7^th International Conference on Cosmetology, Trichology & Aesthetic Practices May 21-22 2018 Osaka, Japan

Biography:

Dr Jagdish sakhiya own India’s largest cosmetic & laser clinic chains, name Sakhiya Skin Clinic. He Presented papers & posters in many International & National Conferences & Workshops. He is past president Pigmentary disorders society of India (PDSI), past president Varachha road medical association. He also received Gauravvanta Gujarati Award, Frost & Sullivan Award-2015. India cosmetic service provider growth excellence award and Received Brand Impact Award, India’s most inspiring success stories. He was Secretary IADVL GSB (Gujarat state branch) (Conducted 17 CME in a history of any state  IADVL in single year), Joint organising secretary CUTICON Gujarat 2016, Organising committee of workshop – Dermacon 2013, Organising committee west zone Ahmedabad. Author in textbook of cosmetic dermatology.  Presently he is Vice president IADVL 2018

Abstract:

Use and efficacy of q-switch nd yag laser in treatment of epidermal pigmentary lesions like ephilides, lentigines, café-au-lait macules, tattoo removal, nevus of ota and ABNOM with minimal side effects and no down time is established.

However it can be used innovatively  for various  off label  indications including oncychomycosis, lichen planus pigmentosus, Schaumberg's disease, macular amyloidosis, fixed drug eruption, pseudoacanthosis nigricans to name a few.

The results may not be a 100 percent however; we certainly have a good satisfactory difference to offer. Here in we discuss various such untreatable conditions with moderate to good results post of q switch nd yag laser.

Biography:

Jagdish sakhiya own India’s largest cosmetic & laser clinic chains, name Sakhiya Skin Clinic. He Presented papers & posters in many International & National Conferences & Workshops. He is past president Pigmentary disorders society of India (PDSI), past president Varachha road medical association. He also received Gauravvanta Gujarati Award, Frost & Sullivan Award-2015. India cosmetic service provider growth excellence award and Received Brand Impact Award, India’s most inspiring success stories. He was Secretary IADVL GSB (Gujarat state branch) (Conducted 17 CME in a history of any state  IADVL in single year), Joint organising secretary CUTICON Gujarat 2016, Organising committee of workshop – Dermacon 2013, Organising committee west zone Ahmedabad. Author in textbook of cosmetic dermatology. Presently he is Vice president IADVL 2018

Abstract:

Use and efficacy of q-switch nd yag laser in treatment of epidermal pigmentary lesions like ephilides, lentigines, café-au-lait macules, tattoo removal, nevus of ota and ABNOM with minimal side effects and no down time is established. However it can be used innovatively  for various  off label  indications including oncychomycosis, lichen planus pigmentosus, Schaumberg's disease, macular amyloidosis, fixed drug eruption, pseudoacanthosis nigricans to name a few. The results may not be a 100 percent however; we certainly have a good satisfactory difference to offer. Here in we discuss various such untreatable conditions with moderate to good results post of q switch nd yag laser.

Biography:

Atul Kathed has trained in Clinical Dermatology & Cosmetology and over the last 15 years has dedicated his focus to Cosmetic Medicine working full time in same. He is passionate about his work and believes that everyone has natural beauty potential, and that it is the duty of the treating physician to release this potential and ‘hyper beautify’ everyone within the process of facial rejuvenation. This can be achieved non-surgically using a combination of therapies in a comprehensive ‘pan facial’ approach.

Abstract:

Acne scars are one of the most difficult disorders to treat in aesthetic dermatology. The most common treatments used are dermabrasion systems, deep laser, chemical peels and microsurgery. These treatments are frequently associated with prolonged downtime, discomfort, pain and considerable side effects. Changes in skin texture, appearance of wrinkles, decrease in skin laxity and color changes are the main characteristics of aging skin. Dermatologists and plastic surgeons look for treatments that provide both epidermal resurfacing for the improvement of skin texture and collagen remodeling in the dermis to reduce wrinkles and skin laxity.Radiofrequency (RF) is non-ionizing electromagnetic radiation used in medicine for nearly 100 years. In contrast to most lasers that target specific chromophores, RF is chromophore-independent and has deeper penetration to the dermis and hypodermis as compared to light based technologies. The use of RF devices for skin resurfacing has similar efficacy however with less downtime, pain and adverse effects, especially when treating dark skin types. The latest generation of multisource RF systems which use six independent RF generators simultaneously, have been shown to provide deeper penetration with less surface heating and discomfort. The Fractional Skin Resurfacing (FSR) technology provides unique ability to treat the epidermis and dermis simultaneously; fractional micro-ablation for skin texture at the epidermal layer and significant volumetric heating up to 2.9mm for collagen remodeling at the dermal layer.

Study Design & Methods

20 patients enrolled in this study. All subjects were treated with the Fractional Skin Resurfacing handpiece (FSR Handpiece, Endymed PRO, ENDYMED Medical Ltd, Caesarea, Israel). Treatment areas were cheeks, forehead, thighs, chest and upper arms. Treatment protocol includes 4-5 treatments with one moth interval. All patients were photographed before the first treatment and after the last treatment at a standard distance and illumination.

Results

None of the patients had reported any pain during the treatments. No adverse events were reported during and after the treatments. B&A photos show improvement in acne scars, stretch marks and skin texture. Subjective and objective questionnaires showed high treatment satisfaction.

Conclusions

The current study evaluates the efficacy and safety of a Fractional Skin Resurfacing handpiece. The evaluated indications were acne scars, stretch marks and skin texture. The findings show that the treatments are safe and effective with high satisfaction rate.

Biography:

Abstract:

Follicular unit extraction has many advantages which is minimal scar, quicker recovery time but definitely have disadvantages as well. One of them include potential for high hair follicle

transection rate. The disadvantage is mostly due to blind harvesting technique. Thus we had been looking for imaging methods which make visible technique possible. One of them is the ultrasound scanner which is 22MHz in frequency and shows structures within the dermis. Through it we found out that there were angle differences between hair shaft out of the skin and hair follicle in the occipital scalp. The results were in 20.8-40.3 degree range and 12.8 degree of average. In addition there were significant differences in the average follicle angle depending on the area of occipital region. Therefore we employed its data in order to reduce transection rate for graft. But despite ultrasound’s great ability, we was not able to harvest the grafts simultaneously while seeing the hair follicle. So we were searching for something to be capable of resolving the problem and lights gave us good idea. We made the first attempt with the NIR(one kind of lights which is 700-2500nm in wavelength). We were able to identify the hair follicles, but felt a need for further improvement. The most suitable amount of melanin to be observed in hair follicles was 640 nm red visible. We were able to identify hair follicles using 640nm red visible light with PL filter. As a result, we can harvest the grafts while looking at the hair follicles through the monitor simultaneously.

Conclusion: While harvesting the hair follicle, we always have potential for transection of it when just depend on blind technique. We have been making much effort to lower transection rate of the follicle and at last we found out Follicoscope and ultrasound scanner. They consequently make visible technique possible. 

Biography:

Xiaolei Jin, 45 years old male. Renowned plastic surgeon in china. He has a firm commitment to safety, patient education, and surgical excellence. He has over 20 years of surgical experience to include reconstruction, microsurgery and the entire spectrum of cosmetic surgery. He specializes in blepharoplasty, orthognathic surgeries, face lifting, rhinoplasty and so on. He has performed more than 5000 cases of Asian double eyelid blepharoplasty. Except for cosmetic plastic surgeries, he also performed many reconstructive surgeries, for example the reconstruction of facial contour deformity with anterolateral thigh flaps. He is also a tutor for post-graduate students. He has published 9 articles in English and 12 articles in Chinese as the first author or corresponding author.

Abstract:

The epicanthus can weaken the effect of blepharoplasty, which makes it difficult to form the outfold type double eyelids preferred by Asian women. The
integration of blepharoplasty and Z-epicanthoplasty has become increasingly popular. Although many techniques have been introduced to remove the epicanthus during
blepharoplasty, there are still some surgical complications.  

Method This study aimed to evaluate the practicability and effectiveness of combining Z-epicanthoplasty and blepharoplasty. Removing a slice of skin from the upper eyelid to the inner canthus makes the epicanthus crease along the vertical axis of Z-plasty. The up-outward triangular flap points to the lower eyelid margin instead of the inner canthus. By cutting off the fibrous tissue and orbicularis oculi muscle, the tension that causes epicanthus is completely released; therefore, the inner canthus ligament anchor is unnecessary and avoids damage to the inner canthus.

Result From January 2008 to June 2014, this modified surgical method was carried out on 1108 patients. One hundred and twelve patients were evaluated at a follow-up visit ranging from 6 to 72 months. In 2 cases, the double eyelid fold developed into an in-fold type, while, in 110 cases, it developed into an out-fold type. The outlines of the upper eyelids were natural and symmetric, and the  inner canthus and lacrimal caruncle were fully exposed with no visible scar.

Conclusion This modified method is simple in design and practice. The inner canthus and lacrimal caruncle can be fully exposed, giving a natural, smooth, Westernized, appealing look. This technique is suitable for all types of epicanthus in Asian women.

Biography:

Yang Xiaonan, M.D., Ph.D., Associate Professor of Plastic and Aesthetic Surgery, Plastic Surgery Hospital, PUMC, CAME, Beijing, China. Dr. Yang is an experienced Plastic Surgeon with a demonstrated history of working in the hospital & health care industry. Skilled in Clinical Research, Medical Education, Facial Plastic & Reconstructive Surgery, Botox Cosmetic, filler injection, liposuction, fat grafting and Breast Surgery. Strong healthcare services professional with a Doctor of Philosophy (Ph.D.) focused in Plastic surgery from Shanghai Jiao Tong University. Visiting experience at Harvard University, USA, in 2014.

Abstract:

Objective: To discuss the effect of one-stage vermilion reconstruction with axial pattern composite tissue flap.

Methods: According to the size of vermilion defect, the axial pattern composite tissue flap with pedicle in oral commissure was designed and transposed to reconstruct simple lip defect. The defect at the donor site was closed directly.

Results: 9 patients were treated with satisfactory aesthetic results. All the flaps survived completely. The characters and color of repaired lips were similar to normal ones. The oral commissure kept normal with no obvious scar at the donor sites.

Conclusions: The method of vermilion repair with axial pattern composite flap has the advantages of avoiding inconvenience in feeding, speaking and cleaning. The procedure is simple with available blood supply and shortens the treatment. Both aesthetic and functional results are satisfactory. 

Biography:

Shun io President, Plastic & Cosmetic Surgical Society of Macau Surgical Association Associate Doctor, Specialist in Plastic Cosmetic Surgery, Yi Kui Hospital (Macau) Medical Consultant, Paul Niehans Anti-Aging Center (Asia) Specialist in Cosmetic Surgery, Taiwan Specialist in Aesthetic Medicine, Taiwan Specialist in Anti-Aging Medicine, Taiwan Official Trainer of Derma Veil Aesthetics Training Official Trainer of Stylage Aesthetics Training Certification of Completed BOTOX Aesthetics Training Certification of Completed Juvederm Aesthetics Training Certification of Completed Restylane Aesthetics Training Certification of Completed Sanofi Sculptra Aesthetics Training

Abstract:

Background: Injecting cosmetic fillers is increasing worldwide and desiring a cheap permanent filler had led to increased use of Polyacrylamide gel (PAAG) as filler in cosmetic procedures. We frequently see complications including induration, immigration, and infection after injection. Objectives: This study aimed to introduce a new method of evacuating PAAG with the help ultrasonography (USG) markings on face. And evacuating with Fat-Transfer Cannula. We aimed to remove PAAG with a technique using fat-transfer cannula in patients with complicated or displaced injected materials. In this method, the exact site of PAAG was determined by USG and marking the sites on face before removal of materials. Patients and Methods: We enrolled patients who were unsatisfied with the results of injection or had developed complications such as induration, gel migration, or infection referred to our clinic to evacuate the filler since 2013. Patients were examined by ultrasonography and reported the volume, place, and depth of gel as well as fibrosis and marked them on the patients’ face or its photographs. We used Barikbin’s tumescent solution to facilitate the evacuation of concentrated gel and reduce the risk of injury to vital tissues. We inserted a 18G-fat-transfer cannula through a hole on the regions and evacuated the gel by vacuum force with Suction and milking. We also used a Manhattan Forcep subcision blade to dissect fibrosis. The evacuated region was irrigated by Normal Saline. Results: We treated 154 patients, including 150 females (97.4%), with the mean (SD) age of 33.79 years. According to VAS, 98.7% of patients reported complete satisfaction while 2 (1.2%) were unsatisfied with the results. Patients reported no complication of therapy. Conclusions: Our method provided good results and performing evacuation under the guide of bedside ultrasonography is recommended.

Biography:

Dr. Athreya Rajagopal Trained in all aspects of Oral and Maxillofacial surgery, along with a Fellowship in Facial Cosmetology & Facial cosmetic surgery, cleft and craniofacial surgery. He is certified Implantologist and has loads of experience in conventional & basal implantology. he was awarded as the best student in Oral & Maxillofacial Surgery by the International College of Dentists. Dr. Athreya has routinely been training dental practitioners the Art & Science of Facial Cosmetology.

Abstract:

Minimally invasive techniques are the need of the hour to achieve the best results in facial rejuvenation.The ageing face shows poor definition of the mandibular margin, wrinkles of the forehead, vertical wrinkles in the glabellar area, drooping of the zygomatic malar region, and deepening of the naso-buccal fold. Another main factor in the effect of aging on appearance is gravity,due to the resorption & atrophy of fat and muscle specially in the middle third of the face & hence increased skin laxity in the lower third of the face.

To counteract the volume loss in the middle third & increased skin laxity in the lower third a combination technique proved to be an accurate method to treat the ageing face.The twilight lifting techniques lays emphasis on the use of PDO threads with Growth factors derived from the patients blood.Activated growth factors with PDO helps collagen synthesis & activates a series of events that help in collagen re-modelling and increase in lymph circulation which in turn causes the firmness and acts as an asset in facial rejuvination.

Biography:

Reham M. Labib is graduate of AIN SHAMS UNIVERSITY Medical School in Egypt. She has been trained in dermatology at EL HOUD EL MARSOUD Hospital, one of the most important dermatology hospitals in the Middle East. Labib has been practicing since 2001, the last 5 years in ONE CLINIC ( skin and laser clinic ) known as one of the top 5 skin and laser clinic series in Egypt with more than 7 branches in Cairo. Her practice focuses on cosmetic dermatology and all non-surgical aesthetic procedures such as Botox and fillers injection in addition to using different types of lasers for skin rejuvenation, resurfacing and treatment. 

Abstract:

Biography:

Dr.Faruk got the scholarship from Japan dermatological association for post graduate Diploma in Dermatology and Dermatosurgery .  Mr.Faruk has completed his diploma in dermatology in 2015 which was a combined course of Juntendo University , Japan and Ministry of Health , Thailand at Institute of Dermatology , Bangkok . Mr.Faruk  joined as consultant of dermatology at National Skin Centre , Dhaka , April 2015. Now he is working as a  Senior  Consultant .  As a young and energetic dermatologist he has many national and international publications. He has recently published a research article on psoriasis

Abstract:

Everyone loses hair , no matter what their age , most people part with 25 – 100 strands per day but some lose faster than they can re grow . Both male or female are affected by hereditary hair loss , female tend to see a widening part an overall thinning of the hair , Hair transplantation ,PRP therapy is surgical intervention for hair loss . Another option is minoxidil, an  over-the-counter foam or liquid that’s applied to the scalp. The prescription pill finasteride, which decreases the levels of dihydrotestosterone (a hormone linked with male-pattern baldness) so baldness is decreased. Lifestyle and health can affect the pace and progress of genetic hair loss. It can be accelerated by stress, smoking , being overweight, thyroid problem. Other reasons why people lose hair include poor nutrition, heavy hair extensions, straightening -tightening - highlighting, hormonal changes during menopause or after childbirth, medications. Carbohydrate , Protein , Fat is necessary for hair building and regrowth,found in balanced diet.Vitamin B,C, D, A is necessary for hair generation and synthesis. Vitamin A from vegetable source is better than animal source .  Ascorbic acid 2 phosphate promotes elongation of hair shafts via secretion of insulin like growth factor 1 from dermal papilla cells. Vitamin D is necessary for anagen initiation. Low serum ferritin and vitamin D2 are associated with hair loss in female with telogen effluvium and female pattern hair loss. Silicon is necessary for hair shine. Cobalamin (B12) may have connection to excess hair loss in woman with anemia depression. Zinc, Iron , Copper , Selenium , Silicon , Magnesium , Calcium play important role for hair growth.  Balanced diet , RDA nutritional supplementation can be taken for personal imbalance diet. Oral nutritional supplementation is to be rejected , unless proved by serum level measurement.

Biography:

Abstract:

Oxidative stress and low-grade inflammation are hallmarks of aging process as mitochondrial dysfunction and oxidative stress induce multi-protein inflammatory complexes called inflammasomes. Nod like receptor protein 3 (NLRP3) major immune sensors for cellular stress signals, e.g. reactive oxygen species cathepsin B NLRP3 activation triggers caspase1 mediated maturation of IL-1b and IL-18. IL-1b and IL-18 are of the same family closely related similar 3-dimensional structure their precursors are inactive until cleaved by intracellular cysteine protease caspase. NLRP3 gene control activity of caspase1 as NLRP3 gene participate in conversion of procaspase-1 to active caspase1 so mutation in NLRP3 gene will affect IL-1b and IL-18 secretion during aging. Autophagic clearance of mitochondria declines and dysfunctional mitochondria provoke oxidative stress disturb cellular redox balance. During aging increased NF-Kb potentiate expression of NLRP3 and cytokines inflammasomes play role in proinflammatory phenotype during aging process and IL-1b and IL-18 participate in fundamental inflammatory process that increased during aging process

Biography:

Abstract:

It is well know that prostaglandin –F is Hair follicle stimulant, and it is used as anti-glaucoma drugs and of the side effect is to have longer eye lashes from here come the idea to mix those kind of eye drops with P.R.P treatment.

So we I received this 18 years lady with history of 8 years of alopecia universalis and she tried all types of treatment without any response.

Now after mixing P.R.P with eye drops for 6 cessions we got this amazing result that we can prove with pictures and for the safety of drug we so no systemic side effect except some abdominal cramps.

And we start to use this treatment as well with androgenic alopecia and we received great result superior to P.R.P alone.

Biography:

Panxi Yu is an outstanding student from Chinese Academy of Medical Sciences (CAMS) and Peking Union Medical College (PUMC), which is the best medical college in China.  She works in Plastic Surgery Hospital affiliated to CAMS and PUMC, and specializes in craniomaxillofacial surgery and cosmetic surgeries.

Abstract:

Statement of the Problem: Unaesthetic scarring is associated with physical and psychosocial consequences, and nowhere is this truer than large ones in the face. Revision of large facial scars is difficult, yet the superficial ones might be relatively more curable since their therapeutic goal is basically to improve the appearance instead of function. Methodology: According to the etiology, target scars were divided into post-burning group, post-traumatic group and post-acne group and treated by the same surgeon with dermabrasion and ReCell®. By analyzing healing time, complication rate as well as the pre-op and 18-month-post-op Patient Satisfaction Score, Vancouver Scar Scale, and Patient and Observer Scar Assessment Scale, the effect of the combined therapy on different groups were compared and analyzed. Findings: The healing time of post-burning group (19.6±4.0 days), post-traumatic group (15.8±2.6 days), and post-acne group (11.4±3.1 days) varied remarkably (P≤0.01). The complication rate (60%, 20% and 0% respectively) did not reveal significant difference (P>0.05). The post-op Patient and Observer Scar Assessment Scale improved significantly in all groups (P≤0.05), but its improvement in post-acne group was more significant than that in other groups (P≤0.05). The post-op Patient Satisfaction Score and Vancouver Scar Scale promoted only in post-traumatic group and post-acne group (P≤0.05), and they promoted more significantly in post-acne group than they did in other groups (P≤0.05). Conclusions: The combined treatment of dermabrasion and ReCell® is effective for acne scars, moderate for traumatic scars and not suggested for burn scars. To assess the therapeutic effects of treatments for large irregular scars, the application of Patient and Observer Scar Assessment Scale could be applied

Biography:

Troy Robbin Hailparn is internationally renowned in the field of cosmetic gynecology. She is the owner and Medical Director of the Cosmetic Gynecology Center of San Antonio, Texas (formerly the Laser Vaginal Rejuvenation Institute™ of San Antonio

Abstract:

Statement of the Problem:  Labia Minora Labiaplasty (LmL) surgery is sought after by women for comfort, function and appearance concerns but there is little documentation on how these surgeries affect how women perceive their genitals.  The impact of LmL on female patients’ perceptions of their genitals is evaluated with the validated instrument, the Female Genital Self-Image Scale (FGSIS).

Methodology:  All patients who underwent LmL, alone or in combination with other surgeries, from August 2011 through April 2017 were asked to fill out the 7-item version of the FGSIS before and after surgery (post-operative 4 weeks or more).  The minimum score is 7 (one point per item) and the maximum score is 28 (four points per item).   The higher the score the more positive the perception. Pre- and Post-op scores were directly compared.  Age was assessed to see if it influenced scores.

Findings:  N=152 underwent LmL surgery and filled out the Pre-Op Questionnaires (Qs). 13 did not fill out post-op Qs.    The pre-op scores ranged from 7 to 26, the mean score = 14.78 and median pre-op score = 15.  For N=139 who completed the Post-Op Qs, post-op scores ranged from 14 to 28 with a mean post-op score of 25.45 and median score of 27.  Eleven patients required a second procedure with higher FGSIS scores after the second procedure. The difference between the pre-op (CI = 14.20, 15.36) and post-op (CI = 24.90, 26.00) scores was shown to be strongly statistically significant (on the average 10 points higher) with a p value equal to 2.2 x 10.   Using the ANOVA test, age had no effect on pre- or post-op scores.

Conclusion and Significance: Labiaplasty surgery has a positive impact on patients’ perceptions of their genitalia using the FGSIS instrument.  Pre-op and post-op scores were independent of age.  This instrument can be a useful tool for practitioners to assess the success of LmL surgery.

Biography:

Deepa Ganesh is a well-known Cosmetic Gynecologist & Vaginal Laser Specialist from India. She is also an Advanced Laparoscopic & Robotic Gynecologist. She is a Founder Director of ‘DG’ Laser & Cosmetic Gynecology Clinic and Consultant at various hospitals. She has been a prominent person in this field for 16 years, consulting and satisfying the needs of thousands of patients with compassion and moral support. After practicing Obstetrics for a decade, her interest in Laparoscopy and Cosmetic Gynecology led her to gain training all over the world. Her Fellowships & Diplomas in Minimal Access Surgery, Advanced Laparoscopic & Robotic Surgery and Cosmetic Gynecology from USA, France, Germany and India set her apart as one of the most qualified people in her field. Dr. Deepa Ganesh is the First Indian Gynecologist to get certified in Cosmetic Gynecology, trained under Dr. David Matlock and Dr. Adam Ostrzenski, USA.  An Associate of the Laser Vaginal Rejuvenation Institute of America, she is the First Indian to receive this honour. She is a pioneer in bringing this field to India and the first & only certified provider of G-Shot (G-spot Augmentation) in India. She has been Faculty for number of conferences and workshops all over the country and has many national and international publications.

Abstract:

Physiologic changes in a woman’s life, such as childbirth, weight fluctuations, hormonal changes due to aging and menopause, may alter the laxity of the vaginal canal, damage the pelvic floor, and devitalize the mucosal tone of the vaginal wall. These events often lead to the development of genitourinary conditions such as stress urinary incontinence, vaginal atrophy, dryness and physiologic distress affecting a woman’s quality of life, self-confidence, and sexuality. Various treatment modalities were available to manage these indications, varying from invasive vaginal surgery to more benign treatments like topical vaginal hormonal gels or hormone-replacement therapy.

Cosmetic Gynaecology is the latest revolution in the Aesthetic field that changes female external genitalia appearance to look younger and more natural. These are procedures which are cosmetic in nature and some medically necessary to be performed. They are done to either boost up the function or to improve the appearance or both.  A new trend gaining momentum is the advent of energy-based device LASER for vaginal rejuvenation that applies thermal energy to the various layers of the vaginal tissue, stimulating collagen regeneration contracture of elastin fibers, neovascularization, and improved vaginal lubrication. Laser is widely and successfully used for treatments in dermatology and aesthetic medicine. Thus, their application in the vaginal canal for feminine rejuvenation simply represents an expansion of therapeutic indications and hallmarks their versatility and the reactivity of biologic tissues to the beneficial effects of their mechanism of action

Biography:

Jingyi Zhao was graduatded from Chinese Academy of Medical Sciences & Peking Union Medical College in July 2017 and  got her doctor’s degree.During the 5 years in Plastic Hospital in Beijing,she learned basic skills of plastic and reconstrucive surgeries, Craniomaxillofacial  surgeries and Cosmetic surgerys.3 SCI articles were published during this period.This manuscript above was one of her clinicle studies,which reported the  use of patient reported outcome measures (PROMS) and patient satisfaction score for the assessment of the outcome of double eyelid surgery in Chinese. It can bu used for blepharoplasty  and other kinds of cosmetic surgeries,which has great  clinical application values,should be popularized.

Abstract:

Statement of the Problem: We previously reported consistent good outcome with the surgical techniques of integration of our modified Z-epicanthoplasty with blepharoplasty. The purpose of this study is to evaluate the surgical outcome from the patient’s perspective using the patient reported outcome measures (PROMS) and patient satisfaction scores. Methodology & Theoretical Orientation: A total of patients (n=180) underwent the surgery between January 2013 to June 2016 were randomly selected to participate in this study. Standardized patient satisfaction form (total score of 40) and validated PROMs questionnaires (total score of 12) were sent to patients for completion. The PROMS consisted of domains which assessed the severity of the scarring, pain, asymmetry, functional and appearances issues. Non-responders were followed up by telephone reminders at 4 weeks later to maximize response rate. Findings: All the patients were females, ranging from 18 to 35 (mean =24) with a response rate of 73.3% (n=132). Majority of patient reported good or excellent outcomes based on the analysis of the results collected from the PROMs. Patients reported minimum or non-visible scarring at both the double eyelid surgical scar (85.6%) and the inner canthus (80.3%) respectively. Functional and appearance issues was minimum with 80.3% reported satisfied with both domains. There is a positive linear correlation between PROMS and patient satisfaction rate (p<0.05). Conclusion & Significance: Integration of our modified Z-epicanthoplasty with blepharoplasty yield good outcome based on the results obtained from the patient report outcome measures, which shown positive linear relationship to the patients’ satisfaction score. To the best of our knowledge, this is the first attempt using the patient reported outcome measures in Asian double eyelid surgery and we advocate its use to standardize the evaluation of post-operative outcomes.

Biography:

Dr. Hamdy A Elkhatib is currently affiliated to Senior Consultant and Head of Plastic and Hand Surgery, Alkhor Hospital, Hamad Medical Corporation, Doha, Qatar and Adjunct Assistant Professor of Plastic Surgery,, continuing research in the specialized scientific area of Plastic and Hand Surgery. Dr. Hamdy A Elkhatib is serving as an honorary reviewer for Anaplastology & other reputed journals and has authored several articles along with chapters in different books related to Plastic and Hand Surgery

Abstract:

The extended running W-plasty technique using the W-plasty principle is a modification of the conventional technique. The use of this technique was utilized for simultaneous reduction of the protuberant labia minora and the redundant clitoris. Twenty-three patients presented to the plastic surgery clinic between 2010 and 2017 with the complaints of protuberant and enlarged labia minora in conjunction with a hypertrophied clitorial hood. The extended running W-plasty was performed in all patients. Surgery was performed under general anesthesia as an outpatient procedure with a range of operative time from 30-45 min. The Likert scale was used to evaluate outcomes. Patients maintained labial length with decreased scarring. Small hematomas occurred in 2 patients and were treated conservatively. One case of wound dehiscence occurred and was also treated conservatively. Patients returned to normal activity 5-7 days postoperatively. The cosmetic outcome of all patients was very satisfactory. The running W-plasty technique is ideal for closure of secondary defects following excision of both the redundant labia minora and clitoral hood, while maintaining length and providing tensionless scars. The technique conserves the original tissues while avoiding over- or under- resection of the labia.

Biography:

Dr Eserdag trained at Zekai Tahir Burak Women’s Health and Educational Hospital, the largest maternity hospital in Turkey. He acquired unique training experiences from some of the world’s most renowned experts when aesthetic genital surgery was in its infancy.  He established his renowned clinic in three big cities of Turkey as ‘Hera Clinics’, which attracts thousands of patients every year from countries all over the region.  With his professional team since 2002, he’s treated more than 6000 patients of sexual dysfunctions involving mostly vaginismus and dyspareunia, and also sexual desire, arousement, orgasmic problems. 

Abstract:

Labia minora reduction is one of the most demanded genital aesthetic operation by the patients. The technique of the operation should be tailored in accordance with the patients demands and also the structure of the labia. Labia minoraplasty can be done safely on office based conditions. Sedation anesthesia, local anesthetic creams, local anesthetic injections, marking, selecting appropriate surgical instruments, finesse cutting and suturing techniques play crucial roles for the patients’ postoperative contentment

Biography:

Adil H. H. Bashir is Lecturer, supervisor and external examiner - Specialized Medical Sudanese Board (SMSB) Dermatology department. Research member in institute of Endemic Diseases, university of Khartoum

Abstract:

Hemangiopericytoma (HPC) is a tumor with malignant potential composed with vascular channels and proliferating pericyte-like spindle cells. Itg rows in the body’s soft tissue, which includes fat, muscles, tendons, nerves, blood vessels and another fibrous tissue. We reported rare case, of a male adolescent, 13 years old, presented with insidious onset of right leg, easily bleed, scabbed, well-demarcated skin ulcer, with offensive necrotic floor, and crusts. The case was diagnosed and confirmed histopathologically as Hemangiopericytoma, considered to be the first case been reported in Sudan.

Biography:

Dr. Savana Chongtham hails from Manipur the northeastermost corner of India and is a well-known Gynaecologist and an expert in dealing with women's overall health.She is the founder President of Savannah’s She Matters Women's Clinic which provides  complete wellness for women including Gynaecological wellness, counseling ,genital cosmetic and rejuvenation. She had worked in various Govt health sectors including State and Central Ministry level.. She believes overall wellness comes from treating the patient as a human being including all aspects physical , mental , spiritual , sexual. Coming from a political and media background with a keen interest of social work she and her husband had worked tirelessly for the welfare of the weaker section of the society. She is a well-known faculty in many national and international conferences and delivered many talks  and conducted various workshops  concerning women’s health especially  in all sections including cosmetic gynaecology ,sexual health, social issues and stress management.

Abstract:

Sexuality in Asia has always been regarded in spiritual context since ancient times.  It has always been synonymous with a sacred expression of nature’s life force and mystery of creation. It was believed that sex is a powerful tool of transcendental development and sexual experience was regarded as mystical.

Spiritual sexuality sacred sex aims at the concept of joining energy sources, joining of all the essences of health to attain longevity of life and spiritual advancement.

Ancient Asian people interpreted sex in many ways, main reason were for reproduction and fulfilling physical need of married couple, for complete union of body and soul for intimate partners ,and as a barter to gain monetary or other benefits. There were many aids and ideas to increase the pleasure of sex .Most intrinsic mechanism used were through mind and spiritual path and yogic methods. Kundalini awakening and tantric sexual practices were welcomed. Many ancient texts like Kama sutra from India Ishinpo from Japan gives good guide for sexual practices.

Recent trend of cosmetic gynaecology if practiced in a balanced manner will enhance  sexual pleasure and satisfaction . Cosmetic gynaecology aesthetic gynecology aims at giving outward satisfactory look and also enhances  functional capability. As per the changing times girls and women of today live different ways of life as compared to ancient times. Shape and size of labia which were not considered as of much importance becomes a very important aspect for women athletes and for those wearing swim suits. Vulvovaginal atrophy was one of the commonest problems women used to suffer silently without taking professional help due to lack of awareness and embarrassment. Cosmetic gynaecology has many aspects including labioplasty, vaginal tightening, perineum and pelvic floor repair, vaginal rejuvenation, hymen repair and these are helping women live a satisfactory lifestyle and hereby increasing quality of life.

In recent times quality of sex has fallen and sex has lost its sacredness, its scientific understanding and its simplicity and naturalness. People started  aiming for just for the outward look and temporary physical satisfaction and relaxation and using sex for barter and revenge and coercion and forgetting the very essence of spirit and sacred component of sexuality. Unless we can bring a deep understanding and a harmony to the act of sex, unless we make it spiritual, a better humanity cannot come into being.

We as practicing gynaecologist, as a sexual health provider need to give a message to society to balance the act of cosmetic and spiritual component wisely. Otherwise the very meaning of sexuality and purpose of sexual act will be lost