Day 1 :
Cairo University, Egypt
Time : 09:55-10:45
Vincent Wong, Dr Vincent Wong Skincare, UK, made his valuable remarks at 6th International Conference on Cosmetology, Trichology & Aesthetic Practices held during April 13-14, 2017 in JW Marriott, Dubai, UAE hosted by Conference Series LTD
Keynote: Efficacy of bidirectional barbed polycaprolactone threads in repositioning of soft tissue in the neck
Time : 11:05-11:55
Introduction: Treatment of soft tissue laxity in the neck region has been a challenge in the field of non-surgical aesthetics. There are many different types of threads that are currently being used to reposition soft tissue in the neck, for example polydioxanone (PDO), poly-lactic acid and polycaprolactone. The efficacy and longevity of results vary according to the angle and spatial distribution of barbs and/or cones, resorption period, and collagen-stimulating ability of the threads as well as the direction(s) of the barbs/cones. This paper presents evidence of the efficacy of Happy Lift threads, which are bidirectional barbed polycaprolactone threads in repositioning soft tissues in the neck. These threads are inserted into the subdermal layer, which give an immediate repositioning of the tissue. It is a very safe procedure with little bleeding, discomfort or pain, and is done with local anesthetics. There is little or no down time, and most procedures take no longer that 1 hour. Materials and methods: Histological studies were carried out at specific time points up to 15 months post-procedure to determine the effects of Happy Lift threads placement on skin thickness and collagen levels. Results: Histologically, it is shown that mast cells migrate to the area where the Happy Lift threads are inserted, and the formation of a homogeneous fibrous capsule around the threads that continues to assure tissue firmness. The dermis becomes thicker indicating the formation of new collagen and elastin. The procedure of introducing the thread into the tissue does not give an acute inflammatory response, and therefore the long lasting lifting effect is caused by the cutaneous reaction. Conclusion: The Happy Lift threads are not resorbed by the tissue until at least 12 months, which contributes to a substantial production of new collagen, elastin, hyaluronic acid and also induces angiogenesis. This gives a gradual increasing lift and revitalization for the next 6-12 months post-procedure.
- Aesthetic Non-Surgical Procedures | Skin Rejuvenation and Resurfacing | Managing Hair Loss | Aesthetic Surgical Procedures
Location: Salon V
Dr Vincent Wong Skincare, UK
University of Ljubljana, Slovenia
Time : 11:55-12:25
Saints Cyril and Methodius University of Skopje, Macedonia
Title: Use of lipofilling, plasma rich platelet and fi llers as augments to standard esthetic surgical operations
Time : 12:25-12:55
Introduction & Aim: What is it that makes a face look beautiful? Throughout history each human culture has defined the ideal beauty in its own way. This ideal has never been constant and is still subject to change. The process of ageing is a natural process, and we as surgeons often alter this natural process. This concept of facial image beauty is dependent on our senses and the development of tridimensional image that patients develop for themselves after an esthetic surgical intervention.
Methodology & Results: We reviewed results from surgical interventions in 162 patients operated at our University Clinic for Plastic Reconstructive Surgery during 2013 to 2016 that underwent rhinoplasty (92 patients: 52 female, 40 male), blepharoplasty (54 patients: 35 female, 19 male), and cheiloplasty (16 patients: all female). Our patients were between 30 and 65 years of age (mean age of 42.7 years). The majority of the patients were treated with lipofilling (113, 69.7%), use of Plasma Rich Platelet Implant in 9 patients (5.6%) and the use of fillers in 40 patients (24.7%). Lipofilling was performed with harvesting abdominal fat with liposuction and then reinjecting it at the target area. Plasma Rich Platelets were prepared locally in our laboratory, and the fillers used are those that are commercially available preparations. Our results have shown the with the use of fillers overcorrection has to be repeated every 9 months, With PRP overcorrection should be repeated after 4 months, and with lipofilling the first overcorrection is performed after 6 months and then after 1 and ½ year.
Conclusion: We feel that lipofilling yields the best visual effect by providing best texture to the skin and a more lasting effect. This procedure also requires the use of most resources. Locally, PRP provides an inexpensive method for augmenting Standard Esthetic Surgical Operations, while the employment of fillers gives rise to an immediate visual effect. All methods will provide satisfactory augmentation of Esthetic Surgical Operations and their use should be individualized.
Tzachi Born in 1958.Graduated from the Tel Aviv University Sackler School of Medicine. Specialized in dermatology and venereology at the Department of Dermatology, Chaim Sheba Medical Center, Tel Hashomer. Attended advanced studies in aesthetic dermatology at the University of San-Francisco, California. Teaches and supervises medical students, dermatology interns and general practitioners in several dermatology and dermatologic surgery programs at Tel Aviv University, various dermatology departments and HMOs.
Amit Luthra is a dermatologist in Ishira skin clinc and he has a good amount of practical experience in performing procedures like injectables, lasers, chemical peels and cutaneous surgeries in India. In this article, he has tried to bring forth the often neglected aspect of post procedure modalities. These, if followed can alter the adverse outcomes of some of these fairly risky procedures, especially in skin of color.
Introduction: Cosmetic dermatology procedures are on the rise with adverse events being reported quite often, especially in skin of color. A number of these adverse events can be avoided by proper post procedure instructions and compliance by the patients.
Methodology: Post procedure instructions for injectables, lasers, chemical peels and cutaneous surgeries have been detailed out with special reference to bruising and Post Inflammatory Hyperpigmentation (PIH). Role of bruise preventing agents such as Arnica and Bromelain has also been discussed.
Results: Bruising post injectables, PIH after peels and lasers and adverse outcomes of all procedures need simple instructions and clear understandings to prevent them from happening.
Conclusion: Skin of color patients do need proper care post procedure as do others. A good percentage of these adverse events are avoidable, if the patients and the physicians are aware and lay emphasis on what comes after the actual procedure.
Dr Vincent Wong Skincare, UK
Time : 15:25-15:55
Dr. Vincent Wong is an established aesthetics doctor, trainer and author based in London. He is Save Face accredited and has won several awards for his work. As a Key Opinion Leader, he has headlined a number of national campaigns within the aesthetics industry and publishes scientific papers on a regular basis. Recognized as a pioneer in his field, Dr. Vincent has also been featured in popular press, radio and TV channels
Introduction: Facial attractiveness is characterized by a combination of factors that involve symmetry and proportions that are deemed aesthetically pleasing. Sexual dimorphism (the phenotypic differences between the sexes of the same species) is often less obvious when it comes to facial structure. However, the approach to male aesthetics is different to that of female. Hence it is of utmost importance that we understand sexual dimorphism and have a profound appreciation of male and female beauty. Materials & Methods: The 23XY Lift describes the injection techniques of dermal fillers into the 7 zones of the male face where volume deficiencies are commonly found. The 7 zones are:
3. Under Eye Area
4. Alar Base
5. Corner of Mouth
7. Angle of the Jaw
Conclusion: When it comes to male facial aesthetics, the 23XY Lift can help enhance the masculinity of the visage while minimizing the risks of complications and feminization of the face. Here, we discuss the 7 regions of the male face that can be treated using a step-by-step approach. These techniques are used widely within the aesthetics industry and are considered safe. However, it is important to bear in mind that this chapter acts purely as a guide, and there are various other techniques available for the same regions. Practitioner’s skills and experience also play a vital role in the final outcome of treatments, therefore, we strongly recommend using this guide as an adjunct to your advanced aesthetics training.
Polyclinic Poliderma, Zagreb
Time : 16:15-16:45
Dinko Kaliterna was born in 1971 in Split, where he finished medical high school. He enrolled to Faculty of Medicine in Zagreb in 1990, and graduated in 1996. He then spends his internship working in K.B. Merkur in Zagreb and after finalizing his state examination in 1997 he goes to finish his military service which he spent working as a medic. After returning from the army, by the end of 1998, he spends 8 months in surgical units in several hospitals in Zagreb where he performs minor aesthetic-corrective procedures.
Melasma is very common refractory esthetic problem which is hard to resolve. It is common among women but men are also affected. Typically melasma recurs even after the treatment and it gets worse during summers. There are many different treatments to treat melasma but the lasers are the most effective. Mostly it takes 3 to 5 sessions with the lasers but there is limitation for laser treatment and many people can’t afford it. The market is saturated with the creams for hyperpigmentation which are mostly limited with bad results, such as irritation. These creams cannot be used during the summer and it takes a long time to see some results. We want to represent the cream based on resorcinol derivatives which gives results which can be compared with lasers or give even better results. The results can be seen in less than 30 days which is much faster than any laser. It seems that now we have very effective cream for the melasma. Acne is the most common dermatological disease. Typically acne resolves but very often the scars develop. There are many different treatments for acne scars. The scar can’t be 100% removed but due to the latest technology like fractional lasers we achieve mostly very good results. Typically it takes 3 to 5 sessions with the down time and some side effects. Unfortunately many people can’t afford those treatments. The only effective alternative for the acne scars is the cream based on the resorcinol derivatives. This is a first cream for the treatment of acne scars. The first results are seen in less than 30 days. The cream can’t replace the lasers but gives the results which are comparable with laser treatments. The new treatment for the buttock shaping Today the treatment for the buttock shaping are extremely popular, especially in Brazil. For that purpose the fat or implants are mostly used. The limit of those treatments is that banana fold is not affected. That area is the most refractory for any treatment. Even professional models and dancers have problem with that area regarding the shape and skin laxity. Until recently there was no any effective treatment for the banan fold. We want to represent the device based on radio frequency which uses canila to warm the connective tissue and destroy the fat under the skin. With the infrared camera and on the tip of the canila we measure the temperature which we adjust. Only 1 session is enough, there are no brusies and the results are longlasting.
TriActive Clinic, Russia
Time : 16:45-17:15
Nataliia Gaidash has completed her MD and PhD. She is a Dermatovenerologist, and Cosmetologist specialist in laser and EbD technologies, Chief Editor of the Journal, Apparatus Cosmetology. She was also the Director at TriActive Clinic, Moscow. She has been an Aesthetic and Dermatology Physician. She is a regular lecturer and committee member at both international and national congresses and is involved in a number of research programmes & publications. She is a member of American Academy of Dermatology (AAD), American Society for Laser Medicine and Surgery (ASLMS), European Academy of Dermatology and Venerology (EADV), InternationalSocietof Dermatology (ISD), European Medical Laser Association (EMLA), International Society of Dermatoscopy (IDS) and Russian Society of Aesthetic Medicine.
Statement of the Problem: The use of high Energy Based Devices [laser, intense pulsed light (IPL), RF, HIFU US] is booming in aesthetic practice. And, of course, with the growth of these activities the number of side effects and complications is increasing. Most often, these cases are associated with a breach of protocols of the performed procedures and with the wrong before & after treatment customer's care.
Methodology & Theoretical Orientation: We made analysis of complications based on the patient’s photos, statistics and patient satisfaction with descriptions of the procedures.
Findings: Post-treatment erythema is the most common side effect of those methods. Recent developments in high energy sources technologies have aimed at minimizing thermal damage to the dermis. We present a case, impressionably demonstrating that high-energy devices demand profound knowledge of its mechanism of action and can cause severe harm in the absence of basic knowledge. Nevertheless, complications have to be clearly distinguished from professional errors.
Conclusion & Significance: This report provides the highlights of how to minimize these complications, to manage statistical reports of risks for the relevant physicians to show less side effects and more consistent clinical results.