Scientific Program

Conference Series Ltd invites all the participants across the globe to attend 2nd International Conference and Exhibition on Cosmetology & Trichology Chicago, USA.

Day 1 :

  • Track 1: Cosmetic Surgeries
Location: Zurich
Speaker

Chair

Alexander A Krakovsky

World Academy of Aesthetic Medicine and Surgery, USA

Speaker

Co-Chair

Howard I. Maibach

University of California, USA

Session Introduction

Amjad Z. Ahmad

University of Illinois, USA

Title: The beauty of the open upper eyelid-ptosis surgery in combination with blepharoplasty

Time : 10:25-10:45

Speaker
Biography:

Amjad Z. Ahmad sees oculofacial plastic surgery patients and teaches residents at the Illinois Eye and Ear Infi rmary part time and is in private practice in Chicago's western suburbs. He joined the IEEI faculty in 2007

Abstract:

Since the beginning of time people have been fascinated and interested in the beauty of the eye. As we age the upper eyelid naturally descends giving patients a sleepy, uninterested appearance. Many patients will try to use periocular make-up to hide their droopy eyelids or seek consultation for blepharoplasty. Although removal of upper eyelid skin and fatty tissue can open the eyelid complex, tightening of the eyelid muscles are the key to opening the upper eyelid complex. Th e combination of elevating the eyelid with conservative tissue removal (blepharoplasty) can improve the appearance of the eyelid complex and the entire face.

Speaker
Biography:

Sergey Prokudin is a Plastic, Aesthetic & Reconstructive Surgeon in private practice. He was educated and trained in Russia, France, Italy and Germany. He is the chairman of the Southern Society of Plastic Reconstructive Aestetic Surgeons and Cosmetologists (SSPRASC), a member of the Board of the Russian Society of Plastic Reconstructive Surgeons (SPRAS), member of the ASSECE, honorary member of the SIDE, and a member of the Editorial Board of the journal "Aesthetic medicine". He is working together with French and Italian anatomists on an "Atlas of Anatomy of the face and Neck for cosmetologists and plastic surgeons". He is the organizer of the annual SSPRASC congresses, workshops, a lecturer at national and international conferences and other academic activities

Abstract:

In the last 5-7 years in the aesthetic correction of facial and neck, there is a new trend: decrease number of traditional surgical face lift s and a growing preference for the so-called "minimally invasive" techniques. Th e most eff ective and safe in this series is threadlift ing. In the practice, plastic surgeons and cosmetologists use a number of diff erent threads that have their advantages and disadvantages. According to a survey of plastic surgeons and beauticians, the most acceptable in terms of safety and effi cacy of a minimally invasive facelift s are thread "Aptos". Th e middle third of the face is the most demanded area in the correction of involutional changes of the face. To evaluate the properties and performance of the second generation Aptos threads: absorbable Aptos Th read 2G, Needle 2G and nonabsorbable - Needle 2G, Aptos Spring and third generation - Aptos Excellence Visage for lift ing and volumizing the middle third of the face, was performed research on the human cadavers (10): an introduction threads in the tissue of the corpse midface (malar and mental zone) according to the companies recommendations; step-by-step dissection of cadaveric material in the studied areas, assessment of level and place of the threads in the tissues. Based on the results, it is found that subcutaneous fat middle third of the face divided into compartments which play a major role in the involution of volume changes in the malar area, jowls, respectively, are the main points of the application threads Aptos. Th e threads have a number of characteristics: they are safe and eff ective in the subcutaneous tissue malar area, jowls, give a predictable result, can be used to lift both single and multiple compartments of fat, depending on the available anatomical situations. Th ird generation fi bers Aptos Excellence Visage is the most functional of the entire line of Aptos: they are thin, have diff erently directed notches around the diameter, threads are inserted through a cannula, the directions of vectors and levels may be diff erent, depending on the aim, it is also possible to use a diff erent quantity yarns per zone correction. Using the theory of compartmental structure of the subcutaneous tissue allow to create an algorithm using diff erent types of threads with the predicted result. Th e research allowed to anatomical point of view to explain the results obtained by surgeons and beauticians in practice.

John J. Martin

John Martin M.D., USA

Title: Lower eyelid fat repositioning

Time : 11:05-11:25

Speaker
Biography:

John J. Martin is a graduate of Williams College and Harvard Medical School. He did a residency in ophthalmology at the Wills Eye Hospital in Philadelphia, followed by a fellowship in ophthalmic plastic and reconstructive surgery at the Bascom Palmer Eye Institute in Miami. He is board certifi ed in ophthalmology, and is also board certifi ed in facial plastic surgery by the American Academy of Cosmetic Surgery. He is a fellow of the American Society of Ophthalmic Plastic and Reconstructive Surgery, the American Academy of Cosmetic Surgery, the International Society of Cosmetic Laser Surgery, and is a member of the American Academy of Facial Plastic and Reconstructive Surgery.

Abstract:

In the past, lower eyelid blepharoplasty involved the removal of the periocular fat pads. While this would initially result in a smoother appearance to the lids, it would also create a hollow appearance which could worsen with time. With aging, there is also a hollowing which can occur below the orbital fat pads called the tear trough. As this becomes more pronounced with aging, it creates a tired appearance to the eyes. An excellent way to help correct the tear trough and prevent any hollowing of the lower lids is with a fat repositioning blepharoplasty. In this procedure, the orbital fat pads are moved into the tear trough through a transconjunctival incision. Th e repositioned fat helps to re-establish volume throughout the lid, decreasing the wrinkles of the skin, and smoothing out the lidcheek junction. Th is can be done with the CO2 laser which helps to minimize bleeding and post-op edema and bruising. Methods: Patients presenting for lower eyelid blepharoplasty had a fat repositioning procedure performed with a CO2 laser. A pinch of skin was also removed, and either a lateral tightening suture or a canthoplasty were performed at the same time. Results: All patients had an excellent cosmetic result. Most patients experienced post-op edema and bruising, and some had chemosis. Th ese all issues were resolved over a 2-3 week period. Conclusion: Lower lid blepharoplasty with fat repositioning produces a much better cosmetic result than traditional fat excision surgery. Preserving the fat helps to maintain a full, young looking eyelid, with a smooth lid-cheek junction. Use of the CO2 laser makes the surgery faster and decreases intra-operative bleeding.

Speaker
Biography:

Otto J. Placik received his medical degree, (graduating from the Honors Program in Medical Education) from Northwestern University where he also completed residencies in general and plastic and reconstructive surgery. He completed a fellowship in the aesthetic reconstruction of complex nasal and facial deformities at St. Joseph Hospital in Chicago and an additional fellowship in micro vascular surgery and tissue transplantation at Davies Medical Center, an affi liate of the University of California, San Francisco. He is board certifi ed as a diplomat by the American Board of Plastic Surgery, and is an active member of The American Society of Plastic Surgeons. He has been repeatedly recognized as a “Top Doctors” by Consumers’ Checkbook Magazine as well as one of “America’s Top Surgeons” and “America’s Top Plastic Surgeons” by Consumers Research Council of America. He has performed thousands of breast enlargements in addition to body contouring and facial enhancement procedures with a special interest in female genital plastic surgery. As an assistant Professor of Plastic Surgery at Northwestern University, he has published over 10 articles in peer reviewed journals and has presented before international audiences. He is a recognized investigator and actively participates in research and development of emerging cosmetic innovations including FDA clinical trials and multicenter studies evaluating Aesthetic Vulvo Vaginal Surgery and has been granted three medical device patents with several additional patents pending

Abstract:

The familiar concept of aesthetic subunits, when applied to breast surgery, has tended to focus on breast reconstruction with a goal of restoring skin and volume defi cits. In the case of breast augmentation, the widespread use and inherent structure of implants has essentially treated the breast as a monobloc unit. Th e advent of autologous fat transfer has enabled novel methods for breast reconstruction and augmentation by enabling expansion of skin aesthetic subunits primarily by volume augmentation alone rather than tissue expanders or tissue fl aps. Fat graft ing also permits compensation for chest wall irregularities which are otherwise not addressed by conventional methods. A simplifi ed approach is used which essentially visualizes the breast as a superior half-cone and an inferior half dome composite structure with a central pillar supporting the nipple areolar complex that may be considered as part of the half-dome or half-cone. Th e entire breast sits on a chest wall subunit (superior- infraclavicular, inferior-costal margin, medial- sternum & lateral). Th e axillary tail may be considered as another unit. Representative case studies are presented discussing application of this model.

Speaker
Biography:

Umar Daraz Khan is a Plastic Surgeon for the last 13 years in UK. He has published many techniques related to aesthetic breasts surgery, both for primary and corrective procedures. He had published over 50 peer reviewed articles and had given more than 150 oral presentations in different continents. He is a reviewer of many peer reviewed journals too

Abstract:

Background: Breast and chest asymmetries have been reported with varying incidences in patients requesting augmentation mammoplasty. However there is a paucity of information regarding the sizes of diff erent implants used, their relative distribution on either side, complications and revision rates in this cohort when compared with primary augmentation mammoplasty using same size implants. Methods: A retrospective analysis of data prospectively collected using the excel spread sheet was performed. All patients had muscle splitting technique for augmentation mammoplasty in asymmetrical breasts. Patients requiring augmentation with mastopexy, sternal notch to nipple areolar complex level discrepancy of more than 1 cm and patients having same size implants were excluded from the analysis. Insignifi cant asymmetries, not noticed by patients and not concerned about the diff erence on information, were not chosen for two diff erent size implants. Patients, who chose two diff erent size implants for mammoplasty, were divided into three groups based on the relative diff erence in the size of diff erent implants used. Results: A total of 1123 muscle splitting primary augmentation mammoplasties were performed between 2005 and 2011, out of these 164 (14.6%) patients received two diff erent size implants for augmentation mammoplasty in asymmetrical breasts. Mean age of the patients (n=164) was 29.2+7.79 years (range 18-50), 46 (28.0%) were smokers. Over all mean size of the 294 implants (n=147) was 339.6+67.75 cc (range 230-630). Complete data on diff erential implant sizes used was available in 146 patients. Mean size of the implant on the right (n=146) was 346.27+70.581 cc (range 220-605). Mean size of the implant on the left (n=146) was 333.46+74.419 cc (range200-655). Out of these 146 patients, 46 (31.5%) patients had larger implants on the left as compared to 100 (68.5%) patients on the right. Mean volume diff erence between the two sides, when larger implants were used on left side was 55.76+37.785 cc as compared to 44.35+26.166 cc when larger implants were used on the right side. Low profi le combination was used in 2.73%, moderate size implant combination was used in 9.58%, mixed profi le combination in 3.42% and high profi le combination was used in 84.24% of the patients. Over all revision surgery was performed in 3 patients (1.8%) and out of these three revisions only one (0.6%) patient needed surgery for volume correction. Conclusion: Primary augmentation mammoplasty in asymmetrical breasts using diff erential size implants is a procedure with low revision rates, provided strict exclusion criteria is used along with adequate informed consent in this group.

Ayham Al-Ayoubi

London Medical and Aesthetic Clinic, UK

Title: The future of laser body contouring

Time : 12:05-12:25

Speaker
Biography:

Ayham Al-Ayoubi received his M.D. in 1990 and was awarded his M.S. in 1994. He completed a program of surgical training and obtained a fellow diploma from the Royal College of Surgeons of England in 1998. He is the medical director of London Medical ad Aesthetic Clinic. He is an international leading surgeon, lecturer and tutor for Smartlipo and Sculptra. He is well known for introducing Smartlipo into the UK in 2006 and developing his own advanced Laser techniques in various aspects of laser surgery including Laser Assisted Liposuction, Laser assisted Facial Contouring, Laser assisted Neck-Lift and Scar-Free Laser Breast Lift.

Abstract:

The last 10 years has seen unprecedented growth in body contouring techniques using laser, ultrasound and radiofrequency energy. Th e lecture will be about the latest innovations in the fi eld of laser body contouring including the use of Smartlipo- Triplex in laser assisted liposuction and the revolutionary cellulaze laser -Th e World's First Aesthetic Laser with minimally invasive surgical approach to treat cellulite beneath the surface of the skin for the long-term reduction of cellulite. Th e fi rst part of the lecture focuses on the latest developments of laser liposuction and other laser advanced body contouring techniques with diff erent approaches, including latest indications, outcomes and the forecast of future developments in this fi eld. Smartlipo-Triplex laser is the latest generation of laser lipolysis. Th is platform off ers a solid state Nd:YAG laser capable of emitting laser radiation in three wavelengths: 1064 nm, 1320 nm and 1440 nm. Th ese versatile wavelengths can be used independently or can be uniquely blended using MultiPlex™ technology. Th e second part of the lecture incorporates the science of the revolutionary cellulaze laser technology off ering a light-based solution for the treatment of cellulite. Th e system has a solid state Nd: YAG emitting light in the 1440 nm wavelength. Cellulaze's laser proprietary SideLight 3D side-fi ring technology directs controlled, laser thermal energy to the treatment zones - typically the buttocks and thighs. Th e cellulaze laser treatments have demonstrated a benefi t from the use of subcutaneous laser energy in terms of tissue tightening through tissue coagulation as well as the regeneration of collagen and connective tissue.

M.B Bizrah

New Jeddah Clinic Hospital and the Bizrah Clinic, KSA

Title: Rhinoplasty for Middle Eastern patients: Modified dome dovision

Time : 12:25-12:45

Speaker
Biography:

Bashar Albizrah is a professional surgeon who is specialized in Rhinoplasy (nasal surgeries) & Facial Surgeries. He is the author of the fi rst surgical textbook on Rhinoplasty and facial plastic surgery in the Middle East and Gulf.

Abstract:

The author highly recommends the technique of new double dome creation, scoring, suture fi xation, columellar strut and as indicated tip graft s. It has the most predictable results, because of the preservation of the continuity of the lateral crus and obtaining a strong tripod of conjoined lateral to medial crura supported by columellar and tip graft s, thus reducing very much the possibility of asymmetry, alar collapse, dropped tip, pinching, notching and alar retraction. However, because of the lateral crus marginal incision and lateral crus delivery, there may be unavoidable problems due to wound healing, fi brosis and contracture such as mild notching, pinching alar retraction, collapse, asymmetry and dimpling. In order to avoid even these problems, the author has developed a new technique which is largely based on the Goldman's tip and the I-beam of medial crura but without lateral crus delivery; and lateral crus marginal incisions. Th is is in order to keep an intact alar rim and avoid any problems along the alar rim such as notching, retraction, collapse or asymmetry. Th e author has been applying this technique for the last 14 years. In his opinion, this technique is very useful to achieve tip projection, defi nition and refi nement in the following situations: tip underprojection, short columella, mild tip bulbousity, and in-revision cases. Th e operative technique preoperative and the postoperative results will be fully discussed with timetables, photographs, illustrations and video presentation.

Break: Lunch Break 12:45-13:30 @ Athens

Ardeshir Vahidi

Clinical Emergency Hospital Bucharest, Romania

Title: Lip augmentation with Calcium hydroxylapatite

Time : 13:30-13:50

Biography:

Ardeshir Vahidi is an associate specialist and consultant in Plastic Surgery at K.G.H / UK. His area of interest is Performing cosmetic and reconstructive surgery. Elective list of facial lifting, mastopexy, mammaplasty, breast augmentation, abdominoplasty, Rhynoplasty... etc. Extensive work and experience in experimental microsurgery.

Abstract:

Eyes and lips are two principal elements which play a very important role in expression of women sensualities. Th e arc of Cupid, the magnetic eyes of Cleopatra in the universal literature, and actually Angelina Jolie’s, or Scarlet Johansson’s lips are making subject of beauty and attraction, we call them “informational lines of intense sexual signals”. Knowing about double-reversed curve of Hogarth, french curves, which are usually based on logarithmic or exponential basis, we are determined to take in consideration in the same sense any other kind of artistic lines which are important in the psychology of art, regarding the expression of face in Aesthetic Surgery, see Michelangelo’s collection of studies of perfection. Beginning with idea of “informational lines and forms with intense sexual signals” we are paying a lot of attention to details regarding the lines, contours and forms. One of the most requested, noninvasive, surgical maneuvers in the facial aesthetics is lip contour and volume augmentation. 70 to 80 per cent of women above 40 years old, need frontal and peri-orbicular wrinkle enhancement and correction. More than 50% of this category need lip contour and volume augmentation. As we know there are various cosmetic products which are used in this fi led, permanent and temporary injectable implants, animal protein (Collagen) or synthetic products purely biocompatible. Every one of them represents advantages and disadvantages regarding injection technique or re-absorption time. As much as it is discussed and demonstrated, in surgical experience among so many products the safest one is going to be in the head-list, Hyaluronic Acid, synthetic, fully biocompatible, but also with very short re-absorption time. One of the personal experiences of our team is using “Hydroxil Apatite of Calcium” as injectable implant for contouring and beautifying lip augmentation. Unfortunately it is mostly recommended not to use Hydroxil Apatite of Calcium “Radiesse” in lip augmentation because of some undesired results in spite of its reasonable long term re-absorption and its excellent results in wrinkle correction, comparing Hyaluronic Acid where the rate of failure is mostly impossible if the surgeon is well trained. Our personal technique, studied on more than 50 cases, brings enough arguments for advantages in using of HAC in lip augmentation, without any major complication (some time echimossis) avoiding risk factors in lip enhancement and making Hydroxil Apetite of Calcium a desirable injectable implant with long life term. Conclusion: Because of its solid crystals in composition (CaHA spheres are between 25-45 nicrons)“Radiesse” is one of the most long life term, temporary injectable implant. CaHA is eliminated by Phogocistosys , it is non-toxic, non-antigenic, noncarcinogenic and non-allergic. Using our proposal technique of fi ne needle (30G), deep and lent injection, we can obtain desirable lip contouring and augmentation. Ardeshir Vahidi, J Clin Exp Dermatol Res 2013, 4:5 http://dx.doi.org/10.4172/2155-9554.S1.007

Speaker
Biography:

Jihua Li is currently working in Sichuan University, China.

Abstract:

Purpose: From East Asians' traditional aesthetic view, a soft facial fi gure seems to be more attractive. Especially among females, prominent mandible angle, high zygomatic bone and inharmonious chin strongly diminish her attributes of femininity. We opine that attention should be paid to zygomatic projection in addition to square mandible from the frontal view; and gonial angle and mental region confi guration from the lateral view so as to obtain slender oval face or so-called “melon seed face”. Patients and Methods: From Jan. 2005 to Dec. 2010, in a total of 47 patients, the authors had applied the combination of four operative techniques: L-shaped osteotomy, "V-line" osteotomy, mandibular outer cortex splitting ostectomy, and sliding genioplasty -to reshape the square face. Results: Th e outcomes and the feedback information of patients’ showed that these methods made the square face look more harmonious. Middle and lower facial contour was signifi cantly improved. Conclusions: Since each square face patient has diff erent facial features, each operation should be customized and designed comprehensively to achieve a perfect result.

  • Track 2: Advanced Cosmetic Procedures
Location: Zurich
Speaker

Chair

E. Gaylon McCollough

McCollough Plastic Surgery Clinic, USA

Speaker

Co-Chair

Landon Pryor

Transformations Plastic Surgery, USA

Session Introduction

E. Gaylon McCollough

McCollough Plastic Surgery Clinic, USA

Title: The McCollough facial rejuvenation system

Time : 14:10-14:30

Speaker
Biography:

E. Gaylon McCollough, M.D., FACS, founded the McCollough Plastic Surgery Clinic in 1975. He was recently included in the National Registry of Who’s Who. He is included in Woodward and White’s “Best Doctors in America”, “America’s Top Plastic Surgeons”, and was honored by the March of Dimes as “Alabama Citizen of the Year” for 1994-95. He is board certifi ed by two specialty boards, each of which is concerned with regional plastic surgery: the American Board of Facial Plastic and Reconstructive Surgery, and the American Board of Otolaryngology (the specialty of head and neck surgery). He is the co-author of three major textbooks on facial and nasal plastic surgery and two non-medical books: Shoulders of Giants, and before and after. He is also the author of The Appearance Factor, one of the world’s most comprehensive consumer guides on ways that human beings can look, feel and perform better.

Abstract:

Rejuvenating an aging face is not a “one-size-fi ts-all” undertaking. Rather it is a matter of personalizing procedures and products that fi t the patient’s/clients needs. Dr. McCollough has spent 40 years developing a scientifi c system which does just that. He will demonstrate facial rejuvenation procedures for patients/clients of ages ranging from 30-something to 80-something and explain how skin care professionals and facial plastic surgeons can work together to create happier patients than either can do otherwise.

Speaker
Biography:

Abstract:

Kian Karimi

Kian Facial Plastic Surgery, USA

Title: In-office comprehensive facial volume filling utilizing a microcannula

Time : 14:50-15:10

Speaker
Biography:

Kian Karimi received his medical degree at Indiana University School of Medicine and graduated at the top of his class, earning him membership into the Alpha Omega Alpha honor society. He completed his residency in otolaryngology-head and neck surgery at the University of Florida and is board certifi ed by the American Board of Otolaryngology. He went on to successfully complete a fellowship in facial plastic and reconstructive surgery with Dr. Peter Adamson. He maintains an active practice in facial plastic and reconstructive surgery in Los Angeles, California.

Abstract:

Over the last several years, the microcannula has been gaining in popularity when performing injectable fi llers in face. Utilizing a microcannula in a fanning fashion, injections can safely be performed in the cheeks, tear troughs, nasolabial folds, melomental folds, lips, chin, nose, and temples. Th e blunt cannula is advantageous in that it is far safer than traditional sharp needle techniques, fewer injection ports, less edema, and virtually no ecchymoses when performed correctly. Furthermore, patient satisfaction utilizing the blunt cannula is far high. Disadvantages include longer time for injection, increasing the number of transfers on and off the syringe (theoretically increasing the chance of infection), and limited results when treating fi ne rhytids. Conclusion: Th e increased safety, diminished edema, diminished bruising, and increased patient comfort make the microcannula technique an attractive alternative for both novice and experienced injectors of fi llers.

Nikolay Serdev

New Bulgarian University, Bulgaria

Title: Serdev Suture lifts and tissue volumizing in face and body areas

Time : 15:10-15:30

Speaker
Biography:

Nikolay P. Serdev, M.D., Ph.D. is a Sofia, Bulgaria based board certified specialist in General Surgery and Cosmetic Surgery. He is both Professor and Director of the International University Program in Cosmetic Surgery at New Bulgarian University. Dr. Serdev is a graduate of the Sofia Medical University, and trained in General and then Cosmetic Aesthetic Surgery at the Military Medical Academy, and Aesthetic Surgery, Aesthetic Medicine Medical Center in Sofia, 1991-1996 he was a deputy head and acting head of the Burns Department in the Military Medical Academy and 2006-2008 National consultant in Cosmetic (Aesthetic) Surgery medical specialty at the Ministry of Health, Bulgaria.

Abstract:

Scarless closed approach suture lift ings for tissue volumising presents skeletal fi xation with skin punctures without incisions as a fi rst alternative to classic excision lift s and implants. We started the anatomy study, instrument creation and thread selection in 1990 and the whole topographic anatomy, instrumentation and technique understanding of this new method was ready in 1993. Needle preparation and selection of threads was experimental. For threads, we have performed stretch, elasticity and cut through tests. Th read long term absorption is crucial in our method. In the last 20 years, 1993-2013, we have operated 2054 patients to correct early ptosis and fl abbiness in areas of face areas to create, restore or position the volumes of the face. Our contribution is that our scarless closed approach Serdev Suture® presents the fi rst techniques total understanding to lift SMAS and fascias without traditional incisions and to create or position volume without transplants and implants. Operations were ambulatory with excellent results, reported by the patients. Th e trauma is minimal and the follow-up period is no longer than 3 days with fast, sometimes immediate return to work and social life. Th ere are no visible scars; the needle perforations on the skin are not visible aft er days.

John J. Martin

John Martin M.D., USA

Title: Illegal permanent fillers

Time : 15:30-15:50

Speaker
Biography:

John J. Martin is a graduate of Williams College and Harvard Medical School. He did a residency in ophthalmology at the Wills Eye Hospital in Philadelphia, followed by a fellowship in ophthalmic plastic and reconstructive surgery at the Bascom Palmer Eye Institute in Miami. He is board certifi ed in ophthalmology, and is also board certifi ed in facial plastic surgery by the American Academy of Cosmetic Surgery. Dr. Martin is a Fellow of the American Society of Ophthalmic Plastic and Reconstructive Surgery, the American Academy of Cosmetic Surgery, the International Society of Cosmetic Laser Surgery, and is a member of the American Academy of Facial Plastic and Reconstructive Surgery.

Abstract:

Introduction: Th ere have been an increased number of reports of illegal permanent fi llers being administered to patients by non-physician injectors over the last few years. Th is has been a major problem in the south Florida area, where one person has been arrested for injection of toxic substances such as fi x-a-fl at and cement for buttock’s enhancement. And most recently an arrest has been made for manslaughter aft er the injection of unknown fi llers into a patient’s body. Many of the patients received illegal permanent fi llers, most of which are biopolymers, a type of silicone. It is usually injected in large volumes into the face, breasts and buttocks. While some patients have an immediate infl ammatory response to the substances, some patients have late migration and infl ammatory nodules which develop several months later. Methods: Multiple patients who have had illegal fi llers injected into the face have been examined and treated with a variety of modalities. Th ese have included steroid injections, laser lipolysis and ulthera. Results: Many patients show some improvement with steroid injections. However, signifi cant soft ening and shrinkage of the nodules has been seen with ulthera. In some cases, surgical excision has been used to remove the nodules. Conclusion: Illegal fi llers into the face can produce signifi cant disfi gurement. While there is no way to remove the substance injected, improvement can be seen using a variety of modalities.

Niroshan Sivathasan

University College London Hospitals, UK

Title: Rejuvenation of the irradiated neck by autologous lipotransfer

Time : 15:50-16:10

Speaker
Biography:

Niroshan Sivathasan completed his bachelor’s and medical degrees at the age of 23 from King’s College London and University College London, respectively. His postgraduate qualifi cations in surgery and aesthetic medicine were also gained in London. He has published 30 articles, and is a reviewer and editorial committee-member for various medical journals. He has a particular interest in cosmesis, and is about to commence a fellowship in cosmetic surgery in Australia.

Abstract:

There is great importance attached to the youthful appearance of the neck and décolletage. Aft er irradiation to these areas, and particularly when in combination with surgery, fi brosis of the skin and underlying tissues occurs. Additionally, function, healing, and repair are signifi cantly impaired, which may result in considerable morbidity. Tissues typically have an unhealthy appearance, and may fuse to produce constrictive and unsightly bands. Fixed-posturedeformities may result, which together with aesthetic compromise may greatly aff ect the quality of life. Patients who had oncosurgical intervention more than fi ve years previously with self-reported dissatisfaction had standard Coleman fat-graft ing performed on them. Objective evaluation of tissue-quality was assessed pre-operatively and at 3-months post-operatively. Th ere was improvement in all measured indices and reported improvement in subjective measures such as pain and quality-of-life scores. Patient-satisfaction was high and there were no donor-site complications. Autologous lipotransfer addresses the aforementioned problems by functioning as a fi ller to address contour discrepancies to improve aesthetics, and by providing a lubricating interface between tissues to improve function. Th e delivery of pluripotent mesenchymal adipose-derived stem cells may enhance angiogenesis to cause regeneration and rejuvenation of ischaemic tissues. Th is surgical modality for aesthetic- and functional-improvement has proven utility in various other anatomical sites. Our results support its use within the determined criteria in the head and neck areas.

Break: Coffee Break 16:10-16:25 @ Foyer
Biography:

Ryan M. Neinstein is a board certifi ed plastic surgeon with a private practice in Toronto, Canada. After doing his medical and surgical training in Toronto, he moved to New York to study cosmetic training at New York University with the premiere plastic surgeons in the world. He believes plastic surgery allows women to become empowered by exercising their options to make themselves look and feel better.

Abstract:

Purpose: Reversing the stigmata of aging through facial rejuvenation is increasing in popularity as it is now more accessible than ever with many diff erent medical and non-medical professionals providing this service. Th e author’s goals were to assess how non-surgical facial rejuvenation is integrated into plastic surgeons practices. Methods/Technique: An electronic survey was emailed out to all members of the Canadian Society of Aesthetic Plastic Surgeons (CSAPS). Results/Complications: Th ere was a response rate of 29% (47 out of 160 members). Of all respondents, 83% performed neuromodulator injections and 89% used soft tissue fi llers. Th e most common soft tissue fi ller was autologous fat followed by hyaluronic acid. Dermabrasion was the most frequent form of resurfacing in Canada with ultrasound being the least common. Sixty fi ve percent sold skin care products and 29% sold herbal medications. Most surgeons (97.6%) felt that non surgical services were useful adjuncts to surgery and that was the motivating factor to use them. Conclusion: With the ability to perform all types of facial rejuvenation surgery, the surgeon is able to accurately provide the patient with all options for treatment. Plastic surgeons as a group tend to wait for procedures to be validated. Canadian plastic surgeons have made it clear that they will evolve at a pace that refl ects safety and innovation.

Gabriela Mercik

HEBE Aesthetic & Anti-Aging Clinic, UK

Title: PDO thread lift - An innovative new treatment in non-surgical cosmetic medicine

Time : 16:45-17:05

Speaker
Biography:

Gabriela Mercik is Medical Director of Hebe Anti-Aging and Aesthetic Medicine Clinics and Director of Dermagenica Ltd. Her research career began in Poland 15 years ago in Cardiology and internal medicine. She worked in the hospital of Heart and Lung transplants for 10 years. She carried out research in fi eld of LDL-apheresis and published in the American Journal of cardiology. For the last 5 years has been working in hospitals in Northern Ireland in General Medicine, Cardiology, Palliative Care and Rehab departments. She developed an interest in aesthetics three years ago and has studied Dermatology with a special interest in skin rejuvenation. She is an advanced aesthetic trainer in biomimetic skin rejuvenation mesotherapy, dermal fi llers, threads and botulinum toxin. She practices cosmetic medicine in her clinics in Northern Ireland.

Abstract:

Beauty Lift is a thread made from polydioxanone (PDO), a thread which dissolves in up to 8 months and which yields amazing rejuvenation results. Th e application of the thread is practically non-invasive and painless, takes up to 50 minutes, leaves no scaring or cuts and the minor redness disappears within a few days. In addition, you can apply it almost anywhere on the body. Th e threads were created as an alternative for patients who do not want to go down the route of surgical face lift but still want the eff ects of a surgical face-lift . Th reads are used for regeneration of skin, improving the structure of the face, neck and décolleté and breasts, buttocks, abdomen or even elbows and knees. Th ese threads provide a natural and youthful appearance of the skin and protect against wrinkles for a long time. PDO is a material known and used in medicine for many years. So far, it has mainly been used in surgery. Five years ago, a Korean doctor produced research which showed that the PDO thread, used in conjunction with acupuncture, relaxed the muscles and tendons. For two years, this method has been used by physicians in aesthetic medicine throughout the world. Based on clinical observations, it was found that the PDO stimulates tissue neocolagenesis process, which stimulates the production of new collagen. In addition, activation of fi broblasts results in stimulating the synthesis of elastin. It was also found that the eff ect of polydioxanone causes the synthesis of natural (endogenous) hyaluronic acid. PDO thread is placed in a sterile, very thin needle with which is placed in specifi c areas of the body. Depending on the location, the threads are introduced into the skin, the subcutaneous fat or muscle. It improves skin texture-it becomes thicker, tighter, fi rmer and improves colour, and then narrows the pores. It also smoothes fi ne lines. Th e length of the thread varies. Shorter strands are ideal for revitalizing and smoothing fi ne lines around eyes, twisted, thicker strands injected intramuscularly in the forehead act as an alternative to Botox. Th e aesthetic eff ect is more natural than the injections of botulinum toxin, as it does not paralyse the muscles. Only to weaken the infl uence of their actions, the muscles are relaxed, and thus, facial skin is smoother. With long PDO threads, oval face can be corrected. Th e main indications for PDO threads are: Facial: Vertical and horizontal wrinkles on the forehead, brow lift , slender, soft tissue, drooping eyebrows, the lower eyelid, lift ing the cheeks, nasolabial furrow, double chin Body: Folds and wrinkles of the skin on the face and neck, fi rming and increasing sagging breast tissues and stretch marks on the buttocks, abdomen, arms and elbows and even knees Entering the PDO thread into the skin will give immediate improvement in the appearance. Aft er about 10-14 days, the process of natural body protein synthesis begins and continues throughout the period of holding the threads in the body (about two years).

Farid Nassif

Newport Beach Skin Cancer and Anti AgeingClinic, Australia

Title: Abdominal fat: Your stem cells reservoir

Time : 17:05-17:25

Speaker
Biography:

Farid Nassif is a fellow of the Royal Australian College of General Practitioners in Sydney, Australia. He specializes in skin cancer diagnosis and treatment. He has a diploma of Practical Dermatology from UK and a master’s of Medicine in human reproduction and genetics from Sydney University where his main treatise was on stem cells. His interest in cosmetic medicine and anti ageing has been growing over the last ten years when he added wrinkle injections to his practice including Botox, dermal fi llers and PRP. He has been applying his academic knowledge in stem cells clinically in orthopedic applications. He speaks regularly at anti ageing conferences both nationally and internationally on stem cells and skin cancer topics.

Abstract:

Adipose tissue is easily accessible and rich in pluripotent adult stem cells. Th ese can diff erentiate into fat, cardiac muscle, smooth muscle, skeletal muscle, cartilage, bone, nerves, blood vessels, liver and blood. Extraction of these cells from the fat is a relatively simple procedure. Applications in orthopedic and cosmetic fi elds are gaining popularity as a simple safe and eff ective procedure. We will present a short background on the embryonic vs. adult stem cells, will discuss in detail the method of stem cells extraction and preparation and will present an overview of clinical applications with special emphasis on cosmetic and anti- ageing fi elds. A new role for liposuction is appearing.

Gianpaolo Tartaro

Second University of Naples, Italy

Title: The prophiloplasty in the XXI century

Time : 17:25-17:45

Speaker
Biography:

Gianpaolo Tartaro graduated as plastic surgeon at “La Sapienza” University in Rome. Later, he became fi rst associate, and then ordinary Professor in Maxillo-Facial Surgery at the Second University of Naples. Now, he is the director of the Unit of Cranio-maxillo–Facial Surgery and director of school of specialization in maxillo facial surgery in Second University of the Naples. He operated more than 500 cases of facial deformities; he is involved in research and is author in 200 many scientifi c publications

Abstract:

Dentofacial deformities are facial malformations present worldwide. Rehabilitation of these patients is challenging and requires important skills in plastic and maxillofacial surgery. Nowadays, as is well known, patients seek for quick and consistent results, so surgeons involved in this fi led must be very confi dent with bone surgery, the use of facial implants, and soft tissues surgery. Author in his career operated more than 500 patients aff ected by dentofacial deformities. In this lecture, he will discuss and compare dentofacial deformity rehabilitation strategies reviewing the diff erent approaches used nowadays, and underlining how important is today the pre-operative evaluation, thanks to the newest facial morphing soft wares.

Speaker
Biography:

Rania Abdel Hay has completed her M.B.B.ch from Cairo University, Egypt and now she is a postgraduate student in the cosmetic unit of the Dermatology Department, Faculty of Medicine, Cairo University. She has published more than 28 papers in reputed journals and has been serving as an associate editorial board member of repute.

Abstract:

Background: Rejuvenation of the lower face can be challenging and no single modality can accomplish all its complex events. Patients and Methods: Th is 18 month study included 24 female patients with a primary complaint of lower face aging signs. Th ey were randomly allocated to either group A who received injection lipolysis and hyaluronic acid dermal fi ller, or group B who in addition received non ablative 1540 fractional laser. Th e improvement evaluation score used was the global aesthetic improvement scale (GAIS). Patient's satisfaction level was also recorded. Both were repeated at months 6, 13 and 18. Results: At all evaluations, laser group showed higher degree of improvement. Interestingly, at short term evaluation (6 month), there was no signifi cant diff erence between both groups (P>0.05), however the laser group improvement in comparison to the other group became signifi cant in the long-term evaluations (13 and 18 months) (P<0.05). Conclusion: Th is study further documents the importance of combination therapy in facial rejuvenation, off ering a treatment protocol combining injection lipolysis and hyaluronic acid as an eff ective, safe, short term therapeutic option in lower face rejuvenation. Th e addition of 1540 non-ablative fractional laser to the protocol off ers a higher effi cacy with longer-term eff ects and no adverse events.