4^th International Conference on Aesthetic Medicine and Cosmetology May 21-22, 2019 Tokyo, Japan

Biography:

Poengki dwi Poerwantoro is a plastic surgeon at Pertamina Central Hospital in Jakarta, Indonesia and has been at the hospital since 1991. Pertamina Central Hospital is a public tertiary hospital in Jakarta, Indonesia. Dr. Dwipoerwantoro has been the Head of Burn Unit Pertamina Central Hospital since 2002, Head of Emergency Department Pertamina Central Hospital 2007-20011, Head of Nutritional Support Team 2009-2013. Is a plastic surgeon and burn surgeon practicing and now developing cell and stem cell therapy.

Abstract:

Adipose-Derived Stem Cells (ADSC) is considered a source of Mesenchymal Stem Cells (MSC), which can be harvested in large quantities with simple and low morbidity procedure through liposuction. ADSC then will be isolated and cultured to produce a large amount of stem cell. This review explores the double benefit of ADSC usage in regenerative medicine, aesthetic procedures, and antiageing therapy. ADSC can be a very good source for replacement of soft tissues such as breast augmentation, soft tissue filler to fill defect or aging crease in the face, augmentation during face-lift and facial contouring surgeries. ADSC counteract the appearance of skin aging not only via direct cell-to-cell interactions but also through paracrine effects of the various secreted growth factors and cytokines, protecting skin from damage due to oxidative stress. ADSC could provide millions to billions of stem cells and could safely and effectively be used in either an autologous or allogeneic host. The nature of ADSC is immuno-compatible, and there is no ethical concern for their use thus no complication or adverse side effects were noticed. ADSC holds the potential of self-renewal and differentiation into cells with ectodermal, mesodermal and endodermal characteristics and could be produced according to current Good Manufacturing Practice (GMP) guidelines. These ADSC characteristic superiority has given double benefits of ADSC for aesthetic and regenerative medicinal purposes.

Biography:

After graduation in Medicine, completed Surgical Fellowship from Royal College of Surgeon Ireland in 1995. Trained in all aspects of Plastic surgery, worked as Specialist Plastic Surgeon in reputable University hospitals of Ireland/ UK until 2007 and as Asst. Professor Plastic & Hand Surgery in Aga Khan University Hospital, Pakistan, returning as Senior Surgeon to join St. Georges hospital in 2013. Have more than 20 years of experience in this dynamic specialty with the special interest in Aesthetic Surgery including body contouring post bariatric Surgery. Have multiple publications and many presentations as Faculty. 

Abstract:

Brachioplasty generally referred to as arm uplift, has become quite popular and one of the most rapidly growing procedure in body contouring in USA / Europe, with recent advances in bariatric surgery and interest in reducing weight to keep fit.In this quest for health and beauty having well contoured and toned upper arms has lead to recent innovations in surgical techniques, ranging from liposuction to radical excision of excess loose flabby skin. This procedure initially was associated with frequent complications and unsatisfactory results but with subsequent modifications, there has been an improvement in outcomes.

The talk will start with a brief history, followed by a detailed description of the various surgical techniques employed depending on the deformity ie. relative excess of fat, skin or both.

In the end, will describe my own modifications to achieve better aesthetic results. Moreover will also mention how I have been using Arm uplift as a part of functional procedure post radical excision of severe axillary hidradenitis suppurativa to reconstruct defect in axilla with Posterior arm flap. This innovation besides dealing with this crippling disease boast the patient’s self-confidence.

Biography:

Dr. Christeen Youssef is an international speaker and conducts training and research sessions. She is also a lecturer and author contributing to international journals and conferences. Dr. Youssef, earned Master Degree in Dermatology, 2004, in Egypt, and she is a member of several international societies such as The American Academy of Dermatology, the European Academy of Dermatology, and the International Academy of Dermatology. She completed her American Board Certification in Aesthetic Medicine in 2013 and is a member of the American Fellowship in Anti-aging Medicine. Dr. Youssef is progressing to obtain her Doctorate Degree in Dermatology.

Abstract:

The most obvious signs of aging result from chronological remodeling of underlying soft tissue structures. Various modifications of the technique have been introduced to simplify the procedure for both the patient and the practitioner.

Early signs of aging in facial skin results from elastic tissue and collagen degradation, causing fine – to – deep wrinkles. In addition to decreased laxity, generalized thinning of subcutaneous fat tissue leads to volume depletion and a sagging appearance, especially on the jowls and neck.

Always correct lax skin in the neck one to two weeks using Calcium Hydroxylapatite (CaHA) to increase the body's natural ability to produce collagen and elastin before a lifting procedure using threads with Poly L-Lactide-Ɛ-Caprolactone P(LA/CL) to provide a complex solution for neck, and offers good results. Using non –invasive light lift threads, which created on the basis of the bio-absorbable materials, and its structure with microscopic barbs, it is reliably fixed in soft tissues and forms a strong supporting skeleton. It is possible to reach a visible lifting effect on various areas of the face as well as on the neck. Threads could be combined with Calcium Hydroxylapatite (CaHA) to stimulate collagen and elastin to improve quality of skin two weeks prior to threads insertion. This technique is effective to create contour and reposition of the volume of different areas of the face and neck.

Biography:

Dr. Ashish Kumar Singh MDS Ph.D., Managing director of Dentomax International Academy & Associate director of Delhi Institute of healthcare& research, He completes his master in facial Esthetic surgeon and Hair transplant, he has been awarded best pg student in 2015 , National facial aesthetic award in 2017, best innovation award in 2016, 2017, best entrepreneur 2017, Inventor of ABS gingival elevator patented Instrument, more than 15 publication in field of facial aesthetic, take more than 100 workshops in India on the same topic .

Abstract:

Whatever age you are now, you may have already noticed some of the signs of aging in your mirror. The degrees & type of changes vary from Person to person but no one is Immune for it. There are many procedures to correct the aging In past Surgical procedures considers as good options but nowadays Nonsurgical procedures come on top as compared to other treatment. Nonsurgical procedures Include no cutting no suturing no grafting and results are more superior than surgical with minimum side effects for example - we can treat Lip augmentation, facelift, scar removal, collagen induction, Intraoral augmentation, wrinkles removal, Lip/face depigmentation without surgery.

As compare with surgical results are more superior, less reoccurrence. Nonsurgical procedures totally depends on natural factors like the use of stem cells, blood derivatives, that repair or regenerate the lost body tissue thus results are permanent ..

Biography:

I have completed my MD at the age of  36  years from Minia University and postdoctoral studies from Minia University also. I am now a professor and chairman of the department of dermatology, andrology, and STDs in Minia University Hospital. I have published more than 10 papers in international journals.

Abstract:

Background: Melasma is an acquired disorder of symmetrical hyperpigmentation. Several treatment methods are available for patients with melasma, including topical compounds, broad‐spectrum photoprotection, camouflage, chemical peels, and laser and light therapies which represent potentially promising options for patients who are refractory to other modalities.

Objective: To evaluate and compare the clinical, histopathological, and immunohistochemical changes in melasma after fractional Er:YAG laser versus fractional Er:YAG laser and topical steroids.

Methods: Twenty‐two patients were treated with fractional Er:YAG laser on both sides of the face with the use of topical steroid only on the left side to make left to right side comparison. Clinical evaluation, histopathological, and immunohistochemical assessment for skin specimens were performed before treatment and 3 months after the end of sessions.

Results: Treatment by fractional Er:YAG laser on the right side showed significant decrease in MASI score with clinical outcome which considered as excellent in three patients (13.6%), very good in six (27.2%), good in eight (36.3%), and fair in five (22.7%) with significant decrease in basal pigmentation and reorganization of dermal

collagen and decreased number of MART1‐positive cells. After combined therapy, the decrease in MASI score was highly significant with the clinical outcome which considered as excellent in six patients (27.2%), very good in 10 (45.4%), good in three (13.6%), and fair in three (13.6%). The histological changes were highly evident and more significant.

Conclusion: Clinical, histopathological, and immunohistochemical improvement was evident on both sides, with the more significant better outcome with the use of combined therapy on the left side. However, combined therapy was more beneficial for Fitzpatrick skin type III rather than type IV.

KEYWORDS

fractional erbium YAG laser, melasma, topical steroids

Biography:

Danilo De Gregorio is a plastic surgeon with 18 years extensive experience and expertise in aesthetic medicine and all procedure of cosmetic surgery. He has established several renowned aesthetic medical centers across Italy.

Dr. De Gregorio graduated at Perugia University, pursued a Postgraduate University Masters in Aesthetic Medicine and Surgery at the University of San Marino and "La Sapienza" of Roma, and obtained a position as Associate Professor of Aesthetic Medicine and Surgery from 2009 to 2011 at the same University. He is an active faculty member of the International Society of Surgical Anatomy (SIACH) where he teaches clinically oriented anatomy through detailed cadaver dissections, and he is Senior Faculty at ECAMS where he teaches in anatomy courses on Facelifting, Blepharoplasty, and Non-Surgical Facia Transformation.

He divides his time between his teaching commitments in Nice ( France), his busy aesthetic medicine and surgery practices in Perugia, Roma, Firenze, Bologna, Mantova,  Verona, and Bolzano (Italy), and collaboration as Visiting Professor in manifold private Clinic worldwide (Sweden, Croatia, Uk)

Abstract:

Introduction: Calcium hydroxylapatite is one of the most studied materials in the world for its use in various surgical branches and a dermal filler (FDA approved) widely used both for the correction of wrinkles, and moderate or severe facial folds, and to reconstitute lost facial volumes. The abstract exposes our personal experience in the off-label use of calcium hydroxylapatite in the global rejuvenation of the face due to the volumetric increase of the chin, and of the labial-mental groove, correction of the marionette lines, of the pre-jowl furrow , of the zygomatic-malar area, of the peri and supra-orbital and temporal area through a few key access points.

Aims: The objective of this work will consider the evolution in a short period in the use of calcium hydroxylapatite [Radiesse (®)] in aesthetic medicine, providing a new methodology of approach to facial rejuvenation in its three-dimensionality with a protocol of detailed injection with a few key access points for a global approach to facial aging.

Materials and methods: The technique that uses a few key points of access through the cannula limits the formation of hematomas of the face due to its minimum traumatic, allowing the product to be distributed to the deep and superficial anatomical layers. The calcium drossiapatite vials are used in pure or diluted form (off-label procedure) with 1% physiological saline/lidocaine hydrochloride solution in 1: 1 or 1: 0.7 ratio using Luer-lock connectors and syringes from 5 ml.

Results : This article is our personal up-to-date review of the injective procedure of calcium hydroxylapatite [Radiesse (®)] in aesthetic medicine through its use in pure or diluted form (off-label), including a detailed injection protocol using a few key- point for a full face liquid lifting Thanks to the unique properties of calcium hydroxylapatite and its stimulating and restructuring action, it is possible to provide a stimulus to the production of linking and elastic, and to the increase of the dermal matrix, with a relaxing effect, toning and firming of the face.

Conclusions: Calcium hydroxylapatite [Radiesse (®)] is a very effective filler for the restoration of the volumes of many areas of the face and its use is associated with a good standard of safety established over the years: its use with an off-site method thanks to its characteristics of high elasticity and viscosity, the label exploits its ability to induce the long-term formation of the dermal matrix rich in collagen and elastin, making it an ideal agent for an approach to the restoration of facial volumes in a global manner.

Biography:

Dr.Niraja Nelogi has completed MBBS from Rajiv Gandhi University of health science and Diploma in Dermatology and Venereology from Maharashtra medical council in INDIA. She has a practice of 8 years in dermatology and cosmetology in Mumbai. She has done more than 2500 PRP with good results.

Abstract:

Androgenetic alopecia is a genetic disorder, androgen-dependent progressive thinning of the scalp hair in men, also seen in women. It begins by 20 years of age and affects nearly 50% of men by the age of 50 years. PRP is one of the treatments for AGA which has shown significant improvement in the hair density.

PRP represents an autologous concentration of human platelets in a small volume of plasma having 4-7 times the platelet concentration above the normal blood. It is injected subcutaneously into the area of alopecia. PRP induce the proliferation of dermal papillae cells of the scalp and thereby increase the volume of the hair. PRP can be given to males and females of an age group of 18-70yrs having mild to moderate AGA. Therapy can be given at an interval of  4 weeks over a period of 3 months and the results are assessed, there is a significant clinical improvement of hair count, hair thickness, hair root strength, and alopecia patch. To conclude PRP is a simple, safe, non-allergic, cost-effective and feasible treatment for hair loss and adjuvant therapy in the management of AGA.