Scientific Program

Conference Series Ltd invites all the participants across the globe to attend 5th International Conference and Expo on Cosmetology, Trichology & Aesthetic Practices Dubai, UAE.

Day 2 :

Keynote Forum

Ahmed Adel Noreldin

Cairo University, Egypt

Keynote: Face lifting by scarless suture suspension versus open surgical approach

Time : 09:00-09:25

OMICS International Cosmetology 2016 International Conference Keynote Speaker Ahmed Adel Noreldin photo
Biography:

Ahmed Noreldin completed his Post-doctoral training in USA during the years 1990-1991. He was appointed as a Professor in the faculty of medicine, Cairo University in 1997. He was elected as the Sec. Gen. of the Egyptian Society of Plastic and Reconstructive Surgeons ESPRS from 2000 till 2008 and then in the year 2013 he was elected as the President of the ESPRS. He got his diplomat of the American Board for Hair Restoration Surgery ABHRS in 2010. He is the deputy sec. gen. of the International fed for Plastic, Reconstructive and Aesthetic surgeons IPRAS since 2011. He was the President of the Plastic Surgery Department Cairo University 2012-2014. Currently, he is the President of the Aesthetic Academy of Egypt (AAEgy).

Abstract:

Minimally invasive procedures done under local anesthesia are gaining many concerns not only between patients but also physicians. This concept strongly applies in facial rejuvenative procedures. Every patient looks for a simple, effective, safe, long lasting, less costly and above all with minimal downtime. Thread lifting seemed to be a good answer since it was introduced 20 years ago, but practically the results did not last long and was not cost effective. The concept of suture suspension introduced by Nikoly Serdeve was a better idea as it entails fixing the movable redundant tissues to a fixed non mobile tissue, i.e. the periosteum. In the face this technique can lift the brows, the mid face, the lower face and the upper neck. The results are immediate, long lasting with almost no down time. In the present work we followed up 40 cases with suture suspension done for different areas in the face for two years and compared the results to those of lifting the face by open surgery. The results were compiled and analyzed together with observed side effects. The suture suspension technique proved to be a better alternative to surgical face lift in mild and moderate cases of facial tissues sagging, however for more advanced cases surgery is still the best option.

Keynote Forum

Anita Mandal

Mandal Plastic Surgery Center P.A, USA

Keynote: Contemporary approaches to facial volumization

Time : 09:25-09:50

OMICS International Cosmetology 2016 International Conference Keynote Speaker Anita Mandal photo
Biography:

Anita Mandal received her Medical degree from Wayne State School of Medicine. She went on to complete a residency in Otolaryngology-Head and Neck Surgery at Detroit Medical Center, followed by a Fellowship in Facial Plastic & Reconstructive Surgery with the Glass-gold Group for Plastic Surgery. In private practice since 1998, she primarily specializes in facial rejuvenation.

Abstract:

Facial volumization is at the forefront of facial rejuvenation today. Facial volumization errors are increasingly common. Unlike the traditional two-dimensional focus in the treatment of facial lines and wrinkles, facial volumization requires a three-dimensional approach. Aesthetic errors in facial volumization can be reduced using a systematic method to identify and treat key facial aesthetic subunits that are unique to the aging face. These facial aesthetic subunits do not necessarily correlate with surgical facial anatomy but are defined as specific facial shadows and contours that develop with age. Recognizing which subunits to treat and which to avoid is the basis for an optimal aesthetic result. The speaker's approach focuses on a three-dimensional approach to facial volumization; identifies key aesthetic subunits in the aging face; focuses on treating the face as a whole, rather than an over simplistic approach of addressing an individual piece of the puzzle i.e. a line, groove, hollow or depression; and emphasizes the use of more cost-effective, long-term injectable fillers. Course objectives include understanding: (1) Key volume-deficient facial aesthetic subunits in the aging face, 2) The lateral malar subunit's role in setting the framework for mid-facial volumization, 3) How to avoid the "sub-malar abyss" trap, (4) Which facial aesthetic subunits to fill vs. avoid for natural results, (5) When to fill vs. lift in the aging face, (6) extension of volumization to the orbital hollows, temples, forehead and chin for optimal facial balance and proportion, (7) The use of supplementary fillers for areas not requiring volumization, (8) The benefits of long term fillers in facial volumization, and (9) Tips and pearls for optimal aesthetic facial volumization.

Keynote Forum

Jamal Jomah

Med Art Clinics, KSA

Keynote: Aesthetic nasal dorsal reconstruction using sleeved micro-diced cartilage graft

Time : 09:50-10:15

OMICS International Cosmetology 2016 International Conference Keynote Speaker Jamal Jomah photo
Biography:

Jamal Jomah, MD graduated with Honors from King Faisal University, Saudi Arabia. He pursued specialty training in Canada where he completed his residencyrntraining in plastic surgery and sub-specialized in cosmetic surgery, craniofacial rehabilitation and medical education. He is certified by the Royal College ofrnSurgeons of Canada and the Canadian Medical Council. He also obtained an honorary fellowship from the Royal College of Surgeons of Edinburgh. In addition, hernis 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:

Aesthetic nasal dorsal reconstruction using sleeved micro-diced cartilage graftrnBackground: Aesthetic nasal dorsal reconstruction is associated with difficulty of long-term control of the graft contour and alignment. Fascia-wrapped cartilage has been shown to be histologically superior to Surgical-wrapped cartilage. The aim of this study was to present a technique involving use of a diced-cartilage graft engulfed in a sleeve of pre-mastoid fascia forrnaesthetic nasal dorsal reconstruction.rnMethods: A retrospective review of 25 patients’ medical charts was performed from April 2014 to September 2015. All patientsrnhad undergone nasal dorsal reconstruction using a diced-cartilage graft for various aesthetic indications.rnResults: The reconstruction technique described herein resulted in good surgical outcomes in all patients. One case of infectionrnoccurred, but no patients developed resorption.rnConclusions: Use of diced cartilage with pre-mastoid fascia provides good clinical outcomes of dorsal nasal reconstruction,rnand avoids morbidity at other sites.

  • Track 1: Aesthetic Surgical Procedures
    Track 2: Aesthetic Non-Surgical Procedures
Location: Dubai, United Arab Emirates

Session Introduction

Alain Tenenbaum

Swiss Academy of Cosmetic Dermatology and Aesthetic Medicine, Switzerland

Title: Workshop on Immediate butts reshaping in 3D by projection instead of volume augmentation

Time : 10:15-10:40

Speaker
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.

Thomas Haffner

Aesthetic Carré, Germany

Title: Workshop on Liquid lift and blunt needle facial rejuvenation

Time : 10:40-11:05

Speaker
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.

Break: 11:05-11:20 @ Foyer

Angelo Rebelo

Clinica Milenio, Portugal

Title: Otoplasty: Rebelo’s technique

Time : 11:20-11:40

Speaker
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.

Smarrito Stephane

Clinique CIC Riviera, Switzerland

Title: Combined labiaplasty: Retrospective study about 93 cases

Time : 11:40-12:00

Speaker
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.

Speaker
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.

Jonathan R Abbas1 and Shahram Anari 2

1Blackpool Victoria Hospital, UK
2Heartlands Hospital, UK

Title: Reconstruction of a composite nasal columella defect: A four-step technique

Time : 12:20-12:40

Speaker
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.

Dammika Dissanayake

National Hospital of Sri Lanka, Sri Lanka

Title: Revisiting surgical management of closed adult upper and global brachial plexus injury

Time : 12:40-13:00

Speaker
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.

Speaker
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.

Break: 13:20-14:00 @Nine7one Restaurant
  • Track 3: Reconstructive Surgery
    Track 4: Skin Rejuvenation and Resurfacing
    Track 5: Managing hair loss
Location: Dubai, United Arab Emirates

Session Introduction

Kamal T Sawan

Sawan Surgical Aesthetics, USA

Title: Facial rejuvenation for the lower face and neck the five-step approach

Time : 14:00-14:20

Speaker
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.

Vesna Mikulic

Belgrade University School of Medicine, Serbia

Title: Melanoma in situ, three clinical presentation

Time : 14:20-14:40

Speaker
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.

Jonathan R Abbas & Ceyon Jeyarajah

Blackpool Victoria Hospital- NHS Foundation Trust, UK; Wrightington Hospital- NHS Foundation Trust, UK

Title: Nasal columella reconstruction: A review of the current techniques

Time : 14:40-15:00

Speaker
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.

Robert Kesmarszky

University of Technology and Economy, Hungary

Title: Cosmetological aspects in the head & neck area related to agressions by sword

Time : 15:00-15:20

Speaker
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.

Anup Dhir

Image Medical Centre, India

Title: Open Rhinoplasty
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.

Break: 16:00-16:15 @ Foyer

Artur Sandelewski

SAN-MED Hair Transplant, Poland

Title: Usefulness of a hex-punch in the FUE technique

Time : 16:15-16:35

Speaker
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.

Ajayita Chanana

Dr. Ajayita’s Charak Ayurvedic Panchkarma Clinic, India

Title: Comprehensive approach to anti-ageing
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.

Su-Ben Tsao

Dr. Tsao’s Clinic of Plastic Surgery, Taiwan

Title: Evolution and perspective of augmentation mammaplasty
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.