Day 2 :
World-renowned Cosmetic Surgeon, Morocco
Keynote: The scarless vaginoplasty using fat transfer enhanced with mesenchymal stem cells: the new paradigm shift in the treatment of vaginal laxity, lack of sexual arousal & stress urinary incontinence
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Dr. Tawfik Sefrioui is a graduate of George Washington University, USA and later also taught at the prestigious University of Brown, USA. He has been extensively trained in USA at various centers into Cosmetic Surgery and cosmetic gynecology. He combines the art of non-invasive surgery with revolutionary and effective technology to succeed in scarless surgery, with fulgurant and amazing results almost better than invasive procedures: like vaser Liposculpture and full body-jet liposuction under local anesthesia, J-plasma skin tightening and so many other amazing non-invasive techniques.
The vaginoplasty with lipofilling technique is a simple mini-invasive method that is not currently described in the literature. As Being myself the Inventor of this procedure I wanted to share my experience in that domain and illustrate its efficiency and safety.
My excellent results encouraged me to share my experience without any delay. and I have been teaching this Technique around the world , and so far I have trained more than 100 plastic surgeons to introduce this procedure in their daily practice and has shared this Novel procedure in many international meetings worldwide, i am today convinced that A multicenter clinical trial is necessary to described more thoroughly the effectiveness of this technique and the stability of the results in the medium and long term, I am at the disposal of any interested team around the world.
This Procedure is non invasive, safe when it is done properly and has many advantages:
- long term results
- No surgery and cutting in your vagina
- Excellent Vaginal tightening and amazing sexual enhancement
- TREATMENT of Stress urinary incontinence
- No downtime.
- Cosmetics and Skin care | Hand Surgery | The Business of Cosmetology | Cosmetic gynecology| Oral and maxillofacial surgery | Cosmetic Dentistry | Mohs surgery | Rhinoplasty
Alkhor Hospital, Hamad Medical Corporation, Qatar
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
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.
Hera Clinic, Turkey
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.
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
Chinese Academy of Medical Sciences & Peking Union Medical College,MD, Xiaolei Jin,MD, China
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.
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.
Dr. Deepa ganesh, M.S, F.MAS, D.MAS, FICRS, FIMA, Dip MIS (Germany), Dip ALS (France), Dip ACG (USA), FIMSA, Laparoscopic & Robotic Gynecologist. Cosmetic Gynecologist & Vaginal Laser Specialist. Director – ‘DG’ Laser & Cosmetic Gynecology Clinic. Apollo Cosmetic Clinic. LIMA Hospital. India
Dr. 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.
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
Technical University of Munich, Sudan
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
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.
Director Savannah's She Matters Women’s Clinic, India
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.
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