can be various but mainly these lesions are not diagnosed easily since their clinical appearance do not meet ABCDE rules for malignant lesions. They are likely to be diagnosed by dermoscopy. Fitzpatrick type of skin, number of moles, melanoma in the family and sun-burning in childhood are to be taken in consideration as risk factors as well as several anamnestic features: enlargement of nevus, recent appearance, change of colour. Identification of individuals who may have a hereditary susceptibility for the development of melanoma is essential to provide an opportunity for primary prevention, and to target high-risk groups for early diagnosis and treatment. Necessity of dermoscopic examination of all, even non suspicious nevus in such group of patients is a must in order to make correct diagnose.

Biography:

Jonathan R Abbas completed his undergraduate studies at the University of Birmingham. From there, he went to foundation years 1 and 2 at Salford Royal NHS Foundation Trust. He has published and presented multiple papers and just began his surgical training in Otolaryngology in the Northwestern Deanery, UK.

C Jeyarajah also completed his undergraduate studies at the University of Birmingham. He is currently in his foundation year 2 at Wigan Infirmary and is planning to persue a career in surgery.

Abstract:

Introduction: Modern surgical techniques use a subunit principal to nasal reconstruction. The nasal columella is one of the most challenging subunits to reconstruct. There many procedures described in the literature. As such this paper aims to describe the techniques present in existing literature, the circumstances under which they are indicated, their advantages and shortcomings. Materials & Methods: We performed a thorough literature search on Pub-med up to and including all papers published in July 2015. The key-words used included “nasal columella” and “reconstruction”. This search criterion revealed 41 articles. After searching through these and their references we were able to identify 10 different techniques. Discussion: As mentioned above there are ten techniques described in the literature for the reconstruction of the isolated nasal columella defect. These techniques include a wide range of operative procedures including, local flaps, skin grafts and free flaps. They vary in complexity and some require multiple operations. Each has advantages and disadvantages as described by the authors and knowledge of the techniques available will aid pre-operative planning. Conclusion: In this article we have presented the surgical methods that have been published in the literature for columella reconstruction and the variety of the techniques demonstrates that not one technique is considered the best. The choice of technique depends on the extent of the defect and patient’s choice as well as the surgical expertise. This article provides the surgeons with a collection of the methods that they can add to their armamentarium of surgical techniques when dealing with columella reconstruction.

Biography:

Robert Kesmarszky is currently involved in tropical ENT and head & neck surgical projects besides effecting neuro-mechanical research at the University of Technology and Economics in Budapest, Hungary. With his team and fellows they are the winners of several awards. He is passionate about the facial nerve and reconstructive surgery. He is the author of several presentations and reviewer in the field. Humanitarian work has an important role in his professional activity.

Abstract:

Aim: To analyze the incidence and characteristics of cervocofacial traumas related to aggression by sword based on observations during ENT and head & neck surgical activity in a tropical area. Sources & Methods: The anamnestic data, physical examination and documentation were achieved during consultations and urgent calls to be analyzed retrospectively. Results: Admissions related to trauma of the head & neck area were frequent. Besides of the accidents it was related to the high number of aggressions and the fact that there was no maxillo-facial surgeon in the area. The number of aggressions by sword leading to wounds of the head & neck area was exceptionally high. Single, multiple, superficial and life threatening lesions were treated. All patients survived. Concerns about cicatrisation may lead to further plastic interventions. Conclusion: In some areas social factors, agressivity may lead to armed attacks. The head & neck represents a main target area. The arms are different but where swords are used in everyday activities like gardening, they are used frequently. ENT surgeons must be trained to deal with these lesions, respecting the cosmetological aspects as well. Further Aesthetic surgeries may be necessary.

Biography:

Alexandre Charao graduated in 1997 and receives an increasing number of patients searching for gluteal augmentation with implants and also with fat.

Abstract:

For cultural reasons, Brazil is, together with USA, highly placed in terms of plastic surgery, more than 400.000 per year. Butt augmentation is more and more performed, gaining some positions over other aesthetic procedures. New techniques for gluteal augmentation are better understood nowadays by surgeons and by general public. The use of intra-muscular anatomical shape implants has allowed nicer results, very natural, instead of old artificial results we used to see with round implants placed above the muscle. The surgery takes about 90 minutes and is done under spinal anesthesia, the patient is usually discharged the next day. Post-op cnsultations starts 3 days after. Small complications like wound dehiscence are common on the first ten cases and demands frequent revisions. Moderate complications like sub-cutaneus fat also happen and more agressive debidridement can be indicated, together with broad spectrum antibiotics. Severe complications do happen, like implant rotation and implant infection. In all cases, the surgeon can be sure that a long post-op will be necessary, together with frequent consultations. A close contact with the patients is necessary. The goal of this presentaion is to show what we can do to decrease this high complication rate. Antibiotic prophylaxis, special surgical techniques, prompt action after the surgery are all necessary to improve our patient´s quality of life and results, much more then other procedures. The results are aesthetically impressive, failure to achieve them is an ackward situation for both patient and surgeon.

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 MS 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:

This presentation is focused on the philosophy and basic techniques of open rhinoplasty and its relative advantage & disadvantages as compared to closed technique. The sequence of surgical steps is discussed with a focus on common problems like alar cartilage reduction, septoplasty, hump removal, augmentation rhinoplasty and tip reduction techniques.The use of various grafts and sutures is also explained and results shown.

Biography:

Artur Sandelewski is a General Surgeon, with specialty training in Hair Transplantation. He has completed his PhD at the Medical University of Silesia. He is the founder and owner of the private clinic SAN-MED Hair Transplant. He is a specialist in the FUE technique. He is a member of ISHRS- International Society of Hair Restoration Surgery

Abstract:

Androgenetic alopecia is a genetically determined disorder, where we observe hair loss. Among men it is the most common type of alopecia. Despite conservative treatment only hair transplantation gives the natural aesthetic results. In my clinic 100% of hair transplantations is performed using FUE which is Follicular Unit Extraction. In the FUE technique we use S.A.F.E. System. The new device, which we use in this technique, is a special punch, called hex-punch. In this presentation the anatomy of hex-punch will be presented. The hexagonal shaft induces skin vibrations while entering the skin. The unique tip shape of this dull punch improves follicular extraction. The advantages of this technique in harvesting hair are profound: easy extraction, increased speed in collecting grafts, lower percentage of trans-sections, proper depth entry into the skin, ease of learning. Our results after using hex-punch are rate of trans-sections: 2-4% and speed of the extraction: 750-900 grafts per hour. By using hex-punch in the FUE technique we can improve results of hair transplantation.

Biography:

Ajayita Chanana is a Gold Medalist Ayurvedic Doctor and Cosmetologist. She has been the Director of a Clinic in Chandigarh for 17 years. In her 17 years of practice she has successfully treated many patients both from India & abroad. She has also done a Certificate Course in Non Surgical Aesthetic Treatment form Warsaw Poland. She was adjudged the best Ayurvedic Entrepreneur of the Year 2014 at the Pharma-leaders Award in Mumbai. She was bestowed with International Health Care Excellence Award in 2008

Abstract:

Background: Regeneration, maintenance and degeneration form the lifecycle of any living organism. Ageing is apparent when degeneration overtakes regeneration. 1. Removal of toxins from the body (e.g. detoxification) will help to prevent premature failure of the organs. 2. Creating conditions for the body to absorb optimum nutrition from the food we eat which allows the body to rebuild heal and rejuvenate it. The imbalance between the synthesis and collagen breakdown is the primary cause of skin problems such as wrinkles. If stress cortisol level increases, increased levels of cortisol in persistent stress weaken the immune system of the body. When one is exposed to repeated or chronic stress the wear and tear associated with it is which grows over a period of time is called the allostatic load. This weakens the body immune system by causing stress hormonal imbalance. Method: In Ayurveda, first of all constitutional analysis called Prakriti Prikshan is done to analyze the predominant doshas. After judiciously analyzing the predominant doshas full body detoxification and mental detoxification is done. Two prominent treatments are Shirodhara and Nasyam. They are performed to target the increase in the oxygen supply per cellular level and to achieve the equilibrium state of alpha waves in sleeping. Result: We conducted a study on ten patients in which we found a marked improvement in the blood pressure and other vital parameters in 3 weeks of consolidated treatment of Panchkarma, breathing, exercises yoga and following ayurvedic life style. All the Ayurvedic Panchkarma therapies brought the stress levels remarkably down as per the HAMILTON Conclusion: This retrospective 6 month clinical study showing the effectiveness of these Panchkarma therapies for ageing showed that the treatment is very effective for treatment of mid face, jowls and neck wrinkled and skin tightening of facial areas. It also shows significant improvement for cellulite reduction. Detoxification and rejuvenation allows us to truly achieve anti-aging in a very gentle and natural manner. The whole body will uniformly undergo anti-ageing and will not only look younger but the subject will also feel years younger and will with dedicated effort stay that way for years to come.

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:

Background: Fat grafting for volume replacement and correction of defects has been used for many decades. It always implied that over addition of fat volume is a requirement as there is about 30-40% reduction of the volume of the injected fat over a period of time. Fat injection as small beads in different tissue planes is the best way to get a long term improvement. Patients & Methods: 300 patients underwent multi-planar fat grafting to the face and other parts of the body over a period of the last 4 years. Fat was harvested from the abdomen, flanks or thighs. It was washed, sieved and centrifuged and only live fat cells were taken up for injection. Larger globules (macro fat) of fat were injected in the deeper layers while micro fat was injected in the superficial layers. Nano fat was injected just under the skin layer. Results: There was a very uniform improvement seen in all the patients with no volume loss and with no touch up needed on assessment at 6 months. Conclusion: Facial contour restoration is being revolutionized by the new multi-planar fat grafting for volume augmentation and a consensus is now being achieved for the technique to be used for fat grafting.

Biography:

Su-Ben Tsao is Founding Director of Asian Plastic Craniofacial Association. Founding and Active Member of Oriental Society of Aesthetic Plastic Surgery. (OSAPS), Active Member of International Society of Aesthetic Plastic Surgery. (ISAPS), International Member of American Society of Plastic Surgeons. (ASPS), International Corresponding Participant of American Society of Aesthetic Plastic Surgery. (ASAPS), Founding and Director of Taiwan Society of Aesthetic Plastic Surgery.(TSAPS), Director of Taiwan Society of Plastic Surgery(TSPS), Founder and President, Southern Taiwan Aesthetic Medicine Forum. He was the best resident doctor during 1983-1984, and 1984-1985, Chang Gung Memorial Hospital at Taipei, Taiwan. First and second President of Physician’s Association of Chang Gung Memorial Hospital at Kaohsiung during 1997-2001. He was the Founder of Kaohsiung Cleft Palate and Craniofacial Association in 1994. He is also Founder and President of Kaohsiung Aesthetic Medical Tourism Promotion Association, since 2008. He is Municipal advisor of Kaohsiung City Government & Presbyter of Presbyterian Church.

Abstract:

Purpose: Presenting the recent 2 decades evolution and perspective of first author’s augmentation mammaplasty procedure. Materials & Methods: 4 evolution items included: a. Pocket Plane: from sub-muscular to sub-fascial; b. Incision Approach: from axillary to periareolar; c. Silicon Implant Insertion: From finger to silicon implant injector; d. Implantation Material: from silicon implant to autologous fat injection? Results: Superior result received from the evolution procedures at item a. b. and c. Controversial result received from the evolution procedure at item d. Conclusion: Most of the evolution procedures of augmentation, mammaplasty in author’s hand received positive perspective and worth of recommendation. Implant augmentation mammaplasty remains the most popular procedure, not current fat injection augmentation, due to its less perfect result and can’t be used in every case.

Biography:

Abstract:

Platelet-rich plasma (PRP) has emerged as a new treatment modality in regenerative plastic surgery, and preliminary evidence suggests that it might have a beneficial role in hair re-growth. Here, we report the results of a randomized, evaluator-blinded and placebo-controlled, half-head group study to compare, with the aid of computerized trichograms, hair re-growth with PRP versus placebo. The safety and clinical efficacy of autologous PRP injections for pattern hair loss were investigated. PRP, prepared from a small volume of blood, was injected on half of the selected patients’ scalps with pattern hair loss. The other half was treated with placebo. Three treatments were administered to each patient at 30-day intervals. The endpoints were hair re-growth, hair dystrophy as measured by dermoscopy, burning or itching sensation and cell proliferation as measured by Ki67 evaluation. Patients were followed for 2 years. Of the 23 patients were enrolled, 3 were excluded. At the end of the 3 treatment cycles, the patients presented clinical improvement in the mean number of hairs, with a mean increase of 33.6 hairs in the target area and a mean increase in total hair density of 45.9 hairs per cm2 compared with baseline values. No side effects were noted during treatment. Microscopic evaluation showed the increase of epidermis thickness and of the number of hair follicles 2 weeks after the last PRP treatment compared with baseline value (p<0.05). We also observed an increase of Ki67+ keratinocytes in the epidermis and of hair follicular bulge cells and a slight increase of small blood vessels around hair follicles in the treated skin compared with baseline (p<0.05). Relapse of androgenic alopecia was not evaluated in all patients until 12 months after the last treatment. After 12 months, 4 patients reported progressive hair loss; this was more evident 16 months after the last treatment. Those four patients were re-treated. Our data clearly highlight the positive effects of PRP injections on male pattern hair loss and absence of major side effects. PRP may serve as a safe and effective treatment option against hair loss; more extensive controlled studies are needed.

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:

According to my previous publication, mentioning idea of “informational lines with intense sexual signals “in these two case report I do bring the practical proves for sustaining of my personal theory, evidence of need for nice line, shape and form which contents sexual signals. The fact that, lines have their own languages and words, giving the things a meaning, senseand expression, especially in this context I am referring to the Shapes, Contours on women’s face in the term of “Psychoaesthetics”. One of the most important issues in surgery of upper lip, “removing or the excision of skin lesions/moles on upper lip”, specifically on the Cupid area, could leave a considerable modified anatomical reports, (post-op asymmetrical aspect of lips and visible unwanted scar). The usual procedure in a case of excision biopsy of any skin lesion according to the British guide lines, has to be vertically and with 2 mm surrounding secure margin for not leaving any residual tissue behind. These two case reports of mine are about a patient of 55 and other 65 years old which were concerned about post-op outcome and the asymmetrical appearance of the upper lip after excision biopsy of a long standing mole. As we know the vertical excision of lesions on upper lip will leave anasymmetrical aspect of lip and a visible scar later on. So in this technique I avoid the asymmetrical aspect of the upper lip, using my personal approach of a butterfly incision which is in accordance to the guide lines of primary excision biopsy of skin lesion in UK and cosmetic post-op outcome within an invisible scar. I have to highlight the fact that after this procedure the patient has a permanent lip augmentation which will give her a unexpected cosmetic result and psychological comfort and satisfaction. Conclusion: If the removal of a mole or skin lesion from upper lip with vertical approach gives the patient a release of not having a malignant or suspected lesion, but it will give her a permanent and undoable asymmetrical lip and a vertical visible scar. I am highlighting that in my proposed technique the patient will have an excellent outcome and be psychologically satisfied as well as having the removal of a suspected lesion. Advantages: Excision biopsy is done at the limit and margin as requested in guidelines. (margin of 2 mm). Avoiding the asymmetric lip. No visible scar Excellent cosmetic aspect of the lip by a permanent lip augmentation. Patient’s psychological satisfaction. Safe revision surgery if is needed. Easy lip reconstruction for further excision in case. Disadvantages: Invisible Cupid Bow in case of mole or skin lesions over the Cupid’s Bow. Risks: Incomplete excision of lesion, Asymmetric width of Vermilion of lip. Revision surgery to be needed Methods and Instruments: Microsurgical Loops, Microsurgical tools as iris, needle holder, scissor.6/0 Vicrylrapide.suture.

Biography:

Herve Gentile is a practicing aesthetic surgeon in the USA and is Board Certified in Plastic Surgery, Facial Plastic Surgery and Otolaryngology-Head and Neck Surgery and a Clinical Assistant Professor of Plastic Surgery at the Medical College of Georgia, Un. of Georgia Systems, as well as member of numerous plastic surgery societies including the American Society of Plastic Surgeons, American Society for Aesthetic Plastic Surgeons and the International Society of Aesthetic Plastic Surgery. He has been nominated by Castle Connolly® as one of America`s Top Doctors and was also honored by his peers for inclusion in Best Doctors in America® in the specialty of Plastic Surgery, subspecialties of Facial Aesthetic Surgery and Body Cosmetic Surgery.

Abstract:

This presentation will provide a review of how the author addresses the aging face and his evolution to the present day. Emphasis is placed on combinations of both surgical and non surgical treatments to obtain the best achievable results. Diagnosing deflation of the face and patient selection is also illustrated. Pearls to avoid trouble are also pointed out. This presentation of the aging face has the objective to help the beginning aesthetic surgeon manage consistently the choices available in Facial Rejuvenation Surgery.

Biography:

Kamal T Sawan completed medical education at the Royal College of Surgeons in Ireland in 1993. His training in Plastic Surgery was completed at Johns Hopkins Hospital in the USA. He worked at the University of Oklahoma and was the Chief of Plastic Surgery and Program Director for 10 years. He is a respected member in the field of Plastic Surgery and the American Society for Aesthetic Plastic Surgery with many publications. Having a passion for innovation and best results, he launched Sawan Surgical Aesthetics in Oklahoma in 2015. His focuses in practice are facial rejuvenation and body contouring after weight loss surgery.

Abstract:

Lip augmentation with fillers is one of the most common uses of fillers in the ME region. The lip has a 3-Dimensional structure with the only framework being the relation of the muscle attachments to the skin. Attention to the anatomy and the desired lip look is key for best results. In this presentation we will review the normal lip anatomy, classification of lip shapes, lip measurements based on PHI or the golden ratio and what filler to use based on fillers characteristics and desired look.

Biography:

Jamal Jomah, MD graduated with Honors from King Faisal University, Saudi Arabia. He pursued specialty training in Canada where he completed his residency training in plastic surgery and sub-specialized in cosmetic surgery, craniofacial rehabilitation and medical education. He is certified by the Royal College of Surgeons of Canada and the Canadian Medical Council. He also obtained an honorary fellowship from the Royal College of Surgeons of Edinburgh. In addition, he is a diplomat of the American Board in Hair Restoration Surgery and a Board Examiner. He is also a fellow of the American College of Surgeons. He holds the title of Consultant Plastic Surgeon in Dubai and also has been newly elected as the General Secretary of the Emirates Plastic Surgery Society.

Abstract:

Introduction: Three D surface technology is used to demonstrate to the patients the expected changes possible with a particular procedure. This technology has allowed the patient and surgeon to both see the expected result at the same time on the same screen. This will help the surgeon identify the patient’s expectations and be cautious about patients who have unrealistic expectations. The Surgeon can also define the steps of surgery and plan it more accurately. The goal is to improve the patient’s satisfaction with this technology and minimize the revision. Three-dimensional Surface Imaging (3DSI) represents a revolution providing objective information on changes in volume or shape before and after treatment. The introduction of Three Dimensional Surface Modeling (3DSM) represents a paradigm shift towards more realistic results that the patients can see and feel and appreciate from all dimensions. The aim of this paper is to describe the author’s experience with 3DSI and 3DSM. Method: The 3D images are normally taken with digital camera with adequate lightning and then stored in a computer and images then manipulated using Software. The image can be captured with a camera or the surface can be scanned with a scanner but the latter would require the subject to be motionless for a longer time. The author used the Vectra H1 camera for the face and the Vectra XT for the body with the mirror image software for manipulation. A single camera is usually adequate (H1) but the 3D camera system (Vectra XT) is more precise and will acquire better and larger images. Once the images are taken, they are transferred to a computer where software stitches the images together. The problems of this system are the cost, limited availability and resolving the shiny of transparent areas and imaging hair. With the expansion of 3D printing, the cost has substantially decreased and becoming more readily available for personal or central use. This is going to be helpful for patients’ education and archiving of pre-operative and post-operative results. The technology is evolving and probably revolutionized the way we plan and document our procedures. 3D printing uses a composite powder printing process on a printer. This produces a 3 dimensional object by successively laying down the infiltrant to build a model slice by slice based on the image. This produces physical object that can be manipulated and it allows to understand the individual anatomy, can be physically held and viewed from multiple planes which is useful to teaching purposes and to better explain the proposed surgery to the patients using their own anatomy. The main limitation of the process is the cost associated with the products and with the images capturing. Results & Discussions: Currently, 2D photography is used to document, analyze and plan surgical procedures in Plastic Surgery. This tool does not represent 3 dimensional figures accurately. It lacks shaped and topographic depth. 3 D imaging measures XY and its coordinates and uses a triangulation concept. It is better than MRI and CT Scans which do not reflect the surfaces and surface topography and also it is less expensive and less invasive to the patient. It overlays multiple images from different planes, over the same object to create a 3D image. The use of Magnetic Resonance Imaging (MRI) is more accurate and more scientifically helpful in exact measurements however it uses screening tool that is not practical especially in cosmetic practice as MRI scans are costly and are not readily accepted by the patients. Therefore, its uses are still not foreseen in the near future. The 3Dimensional Surface Modeling (3DSM) was introduced in our clinic in the year 2014 and a comparison was conducted between the # of cases prior to that and after that to see if it had influenced patients’ decision to undergo the surgery. Subjectively, there are patients who had seen their images in 3D were more precise in their requirements and in their understanding of the outcome of the procedure. This also has modified the surgical planning and enables the surgeon to target the key areas that the patients are seeking correction. Conclusion: Three-Dimensional Surface Modeling (3DSM) is a useful tool in: 1. For the surgeon to understand the exact concerns of the patients and to have more precise planning of the procedure. 2. For the patients to see the expected changes. 3. It is important to emphasize that this is only digital morphing which may not reflect the actual outcome.

Biography:

Martain Pierre Jean Loonen is a specialist of plastic surgery with extensive experience and interest in plastic, reconstructive, cosmetic and hand and wrist surgery. He is a recognized fellow of the Collegium Chirurgicum Plasticum of the Board of Plastic Surgeons of Belgium, and holds recognized membership of the Dutch Society of Plastic surgeons. He holds a Doctoral Degree in Plastic Surgery and has achieved his degree with outstanding honors as the youngest PhD candidate to have attained that distinction at his Alma Mater, the University of Utrecht in the Netherlands.

Abstract:

Dermabond Protape (2-octyl-cyanoacrylate and pressure sensitive adhesive mesh; Prineo, Closure Medical Corporation) is a topical mesh and skin adhesive that forms a strong polymeric bond across opposed wound edges allowing the normal healing process to occur. No published studies have already compared the use of a topical meshen skin adhesive in wound closure. This study evaluated the possible applications of a combined mesh-adhesive system in 100 plastic surgery operations (14 different surgical procedures) with a mean follow-up of 85.5 days. The rate of allergic reaction, infection, wound dehiscence and hypertrophic scar formation were recorded in relation to patient co-morbidities, medication and tobacco consumption. No technical restrictions were found during the Derma-bond Pro-tape application. The average time for the topical mesh and skin adhesive application was 2 minutes. The Derma-bond pro-tape was removed 7 through 10 days after the operation. Three patients (3/100 or 3%) reported an allergic reaction without increased scar formation. Hyper-inflammation in one or more wound areas with a micro-abscess were noted in 11 different patients probably due to polyglactin 910 (vicryl) sutures at their scheduled follow-up visit 1 week after their operation. In-creased tissue inflammation and scar formation were found in these patients with hypertrophic scars in 1 patient (1/11 or 9.1%). One upper leg wound dehiscence was seen in a diabetes mellitus patient using corticosteroids. Two patients (2/100 or 2%) with a history of tobacco abuse showed a partial wound dehiscence after an abdominoplasty and a partial areola dehiscence after mamma reduction respectively.

Biography:

Allen Rezai MD is a Lead Consultant of Elite Plastic & Cosmetic Surgery Group in Dubai Healthcare City. He is a Senior Consultant Plastic & Reconstructive Surgeon in Harley street London, UK. He attained his medical degree at the Lund University in Sweden, completed his Cosmetic, Plastic and Reconstructive Surgery training at major plastic surgery centers in Sweden and United Kingdom. He attained his fellowships in Microsurgery at the renowned Chang Gung Memorial Hospital, in Taipei, Taiwan and the Micro-surgical training center at Christus St. Joseph Hospital of Houston Texas, USA. He specializes in the advanced microsurgical techniques used in breast reconstruction and head and neck reconstruction. In addition, he has an enormous breadth of surgical experience in aesthetic breast and facial surgeries. He is a member of renowned affiliations such as EPSS (13-0186.)- Emirates Plastic Surgery Society, Associate Member of British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS), The Royal Society of Medicine, UK, GMC (UK, 4228875) Specialist Register for Plastic Surgery, World Society for Reconstructive Microsurgery, American Academy of Cosmetic Surgery, World Academy of Cosmetic Surgery (WAOCS), European Society of Plastic, Reconstructive and Aesthetic Surgery, International Society of Aesthetic Plastic Surgery (ISAPS) etc.

Abstract:

In order to achieve the best possible outcome, choosing the right augmentation technique and implant placement for a patient is of outmost importance. This presentation describes the various implant augmentation techniques and Implant placements and how to select the right option for a patient. The indications for each technique and placement including advantages, disadvantages as well as implant types are also presented.

Biography:

Smarrito Stéphane is an experienced Aesthetic Surgeon (Switzerland and France). He had performed over 400 laser nymphoplasty and combined labiaplasty procedures. He had articles, about intimate surgery, published and submitted in the “Plastic and Reconstructive Surgery” medical journal. He is the member of the GRIRG.

Abstract:

The purpose of this study is to establish a new surgical classification system for labial hypertrophy based on shape and clinical symptomatology, rather than measuring the length in centimeters. The goal of this classification system is to be able to select surgical strategies based on the type of labial hypertrophy. From 2005 to 2014, we undertook a retrospective study analyzing 100 patient files, chosen randomly from our database of 400 patient cases and preoperational photographs to reduce the labia minora, also known as nymphoplasty. The author analyzed data from each individual patient file concerning the shape of the labia minora, patients’ symptomatology and the chosen operational technique. We found 3 types of labial hypertrophy, constituting a new system of classification: TYPE I: a high form, called “flag”. 11 patient cases were observed (11%). TYPE II: a median form, called “oblique”. 29 patient cases were observed (29%). TYPE III: a low form, called “complete”. 60 patient cases were observed (60%). Concerning symptomatology, Type I was characterized by an undesirable aesthetic appearance and discomfort in the crotch area caused by wearing tight clothing, but not by dyspareunia. Type II showed an overall fuller appearance. Type III presented frequent dyspareunia more often than Type I and Type II. For Type I, the surgical technique selected was a superior pedicule flap, with only a moderate labial resection, which follows the edge of the labia minora. For Type II and Type III, the lambda laser technique was systematically proposed. The proposed system of classification seems to correspond better to patient’s symptomatology in comparison to a system based on simply measuring the length in centimeters. The proposed system of classification makes it possible to adjust the surgical strategy to fit patients’ expectations.

Biography:

Afschin Ghofrani’s current position as the Medical Director and owner of Aestheticon® has been the path of an ever increasing level of specialization with a constant focus on Plastic Surgery and Hand Surgery since 1992 and further concentration on Aesthetic Surgery since 1997. He studied human medicine and graduated at Europe's largest clinic, the RWTH. In 1992 he started his medical career at the Clinic of Burns and Plastic-Reconstructive Surgery in Aachen. In 1998 he received the certificate ‘Specialist of Plastic Surgery’ from the medical chamber in Nordrhein-Westfalen/ Germany and in 2001 the additional certificate ‘Specialist of Hand Surgery’. From January 2003 until August 2010 Dr. Afschin has been the Head Physician at the Evangelische Hospital Giessen/ Germany and additionally the Medical Director of his private practice of Plastic/Aesthetic Surgery and Hand Surgery. Regarding Dr. Afschin’s scientific career, he was the initiator and leader of various research projects and has published diverse articles in national and international specialists’ journals and books. Consistently he is invited to give lectures at scientific conferences and workshops.

Abstract:

Introduction: There is possibly no other surgical technique in plastic surgery that has been modified more often than the mammaplasty. Numerous publications have focussed on this issue. Regarding the visible scars there are mainly three approaches 1) Periareolar scar, 2) I-scar, and 3) T-scar. Another variable is the pedicle. Since 1996 we use a central pedicle combined with a T-scar with short sub mammary part for most of the cases. Methods: The “inferior pedicle technique” was modified by Dr. Serdar Erenin in 1990. This modified approach is described by a detaching of the inferior part of the pedicle leaving only the central pectoral fascia attached. The blood supply is guaranteed by the intercostal perforators. The main sensory branch to the areola is routinely preserved thus maintaining a sensitive nipple in most cases. Because no dissection from the Nipple-Areola-Complex (NAC) from the gland is necessary, breast feeding after surgery is usually preserved. This pedicle gives a maximum degree of freedom regarding resection and positioning of the gland. Especially the hypertrophic lateral gland parts can be resected extensively down to the pectoral fascia. Results/ Discussion: We overlook more than 1000 mammoplasties performed with this pedicle-technique in the recent 20 years. This technique is not recommended for an inexperienced surgeon due to potential pitfalls in the preparation of the gland. Provided sufficient familiarisation with the procedure, however, this technique can be regarded as a safe method for almost all type of breast with excellent results in terms of shape and projection. Generally, breast feeding property and sensation of the NAC are preserved.

Biography:

Cynthia I Legorreta Chew is a Plastic and Reconstructive Surgeon InCorporativo Hospital Satelite and StarMedica Lomas Verdes in Naucalpan, State of Mexico. She is an active Member of International Society of Aesthetic Plastic Surgeons, FederacionIbero-Latinoamericana de CirugíaPlástica, Asociacion Mexicana de Quemaduras and College of Plastic Surgeons of State of Mexico.

Abstract:

Background: There are several approaches for performing both functional and aesthetic rhinoplasty, is made of open or closed shape, when opened, the approach is through the columella, when closed, it is through the alar cartilages. There are several ways to turn addressing the wing, marginal and trascartiloginosa cartilage. The trascartilaginoso approach is our preference to avoid scars. Objective: We propose to conduct any closed rhinoplasty technique for both primary and secondary. Methods: A retrospective review of our cases in 4 consecutive years with the same approach, in which 240 patients from 2011 to 2015, which were performed rhinoplasty primary, secondary, tertiary, quaternary and to include number is performed 5, in all closed rhinoplasty was performed with transcartilaginoso approach. Results: It is considered a proper result, the patient who is comfortable with his aesthetic results and has proper function. Only two patients showed a minimal septal perforation, February 1 mm and the other of 5 mm, 5 patients with persistent osteocartilaginous hump of the nasal dorsum, 3 lack of projection of the nasal tip. Followed for 6 months to 2 years postoperatively. Conclusion: The closed technique can be used for any type of rhinoplasty, even in patients with more than one surgery.

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.

Biography:

Hiroshi Ikeno has completed his MD from School of Medicine, Mie University and Post-doctoral 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 skinanalysis 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 months of treatment was 14 on APL and 4 on ADG. Both 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).

Biography:

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Abstract:

ED (Erectile Dysfunction) affects 10 percent of the population worldwide. In 1995 it was estimated that 152 million affected by ED. It is estimated that by 2025, 352 million of population worldwide will be affected. Currently there is not available treatment that can restore or regenerate the tissues in the corpus cavernosum or arterial system that will cure the ED. A 20 percent failure rate with present therapies and high rate of drop out in patients with ED is due to Radical Prostatectomy and Post Radiation. Testosterone Replacement is the only independent risk factor that might help endothelial dysfunction and consequently ED. Adipose tissue is abundant and easy to collect from a mini-liposuction. The procedure consists in collecting a lipo-aspirate of 60 ml. No general anesthesia is required. It is an outpatient procedure. Adipose Tissue is processed using collagenase enzyme. SVF (Stromal Vascular Fraction) is isolated. Blood is obtained through a venipuncture. PRP (Platelet Rich-Plasma) is obtained. The SVF is suspended is PRP. The mixture is injected into the Corpus Cavernosum using our designed protocol for injection into the corpus Cavernosum. Two types of patients: 1- DM 2- ED due to Prostatectomy and Radiation. Patients filled out the Intensity score Questionnaire before and after procedure. Both reported better erections in the morning, firmer, with better response to PDI5 inhibitors for which they were not responders prior to the treatment. This might be due to Stem cells to regenerate Corpus Nerve and Endothelial cells enhancing the Nitric Oxide production and then have the PDI5 inhibitors to work. The IC injection of a suspension of SVF in PRP appears promising in ED patients due to DM and Prostatectomy and Radiation in which at present there is no a CURE and they have a high rate of Failure to PDI5 inhibitors. The Procedure is done as outpatient and requires no general anesthesia. The potential to treat diabetes as early as diagnosed might be a possibility since lower fasting glucose levels and improvement in HbA1C were noticed. More studies are in need.