Conference Schedule

Day 01 Schedule

Feb 10, 2020

Plenary Talks

Title: Genital Dermatology


Abstract


Many Dermatologic and systemic disorders occur in the genital region. Genital area is one of the most difficult and interesting. It covers all social groups mostly important in young people because of unjustified stagnation and late arrival to the doctor. Examination requires good treatment and deep knowledge from doctor, in order to get adequatmenagment of diseases. This lecture will help dermatologists, urologists, proctologists, gynecologists and general practitioners, who have to diagnosed this area and related diseases. The Genital mucosa is highly vascularized and the main expression is an erythema The clinical sign is the most frequent. The genital localization often orientates towards a sexually transmitted infection, leading to the performance of mycological, bacteriological and viral examinations, that are often useless. In most cases problems on genital area are not sexually transmitted, and management is one of the most important aspects of treatment. Genital skin is really thin and soft structure and we have to take note different drug action different absorption, cumulative effect.


Biography


Joseph Kobakhidze is a Dermato-venerologist, Head of Association of Dermato-Venerelologists Tbilisi, Georgia. He Board certified as a dermato-venerologist in 1993. He started work in Georgian Internal Army Hospital. After war with Russia in 1992, was working in Tbilisi City Central Clinic Dermatology Chef of department. In 1996 Medicine-Visitor Lausanne, Switzerland. Centre Hospital Universities Vaudois (CHUV). Founder first private Dermatology STI Clinic. Now Consultant in 7 public and private Clinics. Member of Board Council International Union Sexually Transmitted infections (IUSTI), Member of European Academy Dermato-Venereology (EADV), and Many professional Associations, Official expert of the Ministry of Health Georgia. He is author of Guidelines in Sexually Transmitted Diseases in Georgian languages and co-author of textbook in Dermatovenerology Riga, Latvia. He was Principal Investigators (PI) several International Multi Centric Trial. He is a Participant and speaker at more than 35 international and national conferences and meetings. President future IUSTI 36th Congress, 2022 Tbilisi, Georgia.

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Joseph Kobakhidze

DAC Clinic
Georgia

Title: The Spectrum of Cutaneous Manifestations in Antiphospholipid Syndrome: from the Clinical to Therapeutic Implications


Abstract


The dermatological manifestations of antiphospholipid syndrome (APS) may be the presenting features of APS syndrome. Aim of this study was to investigate association between antiphospholipid antibody (aPL) type and level and skin manifestations in APS. Patients and methods: We analyzed 488 APS patients: 346 patients with primary (PAPS) and 142 with secondary APS (sAPS/SLE); 81.5% women and 18.5% men; average age 45.03±13.61. The objective was to observe the prevalence and localization of skin manifestations, and correlate it to aPL type and level in patients diagnosed with PAPS or sAPS. aPL analysis included: LA and aCL (IgG/IgM), ß2GPI (IgG/IgM), by positive titers: low (10-30), medium (31-50), and high (>51PLU/ml). In all patients, we collected data considering frequently occured skin lesions. Results: Our results performed on total APS patiens and both PAPS and sAPS groups didn't show correlation between skin lesions and aPL type and level. The exeptional results in APS patients showed that skin ulcerations correlated with both high levels of aCL IgM and ß2GPI IgM (p=0.013 and 0.044) while pseudovasculitis correlated with high levels of ß2GPI IgM (p=0.017) . In SLE group, livedo reticularis and pseudovasculitis correlated with high levels of ß2GPI IgM (p=0.008 and 0.032) and skin ulcerations with high levels of aCL IgM (p=0.049). Conclusion: Our results showed correlation between skin lesions and levels of aPL. Funding: This work was supported by research grant number 175041 for 2011 – 2020, and by research grant number TR 32040 for 2011-2020, issued by the Ministry of Science of the Republic of Serbia.


Biography


Ljudmila Stojanovich received her Ph.D. in Medicine, with the thesis “Neuropsychiatric manifestations in patients with Systemic Lupus Erythematosus” in 1999. She is the scientific director in the Bezhanijska Kosa, University Medical Center of Belgrade University, where she is currently a Full Research Professor. Dr. Stojanovich’s research focuses on Systemic Lupus Erythematosus, Antiphospholipid Syndrome, and Vaccination in patients with Autoimmune Rheumatic diseases. She is an author of three monographs and of about 250 articles on various aspects of Autoimmune Rheumatic disorders, published in international and domestic journals and in conference proceedings. She is in Editorial Boards (Editorial Boards LUPUS (LONDON). /Reviewer in the “CURRENT CONTENSTS” or “Science citation index”, like LUPUS REWIEWER DATABAS, Cellular and Molecular Neurobiology, The Journal of Vaccine

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Ljudmila Stojanovich

Belgrade University
Serbia

Title: The Use of Hydrogels Saturated with Proteins and Peptides of Intercellular Communication in Supporting the Reduction of Various Types of Scars by the Method of Micropuncture


Abstract


Micropuncture, a method based on the mechanism of the reflex arc, is very effective in eliminating various types of scars and skin imperfections. Stimulating the needle with neuroreceptors, which in turn cause a specific reaction of other elements of intercellular communication, gives unprecedented precision, and at the same time does not have major side effects, such as lasers. Depending on the type of scar, shape, depth, structure, shape of the bottom and the phase of its maturation, a different reaction of communication cascades is induced, leading to tissue mastication and regeneration. Stimulation, suppression or modulation is triggered. However, if we assume that the skin's immune system is activated to help rebuild its damage, we may consider additional buffering of the treatment with proteins and peptides of intercellular communication - e.g. growth factors, transferrins, peroxidases or even properly selected hyaluronic acid oligomers. And so, by supporting the treatment of scar leveling by working on the reflex arc, by choosing modulation proteins and stabilizing them with a hyaluronic base, we will achieve silencing of inflammation or its increase depending on the size of oligomers. However, replacing transferrin with growth factors, we will get a tool for very strong suppression or stimulation of skin tissue growth. This work aims to present a case study of the reflex arc method of eliminating scarring depending on the phase and type of defect, as well as the selection of a biomaterial solution in the form of hyaluronic hydrogel saturated with appropriate protein factors.


Biography


Wojciech Karwowski is a Manager, economist, bioinformatics, specialist in biomedical engineering and tissue engineering. He graduated from two national faculties - from Computer Science and Economics - as well as a specialized program in one of the most prestigious business schools in the world, IESE Business School - University of Navarra. He is also a graduate of post-graduate studies in Biochemistry, Biophysics and Biotechnology, also from Biomaterials and a student in Molecular Biology. PhD in the field of Biocybernetics and Biomedical Engineering. He also specializes in Medical Physics in the field of Nuclear Medicine. On the scientific side, he deals with communication in general terms - already in the tissue approach, already in the biomedical aspect. He is a cocreator of a series of specialist cosmetic preparations for the prevention of diabetic foot syndrome, honored with prestigious industry distinctions. For his contribution to the creation of cosmetics for skin care, diabetics received the "Crystal Hummingbird" - the highest distinction awarded by the Polish Association of Diabetes and the honorary golden badge of the Association. For his contribution to the development of education, sport and tourism he was honored with the Cross of Merit of the President of the Republic of Poland. Wojciech Karwowski is the author of over 80 scientific publications and conference presentations. He is a member of scientific societies: - Polish Society for the Treatment of Wounds - Polish Society of Biomaterials - Polish Society of Thermographic Diagnostics in Medicine - Polish Ultrasound Society - Polish Society of Biomedical Engineering - Polish Society of Medical Physics - Polish Society of Nuclear Medicine including foreign ones: - European Association of Thermology - European Federation of Societies for Ultrasound in Medicine and Biology. He is active as a volunteer - he is a Knight of the Order of Saint. Lazarus and Knight of the Order of Saint. Stanislaus. Privately, he is interested in futurology and metaphysics.

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Wojciech Karwowski

AGH Science and Technology University
Poland

Keynote Talks

Title: Sever Acne, My Own Protocol for Fast and Long Lasting Results of Acne and Acne Scar Treatment


Abstract


Acne Conglobata and Acne sever, acne nucea are considered more rare cases of acne. In my practice they represent 70% of consultations. Some pacients has moody behaviour, aggressive behaviour towards themselves or others, females have polichistic syndrome, but all cases of pacients with acne have depression and low self esteem especially young ones. Emotional neuropsihic stress it is one of the most important common factor triggers in acne. In the last four decades we actually have an effective therapy in treating acne sever, oral isotretinoin, but with the blossoming of internet also a lot of pacients are scared of isotretinoin side effects and also isotretinoin cannot help with acne scars. In my practice, I have found that it is necessary to give importance and treat as much trigger factors at the same time as possible, to have results as soon as possible combining the knowledge of Dermatology,Cosmetic Dermatology, Aesthetic Medicine, Cosmetology,Well being and Wound healing. My protocol in the last 12 years, for pacients with sever acne, consist of three steps treatment. Results are very satisfactory from the first month. In 2-5 months a pacient has serious aesthetic improvement and almost no apparent acne. The pacient is very collaborative and keeps up with the treatment to preserve the results for another 18 months.


Biography


Rudina Thanasi graduated Medical School in 2002, at Carol Davila in Bucharest, Romania. In 2007 she completed her residency and fellowship in Dermatology and Venereology at the Medical University Center, Dermatology I, Colentina Hospital, under Professor/Dr. Dan Forsea. She is originally from Albania, born into a family of re-known doctors. In 1999 she was inspired by a scientific presentation of Dr. Caruthers on Botox injections which lead her to further study, research and specialization which would lead her to become a true pioneer inventing breakthrough techniques in Dermatology and Aesthetic Medicine. For the past 18 years, she has specialized in Aesthetic Medicine, Endermology- Peeling, Mesotherapy, Skin Surgery, and Skin Histopathology, anti-aging, cosmetic dermatology, and other related competencies. Furthermore, she has shared her expertise with over 60 articles published in the USA, Albania, Romania, medical publications, as author and co-author, also lifestyle magazines and newspapers. She is the author of, the medical books Sexuality & Venereology, and How to Inject the Perfect Filler Volume I (Photoshop like Treatment cycle). She has produced a reputation for herself creating specialized treatments with her own protocols such as: Photoshop like Treatment, Stretch-mark treatment, and Acne scar treatment. Dr. Rudina Thanasi has developed her own line of dermatological creams tailored specifically for her patients needs. She has her practice in Tirana, Albania for the past 11 years, the Studio Dermatologjike: Dr. Rudina Bashkim Thanasi. She has been seen on the covers of many reputable magazines, on various television interviews and programs, in Albania, Kosovo, Romania. I her private life she is biofield researcher and scientifically validated TMH.

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Rudina Bashkim Thanasi

Rudina Bashkim Thanasi Clinic (SD2RBT)
Albania

Title: Stress and Ageing


Abstract


This review piece explores links between stress, physiological pathways and specific skin ageing processes, common signs I see in my clients and why I believe it is important to be aware of these in your clinic environment to maintain best practice. 37% of Brits feel stressed for one full day weekly and up to nine days each month (1) with women 17% more likely to experience these feelings than men, (2). There is much evidence to suggest that both acute and chronic stress directly impacts skins ageing processes, caused by hypothalamic-pituitary-adrenal (HPA) axis disruption, leading to neurogenic and inflammatory response triggers at skin level. Additionally, skin actively participates in the bodys stress response, (3). In this article I will define and discuss the different types of stress and ageing, provide evidence to support how physiological stress responses cause telomere shortening and disrupt mitochondrial, mast cell and fibroblast function, and how these changes accelerate specific ageing processes. I will also discuss common signs of stress I see amongst my clients, why and how it is important to spot these, plus considerations for clinic treatment plans. The main, clinical symptoms of skin ageing are wrinkle formation, hyperpigmentation and loss of elasticity, (4), and causes can be classified into two categories: Intrinsic - ageing from natural, physiological changes over time, usually genetically pre-determined. Extrinsic influenced by UVA and UVB, chemical and pollution exposure, repetitive muscle movements, diet, sleep and overall health, [5). The modern view of emotional stress encompasses both internal and external factors, (6). I found a couple of useful definitions for the benefit of this article: Stress is our bodys response to pressures from a situation or life event. If our stress response is activated repeatedly or it persists over time, the effects can result in wear and tear on the body. (7) Also: Stress is a particular relationship between the person and the environment, appraised by the person as taxing or exceeding his or her resources, endangering his or her wellbeing. (8) The three most commonly reported UK stress triggers are financial concern, work and health worries, (1). Stress varies largely based on an individuals perception of what is stressful and their perceived abilities to cope, but when stress exceeds the bodys ability to respond, system damage can result, (9). The classification of stress is two-fold: External Stress caused by situations arising around us, often beyond our control such as employment or family changes and trauma, (10). Internal Stress where inner thoughts and feelings crowd the mind, leading to feelings of sadness and anxiety, unrealistic expectations, uncertainties and esteem issues, (10).


Biography


Emma Coleman qualified in General Nursing in 1996 and went onto study Dermatology at the University of South Wales, gaining a Distinction at Diploma level before specialising in cosmetic procedures and non-surgical facial rejuvenation in London. She also holds qualifications in complimentary therapies which are incorporated into her facial treatment menus, emphasising her passion for bridging the gap between medical and holistic approaches. Emma Coleman is a dermatology and aesthetic RGN and founder of Emma Coleman clinics across Kent and London in the UK. Emma adopts a holistic approach to dermatology, designing tailored programs for her clients combining prescription medications, diet, lifestyle and skincare. Emma launched her own natural antioxidant skincare line in 2013, designed for clients to use alongside her treatments.

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Emma Coleman

Emma Coleman Clinics
UK

Sessions:

Title: Optimally Restoring Definition of the Facial Contours and Volume in Male Patients


Abstract


The growing demand for aesthetic treatments for men, forces us to understand the differences between male and female structure as well as the different changes in the aging process. The signs of aging depend mainly on which layer of the skin is mostly affected. The process of bone remodeling involves the removal of mineralized bone by osteoclasts and the formation of bone matrix through the osteoblasts. Both processes of bone remodeling occur normally throughout life, although the balance between them changes according with age. Bone formation is more prominent in childhood; the processes are balanced in adults, while bone resorption is more prominent in the elderly. Male and female skulls from the same age group are different. In men the forehead is oblique, the glabella and frontonasal suture are more pronounced, and the supraorbital rim is prominent. In women, on the other hand, the forehead is straight, the glabella is delicate, and the supraorbital rim is subtle or even absent. Knowledge of the gender differences of the human skull, muscles, fat pat distribution and connective tissue changes is critical for an aesthetic approach to aging, because exaggerated filling of particular areas may render a masculine appearance womanly and vice versa. Choosing the best technique by gender and by area, will give us better cosmetic results and patient satisfaction.


Biography


DRA. INGRID L�PEZ GEHRKE, MD Dermato-oncologist and skin cancer specialist Medical Director at Haut Klinik dermatological clinic Mexico City. University of Veracruz�s Medical School, Specialty in Dermatology and skin cancer. National Autonomus University of Mexico (UNAM),2009 Social Service at Mexico�s General Hospital,Certified by the Mexican Dermatology Counsel. Private practice as a dermatology specialist, dermatological and oncological surgery. Medical director at Hautklinik private dermatological clinic.National and international speaker for high impact Pharmatological Industry on global rejuvenation techniques with hyaluronic acid, botulin toxin, policaprolactone, re-absorbable sustentation stitching, calcium hidroxiapatite, enzymatic therapy and other specialized medical procedures. Speaker for the Mexican Dermatology Foundation. Member of the Mexican Dermatology Counsel, Mexican Academy of Dermatology, Mexican Dermatological society, Mexican Foundation for Dermatology, Ibero-american dermatological college.Autor and Co-Autor of many articles for national and international medical and scientific journals. Author of many chapters for specialized medical books.

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Ingrid Lopez Gehrke

Hautklinik Dermatology Clinic
Mexico

Title: Raregenodermatoses in Our Dermatologic Practice


Abstract


The paper refers to rare genodermatoses observed and treatedin our dermatologic practice. Tricho-dento-osseous (TDO) syndrome is an auto somal dominant genetic disorder that belongs to a group of diseases known asectodermal dysplasias. Ectodermal dysplasia typically affects the hair, teeth, nails, and/or skin. As metrically local is Edna eviflammei may be associated with other conditions such as bSturger-Webersyndrome and Klippel-Trenaunay syndrome. Melanos is neurocutanea Touraine (1941), Neuro cutaneous melanosis, (MNC), originally described by Rokitansky (1861),is considered to be a sporadic congenital disorder, a non-hereditary melanphacomatos is(incidence in 1/20000 newborns). The syndrome affects both genders alike (it has until now been only described in Caucasians), and is characterised by very large or multiple pigmented cutaneous nevi as well as hyperploriferation of benign and malignant melanin cells in the leptomeninges. Ichtyosis – Collodion baby. Heterogeneous group of diseases.The disorder affects the entire skin. Divided based on examination and clinical, genetic, histological, ultra-structural and sometimes biochemical signs Acrodermatitisenteropatica - Autosomal recessive metabolic disorder influencing zinc uptake The uncombable hair syndrome is also known as Einstein Syndrome, although Albert Einstein himself was not a sufferer. The syndrome is caused by congenital genetic mutation that influences the colour and structure as well as the bizarre appearance of hair. It is causes by the mutation of one of the following three genes: PADI3, TGM3, and TCHH.


Biography


Hana Zelenkova has been active in the field of Dermatovenerology since 1973. Since 2000 she has been directing her own Private Clinic of Dermatovenereology. Professional orientation: aesthetic dermatology, acne and facial dermatoses, medicinal mycology (nail diseases), wound management, psoriasis, employment of Ichthyol and carboxytherapy in dermatology. She is a coordinator of many international multicentre trials. More than 555 expert lectures in the Slovak Republic as well as abroad, 440 scientific publications. Co-author of the dermatocosmetic formulae containing Ichthamol and glycyrrhizinic acid. Author of the book “Carboxytherapy” (2015), translated into 4 languages. Regularly invited to deliver lectures at international congresses. Founder and President of the Slovak Society for Aesthetic and Cosmetic Dermatology (SSEDK), organizer and President of the traditional international DERMAPARTY congress. Since 2006 Vice-President European Society of Aesthetic and Cosmetic Dermatology, since 2007 President of the European Society of Aesthetic and Cosmetic Dermatology.

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Hana Zelenkova

Private Clinic of Dermatovenereology
Slovakia

Title: Atopic Dermatitis during the First Year of Life


Abstract


Background: Atopic dermatitis is a multifactorial inflammatory disease with quite variable clinical manifestations regardless gender, ethnicity or age. Its etiology is linked to a combination of environmental and genetic factors in patients with a personal/family history of atopic diseases (such as AD, asthma or allergic rhinitis). Early diagnosis of AD follows an adequate treatment of the patients and guarantees a better prognosis. But AD management can be complex. Emollients and corticosteroids are the mainstay of therapy. Corticosteroidphobia and side effects complicate proper management of AD but therapeutic education of parents on disease, aggravating factors and management has shown increased compliance and better treatment results. Objectives: To evaluate age of onset. To examine factors correlated with AD. To evaluate lesion clearance rate, treatment satisfaction and quality of life of patients and their parents. Methods: In this subcohort study we included 122 patients aged from 0-12 months old for a 3 month period time (May-June-July 2019), 26 of them diagnosed with AD in different time points : 0-6 months old (n=15 ; 58%) and 6-12 months old ( n=11 ; 42%). Infants were defined as having AD when reported an itchy rash characterized with dry, scaly skin and/or redness at least once on one of the following areas: face, neck, abdomen, elbows and knees at different points of age. Furthermore we assessed information on parental/sibling atopic history, environmental factors, infants’ age, overall health, immunization, birth weight, extent area of AD, expectations on the course of reaction and treatment and the parents’ opinion or preferences. We also took into account hydration, skin barrier function, tolerability and relief of symptoms. Results: In our 122 patients, diagnosed with AD were n=26 (21%) and AD-free n= 96 (78%). In the first group with AD, 60% were reported to have at least one parent affected by atopic disease in the past or present, where in the second group AD-free, 14 of them (14,5%) reported having family history with atopic diseases. N=15; 58% were diagnosed with AD during the 6 first months of life (mainly in periauricular areas, anterior neck folds, cheeks, forehead) and n=11; 42% were diagnosed during 6-12 months old (mainly in perioral areas, periauricular areas, cheeks, periorbital areas, flexural points, forehead etc). The prevalence of AD did not differ by birth weight, gender, immunization or use of antibiotics. Therapy treatment of AD significantly improved skin hydration and function, tolerability and relief of symptoms such as pruritus and erythema. Pruritus intensity and frequency was reduced in 89% of patients within the first week, demonstrating beneficial outcomes and improvement of quality of life for infants as well as their parents. Treatment with emollients and corticosteroids was safe and well tolerated. Conclusion: Early diagnosis of AD leads to better and successful management of AD. Emollients and corticosteroids are the mainstay of therapy. Emollients applied daily in AD infants with parental AD history, showed improvement in reducing pruritus and redness, and reduced the risk for developing the disease further. Avoiding factors that trigger inflammation is key to prevent AD rashes or flares. Parental education and counseling on the disease, showed higher compliance and significantly better treatment.


Biography


Esmeralda Babamusta has completed her Dermatology residency in 'Mother Teresa' University Hospital Center, Albania and has a postgraduate master degree in 'Healthcare Management', ISSAT, Albania. She is the head and coordinator of CME activities performed by Durres Healthcare Policlinic 4, Albania. As a former National Chess Champion, Dr. Esmeralda enjoys everyday challenges and innovations related to her work and patients.

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Babamusta Esmeralda

Durres Healthcare Policlinic 4
Albania

Title: Autologous Fat Grafting into the Anterior and Posterior Vaginal Wall for Enhancing the Female Sexual Quality of Life through Vaginal Rejuvenation; an Underrated Procedure


Abstract


Background: Sexual satisfaction of women contributes significantly to their quality of life. Although the prevalence of sexual dysfunction increases considerably after menopause due to vaginal laxity, trauma and childbirth can affect women from any age groups. As a result, nearly half of the world’s populations are at considerable risk of reduced quality of life. autologous fat grafting inside the vaginal wall is reported to be among the few non-invasive alternatives that with few side effects, can increase sexual satisfaction considerably. However, only a handful amount of case reports and small case-series have studied this procedure. In the present study, for the first time, we investigated the effect of simultaneous fat grafting into the anterior and posterior vaginal wall on the sexual satisfaction of women. Methods: In the present case-series study, 54 women with a history of vaginal laxity and sexual dysfunction that attended our clinic between October 2018 and April 2019 were included as the study population. The McCoy female sexuality questionnaire (a Likert scale of 7 points) was filled out by all patients. Fat grafting procedure was then carried out as follows. After local anesthesia, Coleman’s technique was used to extract fat from the lower abdomen which was then injected into the submucosal region of both posterior and anterior vaginal wall after appropriate preparations. The patients were advised to avoid sexual activity for 1 month. After 3 months, the McCoy questionnaire was filled out again by the patients. Paired t-test was used to analyze the data. Results: fifty-four women, ageing between 22 to 49 were included in the final study. Only one (1.8%) woman didn’t experience any improvement in overall sexual satisfaction. The rest (98.2%) experienced at least some level of improvement of sexual quality of life. Before the procedure, our study population only mildly enjoyed their sexual activity (2.7 on the Likert scale). After the fat graftingprocedure, this was increased to nearly extremely enjoyable (6.1 on the Likert scale) on average (p<0.05). Also, our study population felt more sexually attractive after the procedure (2.3 to 6.2 on the Likert scale) significantly (p<0.05). Additionally, sexual intercourse specifically became more enjoyable to our participants (1.5 to 6.6 on the Likert scale, p<0.05).One of our participants, requested the procedure for the second time after 4 months for more enjoyable sexual intercourse. She reported a decline in sexual sensation 3 months after the abstinence period of the first time she went through with the procedure, although she was satisfied with the results before that. All of our participants reported an increased frequency of sexual activity after the first month of abstinence. No major side effects were reported throughout the study. ConclusionAutologous fat grafting is safe and easy to perform and most importantly, significantly increases the sexual satisfaction of women with vaginal laxity and sexual dysfunction. Further studies are already being conducted to refine the procedure and to maximize its effect for each individual woman.


Biography


Dr. Mitra Bahmanpour is one of the top contributors in the country’s board Faculty member of Iran University of Medical Sciences Member of the Association of American Beauty Surgeons. Has several valid foreign and Iranian articles One of the authors of the Sharif Military Institute. Writer and educator of the Sharif Revolutionary Institute Assistant Professor of the University until 2016. Providing five congresses on obstetrics and gynecology in Iran. Superior Rank in Student Evaluation Score. The most cosmetic and repair surgeries in Chabahar. Dr. Mitra Bahmanpour got a degree in women beauty and restoration surgery from American Academy of Aesthetic Gynecologic Surgery.

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Mitra Bahmanpour

Female Cosmetic Capital
Iran

Title: Golden Rules of Aesthetics. Aesthetic Vs Mutilation


Abstract


Aesthetic surgery and medicine, anti-aging medicine and cosmetic dermatology, the medicine of beauty is nowadays in its culmination of popularity worldwide. But, with beautification becoming popular, we also see more and more amateurs joining and more and more mistakes are present. Results are that we meet patients with strange and scary facies, mutilated products of aesthetic medicine. In my 18 years of experience in Aesthetic medicine and cosmetic dermatology, I have had the chance to improve and enrich my expertise through extensive studies and experience. And as a result of all the knowledge and experience that I have gathered with patients through all these years, I have developed 3 golden rules and 2 absolute no mistakes which I follow by no exclusion. Main goal remainingthe right to be healthy and beautiful for all my patients. Regardless of the procedure used, material or area of treatment, there are 3 golden rules which should be respected so that a procedure can be called aesthetic. And 2 rules, which make the difference between aesthetic and monstrosity. 1- Lighter: Any procedure which makes face lighter is aesthetic. 2- Up lifting: Anything you do, the final result should and must be Up- Lifting 3- Invisible: If it is obvious cant be aesthetic. Aesthetics versus Mutilations Visionary: Even if you dont make any treatment for years you should and must look better after many years to come. Any procedure which compromises the future is not aesthetic. Healthy: Whatever you use should absolutely not compromise health. An Aesthetic procedure should always be healthy.


Biography


Rudina Thanasi graduated Medical School in 2002, at Carol Davila in Bucharest, Romania. In 2007 she completed her residency and fellowship in Dermatology and Venereology at the Medical University Center, Dermatology I, Colentina Hospital, under Professor/Dr. Dan Forsea. She is originally from Albania, born into a family of re-known doctors. In 1999 she was inspired by a scientific presentation of Dr. Caruthers on Botox injections which lead her to further study, research and specialization which would lead her to become a true pioneer inventing breakthrough techniques in Dermatology and Aesthetic Medicine. For the past 18 years, she has specialized in Aesthetic Medicine, Endermology- Peeling, Mesotherapy, Skin Surgery, and Skin Histopathology, anti-aging, cosmetic dermatology, and other related competencies. Furthermore, she has shared her expertise with over 60 articles published in the USA, Albania, Romania, medical publications, as author and co-author, also lifestyle magazines and newspapers. She is the author of, the medical books Sexuality & Venereology, and How to Inject the Perfect Filler Volume I (Photoshop like Treatment cycle). She has produced a reputation for herself creating specialized treatments with her own protocols such as: Photoshop like Treatment, Stretch-mark treatment, and Acne scar treatment. Dr. Rudina Thanasi has developed her own line of dermatological creams tailored specifically for her patients needs. She has her practice in Tirana, Albania for the past 11 years, the Studio Dermatologjike: Dr. Rudina Bashkim Thanasi. She has been seen on the covers of many reputable magazines, on various television interviews and programs, in Albania, Kosovo, Romania. I her private life she is biofield researcher and scientifically validated TMH.

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Rudina Bashkim Thanasi

Rudina Bashkim Thanasi Clinic (SD2RBT)
Albania

Title: A Comparative Study between Platelet Rich Plasma (Prp) and Microneedling with Derma Roller in the Treatment of Post Pregnancy Stretch Marks


Abstract


Background & Objectives: Striae distensae, also known as stretch marks, is a relatively common and cosmetically embarrassing skin condition. Striae gravidarum are stretch marks occurring during pregnancy especially over the breasts, abdomen, hips, and thighs. They are usually asymptomatic and are considered aesthetically unappealing, having a detrimental impact on the individuals quality of life. Despite being such a commonly occurring entity, there is no satisfactory therapeutic modality. This study was undertaken to assess the efficacy of Platelet rich plasma injection and microneedling in the treatment of post pregnancy stretch marks and to also compare the efficacy with each other. Methods: Sixty patients were recruited to the study and randomly assigned into two groups of 30 patients each. The first group was treated with intradermal platelet rich plasma injection and the second group with microneedling using a dermaroller. Pretreatment photographs and photographs at every visit were taken and compared. A 2 mm Biopsy was taken from every 6th patient prior to the commencement and 4 weeks following the last session. Five Treatment sessions were carried out at 4 weekly intervals. Objective grading was done using the quartile grading scale to look for reduction in width. Subjective grading by the patient was given on a scale of 0-10. A subjective grading was also carried out by the doctor and a score was given on a scale of 0-10. Results Clinical improvement based on appearance, in the PRP group showed that 15(60%) and 10(40%) patients had mild (score 1,2,3) and moderate (score 4,5) improvement respectively. Similarly, in the microneedling group, 6(23%), 12(46%), 5(19.2%), and 3(11.5%) patients demonstrated mild (score 1,2,3), moderate (score 4,5), significant improvement (score 6,7) and excellent improvement (score 8,9,10) respectively (p value- 0.091). Subjective scoring by patients indicated satisfaction in 4(16%), slight satisfaction in 6(24%) and dissatisfaction in 15(60%) patients in PRP group. Likewise, in microneedling group, 14(53.8%), 10(38.46%) and 2(7.69%) patients were satisfied, slightly satisfied and unsatisfied with the procedure. (p value < 0.001). The Clinical improvement as perceived by Dermatologist, based on reduction in width suggested that in PRP group, 15 (60%), 9(36%), 1(25%) patients had mild, moderate and significant reduction. Similarly, in group II or microneedling group, 10 (38.46%), 14 (53.84%) and 2 (7.69%) patients had mild, moderate and significant improvement respectively (p value - 0.723) Striae rubra responded better to treatment compared to striae alba (p value of 0.015). Conclusion: Striae gravidarum is cosmetically disfiguring and therapeutically considered almost an untreatable condition. Both patients and doctors have reconciled to the fact that it is almost non treatable. Majority of the previously tried modalities are ineffective and any new prospects are often considered hopeless. However, PRP injection is an encouraging therapy in the treatment of striae gravidarum giving mild to moderate response. Microneedling is another promising therapeutic modality with better treatment outcome, ease of use and higher patient compliance. Key words: striae distensae, striae gravidarum, platelet rich plasma, Microneedling


Biography


Sonia Raghukumar is a Consultant Dermatologist with a keen interest in aesthetic dermatology and use of lasers and lights in Dermatology. Following her MD in Dermatology, Venereology and leprosy. She attained her Fellowship in Medical Cosmetology (FMC) from Institute of Lasers and Aesthetic medicine, affiliated to Greifswald University, Germany. She later pursued her certified training course in lasers and Dermatosurgery at S.P Derma center, Tamilnadu. She has delivered several presentations at international and national conferences fetching scholarships and awards of academic acclaim. Additionally, an avid researcher with a number publications to her credit in journals of national and international repute.

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Sonia Raghukumar

Hassan Institute of Medical Sciences
India

Title: Erythema Migrans in Patients from Ternopil Region (Western Ukraine)


Abstract


Erythema migrans- the characteristic rash of early Lyme borreliosis, wich is the most common tick borne infection in both North America and Europe. In Europe, 5 human-pathogenic genospecies from the Borrelia burgdorferi sensu lato complex have so far been isolated: B. afzelii, followed by B. garinii, B. bavariensis, B. burgdorferi sensu stricto and B. spielmanii. The Ternopil region, located in the western part of Ukraine, is an endemic area of Lyme disease. Habitats of the tick Ixodes ricinus were found in 57 settlements of the 15 districts in the vicinity of Ternopil. The study was based on 108 patients. The age of tested persons ranged from 18-74 years. The group of examined patients comprised 42 men and 66 women. Patients treated in Ternopil regional clinical dermatovenerologic dispensary. The diagnosis of Erythema migrans was established clinically according to the classification of ICD-10. A two-step algorithm consisting of ELISA and immunoblot tests (Euroimmun, Germany) was used in the study. During the first phase of the tests, presence of anti-Borrelia burgdorferi s.l. IgM/IgG antibodies were marked using ELISA method, and positive and uncertain results were confirmed by immunoblot (EUROLINE Borrelia RN-AT). Presence of specific antibodies IgM and/or IgG class to B. burgdorferi sensu lato (B. burgdorferi sensu stricto, B. afzelii and B. garinii) were detected in 85 (78.7 %) persons out of 108 serum samples studied, were 78 persons had detectable IgM responses alone, 3-had IgG reactivity alone, and 4 of tested, had both IgM and IgG.


Biography


Shkilna Mariia received her medical degree from the Ternopil State medical University in 1991. Ph.D. (Skin and venereal diseases) from Kharkiv, SE Institute of Dermatology and Venereology of AMS of Ukraine in 2010. Dissertation: Clinical and pathogenic features of some types of urticaria and allergic dermatitis associated with lambliasis. She is a member of the Ukrainian Dermatovenereologists Medical Society and Ukrainian Infectious Diseases Medical Society and has published more than 150 scientific papers in Ukrainian and foreign journals.

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Shkilna Mariia

Ternopil State Medical University
Ukraine

Title: Research Concept and Innovation in Treatment of Psoriasis


Abstract


Psoriasis is the most prevalent immune-mediated skin disease that affects 1% to 3% of the population worldwide, with an equal sex distribution and it can be presented in any age. The most common form of the disease is plaque psoriasis observed in more than 80% of psoriasis patients. Psoriasis treatment varies with the extent and severity of the disease. Limited or mild disease is treated with topical therapies such as corticosteroids and vitamin D analogs. For more resistant or moderate to severe disease systemic oral, parenteral medications and phototherapy are used for better efficacy. Standard therapies for psoriasis are: topical steroids, vitamin D analogs, phototherapy, methotrexate, cyclosporine, apremilast and biologics including TNFα inhibitors, IL-12/23 inhibitors, the IL-23p19 antagonist, IL-17A inhibitors, and these products are the treatment options of choice for patients with moderate to severe plaque psoriasis who are candidates for systemic therapy or phototherapy. These drugs are injected or delivered via intravenous (iv) infusion. Many methods of treatment are associated with increased risk of adverse events such as hepatotoxicity and neutropenia, nephrotoxicity, depression, weight loss, serious infections, candidiasis, Crohn’s disease. Many patients with severe disease are still managed with only topicals and consider their treatment to be inadequate.Different from traditional systemic drugs that impact the entire immune system, biologics target specific parts of the immune system and offer reduced multi-organ toxicity and adverse effects. Accordingly, there remains a need for more effective options, when compared with currently available agents that would improve efficacy responses and increase adherence to treatment.


Biography


Dominika Bielinska-Warezak is consultant dermatologist with over 20 years of experience. She is Principal Investigator Phase II and III of clinical trials in Accelerated Enrollment Solutions, works as Clinical Research Physician in numerous trials with psoriatic patients. She has graduated from Medical University of Gdansk with5 clinical clerkships at Department of General Dermatology of University of Vienna, Universidad de Malaga, Lund University, Meridia South Pointe Hospital, Cleveland, Ohio and University of Gronigen.

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Dominika Bielinska-Warezak

Accelerated Enrollment Solutions
Poland

Title: Photoshop Like Treatment. Facelift Liquid, Botox & ++ +


Abstract


Photoshop- Like- Treatmentis my own concept. This way of treating, came as a result of my 18 years long and close work experience with tv-personalities from different arias of life, expertise, and countries which desired to look natural, not obvious that has undergone aesthetic enhancements and look the same on TV, on photos and on the real life. It is the perfect treatment for everyone who wants to feel confident about the way they look and alsofor those who wants to be ready for the "close up" images as well. It is a balanced and perfect combination between the way of injecting botulinum toxins facelift liquid, mezolife (our own mesotherapy cocktail for bringing light to the face) and other aesthetic noninvasive procedures. Focus in lights and a shadow is the key element.


Biography


Rudina Thanasi graduated Medical School in 2002, at Carol Davila in Bucharest, Romania. In 2007 she completed her residency and fellowship in Dermatology and Venereology at the Medical University Center, Dermatology I, Colentina Hospital, under Professor/Dr. Dan Forsea. She is originally from Albania, born into a family of re-known doctors. In 1999 she was inspired by a scientific presentation of Dr. Caruthers on Botox injections which lead her to further study, research and specialization which would lead her to become a true pioneer inventing breakthrough techniques in Dermatology and Aesthetic Medicine. For the past 18 years, she has specialized in Aesthetic Medicine, Endermology- Peeling, Mesotherapy, Skin Surgery, and Skin Histopathology, anti-aging, cosmetic dermatology, and other related competencies. Furthermore, she has shared her expertise with over 60 articles published in the USA, Albania, Romania, medical publications, as author and co-author, also lifestyle magazines and newspapers. She is the author of, the medical books Sexuality & Venereology, and How to Inject the Perfect Filler Volume I (Photoshop like Treatment cycle). She has produced a reputation for herself creating specialized treatments with her own protocols such as: Photoshop like Treatment, Stretch-mark treatment, and Acne scar treatment. Dr. Rudina Thanasi has developed her own line of dermatological creams tailored specifically for her patients needs. She has her practice in Tirana, Albania for the past 11 years, the Studio Dermatologjike: Dr. Rudina Bashkim Thanasi. She has been seen on the covers of many reputable magazines, on various television interviews and programs, in Albania, Kosovo, Romania. I her private life she is biofield researcher and scientifically validated TMH.

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Rudina Bashkim Thanasi

Rudina Bashkim Thanasi Clinic (SD2RBT)
Albania

Title: Challenges in Treating Atrophic Acne Scars in the Skin of Color


Abstract


Treating Atrophic acne scars in the patients with skin of colorbecomes challenging at times as patients may end up in Post inflammatory hyperpigmentation if treated aggressively.Clinical procedures including Peels, lasers,Microneedlingwith lightening serums, subcision and PRPare the various modalities used to treat the attophic acne scars Care has to exercised in using these modalities as aggressive treatments might result into Post inflammatory hyperpigmentation. Here I discuss 2 of my patients with different shades of skin color , using Microneedlng and PRP to treat the atrophic acne scars. See the difference of result in both the patients.


Biography


Dr Uzma Pirzada is a trained Dermatologist and Cosmetologistfrom Pakistan Dow university of Health Sciences Karachi and post graduate studies from Wales University, UK.She is a Consultant Dermatologist at Elements Medi Spa Karachi and the Internal Expert of Dermatology for GSK Pakistan. She has special interest in the treatment of Melasma and PIH in the skin of color. She is a member of American Academy of Aesthetic Medicine and Pakistan Association of Dermatologist. She is a writer of National Guidelines in the uses of Photodynamic Therapy. She is a Speaker in multiple National and international congresses.

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Uzma Pirzada

Elements Medispa
Pakistan

Title: Natural Remedies in Skin Diseases


Abstract


Natural remedies: why should we use them? Natural remedies: why should we use them? We can use natural products do diminish side effects in allopatic treatments, or to potentialize them. It is well accepted by most of the patients. There is a marketing appeal. It can be combined with other treatments. In the past people would, prepare their own remedy with the herbs collected in plantations or at the local market. This is a risk because there is no sthabblished pattern of quantity of medication used per dosage There are several laboratories that produce natural remedies, increasing the control of dosage and efficacy of the treatments. Which kind of products can be used? Herbs, fruits, leaves, roots are mainly the parts used to prepare a medicament. These extracts can be mixed with other herbs, minerals, metals or even animal parts. The usage of these medicaments can be as an implant, addesive, topical, oral, essential oils or even injection. What king of diseases can be treated with natural medicine? All diseases can be included. Some of them exclusively and others can be as complimentary medicine. Surgeries are not excluded but can be less aggressive or faster post op when natural medicine is applied. Psycodermatosys, urticaria, wounds, athopic dermatitis, hair and nail disorders, psoriasis are some of the diseases that can be beneficial the use of natural medicine The cosmetic industry uses natural components including: Aloe vera, Chamomilla off., Rosmarinus, Arnica Montana, Calendula off., Lavandulla off., Viscum album, Iron, silicium, zinc, Aurum, Strawberry, grape, wheat, macadamia There are also precautions using natural products.


Biography


Dr. Adriana Martins Basso is a business administrator with minor in trade, has worked in multinationals and trading company. She is a Medical Doctor in São Paulo and is also in progress of a certification at Milan University. She is focused on Integrative medicine, combining anthroposophic medicine, Chinese medicine, Dermatology, and nutrology. She also practices Kung fu and is a painter.

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Basso Adriana Martins

Integrativo, instituto de Medicina Integrada
Brazil

Title: Self-Use of Skin Bleaching Products among Female Attending Family Medicine Clinic


Abstract


Importance: The cosmetic use of skin bleaching products is a common practice in coloured skinned women. The use of skin lightening creams is common and widespread in the African, Asian and North American populations. Use of skin bleaching agents has been reported in Saudi Arabia. The long term use of these products for several months to years may cause cutaneous or systemic side effects. Aims: This study aimed was to assess the prevalence of self use of skin bleaching agents among Saudi women as well as the level of awareness, attitudes and practice towards the use of these agents.
Methods: A cross-sectional study was conducted by selection of systematic random sampling of female attending family medicine clinic at Prince Mansour Military Hospital from October to December, 2017. The data collected by a structured questionnaire included information about background variables, attitudes, awareness and practice regarding the use of skin bleaching agents. The data were analyzed using statistical software to yield descriptive and inferential statistics. Results: A total of 358 women aged between 18-55 years old were included in this study. About 25% of the women were current users of skin bleaching agents, while 39.6% were only previous users. Thus, more than half of these women were either current or previous users, while 12% of them used creams previously and still use it currently. About a third of women used bleaching creams as a treatment for hypo or hyperpigmented skin and 29.4% used them for cosmetic purposes. Regarding the source of these agents, 38% of women obtaining them by medical prescription and 27.8% were from a pharmacy without prescription, while the remaining women obtaining them from the market. The reason of using skin bleaching creams was varying among females, 51.6% of females used creams for increase beauty, 51% for making a new look, 6% for rising self-confidence, and 4.3% to increase the stability of marriage. About 56% of women reported that cortisone is the most dangerous component of the skin bleaching agents. About 33% of women agreed to use a quick whitening agent from an unknown source. Significant associations were detected between the use of skin bleaching agents and each of education, income, and occupation, while the associations with marital status and age were not statistically significant. Conclusion: The lifetime use of skin bleaching agents was relatively high divided evenly into cosmetic and curative purposes. The level of awareness about these agents is low since a considerable proportion of them agreed to use agents from unknown sources. In addition to the high use of skin bleaching agents obtained without medical or pharmacist consultation.


Biography


Zinab A ALAtawi Graduated with honor degree from Tabuk University , Lecturer at Tabuk University , Family medicine boared certified , intrested in dermatology and cosmatics , practice dermatoloy at primary health care as varity of cases and disease, planing for more advance degree in dermatology and reserch.

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Zinab A ALAtawi

University of Tabuk
Saudi Arabia

Title: Art and Medicine: Why Beauty Matters


Abstract


The concept of beauty has changed during history and it has also been influenced by culture, expressions, behaviours. the impact of chocking images, confronting beauty patterns has changed the concept of beauty. How beauty can be used in medicine? Is the aesthetic medicine been influenced by which beauty pattern? Are there diseases being recognized by different concepts of beauty? The aim of this work is to present Art as one resource that can be used in general dermatology and in aesthetic medicine, that improves medical perception of physical aspects in patients but also the subtle aspects that are not evident. There are several diseases regarding excess of seeking for beauty: bulimia, anorexia, vigorexia, obesity, psycodermatosis, dysmorphophobia. The concept of beauty has changed during history. It is possible to use art in medicine as medicament, as diagnosis, or even to train into a more accurate perception of the medical doctor towards patient, or even learn how to find solutions in procedures. Art can be a powerful tool in medical practice. Art can be used as medical training, as diagnosis, or even as medicament. We should also be aware of diseases regarding beauty, and how can doctor be aware of excess of unnecessary procedures.


Biography


Dr. Adriana Martins Basso is a business administrator with minor in trade, has worked in multinationals and trading company. She is a Medical Doctor in São Paulo and is also in progress of a certification at Milan University. She is focused on Integrative medicine, combining anthroposophic medicine, Chinese medicine, Dermatology, and nutrology. She also practices Kung fu and is a painter

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Basso Adriana Martins

Integrativo, instituto de Medicina Integrada
Brazil

Title: A Novel Approach for Facial Rejuvenation with Dermal Fill


Abstract


Clift is a novel technique for the structural injection of Dermal fillers for facial repositioning and lift. The approach is based on using dermal fillers in a simple and repetitive method in order to simplify and get a fast and safe result using less material in order to get supreme results. The technique is based on injecting at different layers in order to compensate the absorption of bone and soft tissue and getting a natural and safe result. The method respects the main supporting ligaments of the face. The aesthetic physician should go according to the letters and use the specific HA at the right level. Each letter in the Clift represents anatomical area to be treated in different layers (supraperiosteal, subdermal, Intradermal) using different fillers in terms of cohesivity and plasticity. This is a kind of a check list while analyzing the patient in order to decide what anatomical elements are to be treated. Using the Clift ones achieves support and lifting of different facial units, reaching full face rejuvenation and youthful appearance.


Biography


Eyal Kramer is a certified plastic surgeon from Israel. Owner of a leading private clinic in Tel Aviv. Main interest is facial aesthetics. Croma- KOL for threads IPSEN-Dysport- LCM Israel IBSA Derma- KOL international Alma lasers- LCM Israel Siluhette soft- LCM Israel Ulthera- KOL Israel Former KOL of Allergen Inc. Participated as part of the force team of Allergan to bring a descriptive and evidenced based protocol for recognition and treatment of facial fillers complications. Dr. Kramer is giving presentations and hands on sessions all over Europe and Asia. A senior plastic surgeon in the Plastic surgery department at Wolfson medical center in Tel Aviv. The goal of the facial treatments at the clinic is using the right method and material in order to achieve rejuvenation of the different effects of aging of the whole face. Dr. Kramer believes in "graceful aging" and by this he works.

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Eyal Kramer

Plastic Surgeon
Israel

Title: Diagnosing Pigmentary Disorders on the Face in Brown Skin


Abstract


Pigmentation of the face is one of the most common complaints of patients in South India. Most of the patients presenting to us with such complaints were between 25 and 50 years of age. We found that patients with facial pigmentation had a lower DLQI index and were subjected to long duration of treatment and multiple treatment modalities with unsatisfactory results. Most often the treatment is the blind usage of bleaching agents and demelanizing creams, for years together. This brings the need to take a deeper look into the pigmentary disorders of the face and thereby reduce the problems faced by patients. Moreover the clinical manifestation of pigmentation varies widely in the Fitzpatrick skin-types 5 and 6 (commonly seen in South Indian patients). There are endogenous and exogenous factors responsible for pigmentation on the face. It is imperative to determine the cause of pigmentation, the level of pigmentation and the nature of pigmentation to arrive at the precise diagnosis. Hence it is important to evaluate the patients, stage by stage, with detailed clinical examination and non-invasive diagnostic tests. (We found that South Indian patients were hesitant towards invasive tests in view of scarring). It is important to approach the patient in an objective and subjective manner to arrive at the correct diagnosis. This help us in eliminating the etiology and providing the appropriate treatment for the patients, thereby resulting in better clinical outcomes.


Biography


Dr. Sharmatha Kumar has completed her Post graduate Diploma in Sri Ramachandra University, India. She has done a fellowship in Aesthetics and Lasers in Rajiv Gandhi University, India, following which she got a Fellowship in Aesthetic Medicine, from University of Greifswald. She works as Junior Consultant in the Institute of Craniofacial, Aesthetics and Plastic Surgery. She has published in the Indian Journal of Dermatology, Venereology and Leprosy and has presented in many National dermatology conferences.

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Sharmatha Kumar

SRM Institute of Medical Sciences
India

Title: The Ultimate Guide for Your Brand Practice to Stand Out


Abstract


Branding is one of the most important and most often overlooked aspects of marketing in our clinical practice. We tend to associate brands with products and large corporations. But branding is for everyone. Branding is part of marketing but is not actually about promotion. Rather, it is about defining your practice and connecting with people. A brand is a distinctive identity that differentiates a relevant, enduring and credible promise of value associated with a product, service, or organization and indicates the source of that promise. A lot of practice thought their brand stood out because of their price, services, or machines. But these does not represent brand as a whole but only the piece of the pie. brand identity isnt one single entity. Its the composite of many elements: your logo, brand colors, voice, values, and more. But if you can create a brand identity that accurately reflects who you are and what you are about, you can form stronger relationships and attract the people who want to work with you. This is based on a review literature and suggests tips on right branding for practice knowing target market, defining message and value, making a brand personality, creating an aesthetic form fit to brand, creating tone of voice, hiring people who will bring your brand, sharing your brand story, standardizing and being consistent with brand, and how to set patient expectations. Creating a great brand identity is challenging but exciting work but its always easier with a few tips and shortcuts.


Biography


Ian Aguinaldo is a dermatologist with special interest in aesthetic medicine. He is the founder and medical director of Gras Skin Clinic and Ayoh Office Health. He has completed extensive advanced level medical training, and is a member of Social media academy and Association for Patient Experience. Dr. Aguinaldo is passionate about practice management, branding, social media, and growth hacking in aesthetic medicine and ensures that along with the day-to-day clinic work, he writes and speaks at numerous conferences and help other practices thru consulting.

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Mervin Ian Paul U. Aguinaldo

Gras Skin Clinic
Philippines

Title: Toxic Epidermic Necrolisis Two Cases Presentation


Abstract


Toxic epidermal necrolysis (TEN) is a potentially life-threatening dermatologic disorder characterized by widespread erythema, necrosis, and bullous detachment of the epidermis and mucous membranes, resulting in exfoliation and possible sepsis and/or death (see the image below). Mucous membrane involvement can result in gastrointestinal hemorrhage, respiratory failure, ocular abnormalities, and genitourinary complications. We received in our clinic two cases of toxic necrolisis, unfortunately one of them died due to sepsis, the other we saw him in our clinic last month for a follow up consultation and he is very well. Toxic necrolisis is a severe dermatosis; the most common causes are antibiotics and antiepileptics. Here in South Africa because of the VIH/aids first cause is the anti-retroviral medication. 1st case: a 32 y/o male patient, vih + on alluvia for 2 years, came to hospital referred from the local clinic, complaining of a week history of blisters on the body and peeling of the skin, after he started with panado and tramadol prescribed at the clinic due to back pain. On examination a wild spread almost generalized blistery rash and denuded areas on back and trunk, also hyperpigmented patches can be seen on trunk and limbs, oral mucosa with secretion and exulcerations. Patient was admitted in our ward and started with steroids, fluids and antibiotics. Dressings daily with sterile water and we used paraffin gauze and bandage, was isolated for 4 days and same treatment no blisters, peeling areas healing, was seen by dietician and continue with fluids, mouth improved and he could eat, also started on prednisone 60mg daily oral and continue with antibiotics. On the 10th day with healing areas no new blisters, we decided to move him to high care room; Day 13th was very well, we discharged him on 50mg of prednisone. And should continue with the dressings at the clinic. When we saw him, on examination the denuded areas were healed. 2nd case: 43 yr. old male. RVD negative: Elisa. Type II DM: poorly controlled. On metformin and insulin.Followed up at the local clinic until September 2015.1st referral to casualty with uncontrolled HGT. Seen monthly at OPD south for uncontrolled HGT.No bloods ever done in OPD south. Pt seen by Dietician x1.Pt subsequently developed peripheral neuropathy due to uncontrolled DM. Started on amitriptyline and pyridoxine. In November 2015, Doctor in OPD south notes that Amitriptyline is not working and changes pt to tegretol.pt forgot tegretol at Pharmacy. Tegretol prescribed in December again and issued to pt. Last script on the 7th Jan 2016.Patient presented again in casualty on the 19th Jan 2016 referred by local clinic at 19hoo. Referral notes: oral sores, difficulty swallowing, itchy rash all over body, respiratory distress and swollen lips. Pt treated the previous week with same problem and no response. Assessed as an allergic reaction, treated with phernagan and referred.Pt triaged in casualty at 19h40. similar history noted by triage sister. Pt seen by doctor at 20h40.assessed as maculopapulo rash and fever of unknown cause. Vitals: T=37.7, P= 152, ICT= NegBloods: normal( U+E, CMP, FBC). HBA1C=6.9%, CRP=58, ESR=33 Seen at 12h00 by dermatology.Admitted to the ward.Pt only gets to the ward at 18h00 on 20/01/16Tegretol part of script. CWR: diagnosis reviewed again as TEN. Pt is moved to isolation and treatment remains unchanged. Surgery consult done for dressing of skin. On subsequent days it is noted bymultiple doctors that pt is not getting adequate hydration and skin is left uncovered and entire skin is peeling off. Formal complaint is laid with sister in charge. Still urine is noted to be coke coloured and pt is severely dehydrated.Early on 30th Jan 2016 doctor on call gets called to ward pt condition has worsened. Pt in septic shock with respiratory distress.Pt resuscitated and started on adrenalin infusion. Handed over to on call team in the morning. MO sees pt and plan is made. Pt re assessed at 13h3o in the afternoon and declared dead.Septicemia with septic shock (immediate).TEN due to tegretol The most common cause is certain medications such as lamotrigine, carbamazepine, allopurinol, sulfonamide antibiotics, and nevirapine. Other causes can include infections such as Mycoplasma pneumoniae and cytomegalovirus or the cause may remain unknown. Risk factors include HIV/AIDS and systemic lupus erythematosus. Diagnosis is based on a skin biopsy and involvement of more than 30% of the skin. TEN is a type of severe cutaneous adverse reactions (SCARs), together with SJS, a SJS/TEN, and drug reaction with eosinophilia and systemic symptoms. It is called SJS when less than 10% of the skin is involved and an intermediate form with 10 to 30% involvement. Erythema multiforme (EM) is generally considered a separate condition. Treatment typically takes place in hospitalsuch as in a burn unit or intensive care unit. Efforts include stopping the cause, pain medication, and antihistamines. Antibiotics, intravenous immunoglobulins, and corticosteroids may also be used. Treatments do not typically change the course of the underlying disease. Together with SJS it affects 1 to 2 persons per million per year. It is more common in females than males.Typical onset is over the age of 40. Skin usually regrows over two to three weeks; however, recovery can take months and most are left with chronic problems. The diagnosis of TEN is based on both clinical and histologic findings. Early TEN can resemble non-specific drug reactions, so clinicians should maintain a high index of suspicion for TEN. The presence of oral, ocular, and/or genital mucositis is helpful diagnostically, as these findings are present in nearly all patients with TEN. The Nikolskysign (a separation of the papillary dermis from the basal layer upon gentle lateral pressure) and the Asboe-Hansen sign (a lateral extension of bullae with pressure) are also helpful diagnostic signs found in patients with TEN. Given the significant morbidity and mortality from TEN, as well as improvement in outcome from prompt treatment, there is significant interest in the discovery of serum biomarkers for early diagnosis of TEN. Serum granulysin and serum high-mobility group protein B1 (HMGB1) are among a few of the markers being investigated which have shown promise in early research.


Biography


Dr Leroy Olaechea Varona, Specialist in Family Medicine and Dermatology, born in Cuba. Had worked in countries like Venezuela, Aruba, and for 3 years he is been working in South Africa.

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Leroy Olaechea Varona

African Dermatology Society and South Africa Dermatology Society
South Africa

Title: Tricopigmentation


Abstract


Tricopigmentation was born around 1998, with the intent to recreate optical illusion where there is no more hair, it used to solve all problems relating to baldness, scalp scarring, beard scars and all kind of alopecia (Areata, Androgenetic and Universal). It’s also known as scalp pigmentation and for sure must be performed by a qualified dermopigmentation specialist. Tricopigmentation is an excellent help to hair transplant, that often does not meet customer expectation, cause this doesn’t mean that there will be an increase in hair density, it’s a transfer from a donor areato a receiving area and this cause scars and sometimes little trauma. Finally to wig, which has too many limits, like inability to swim (pool or sea), dermatitis caused by the double sided tape and maintenance. Baldness is a psychological distress affecting 70% of men and about 30% of women. It is a hair tattoo performed with bioabsorbable pigments. It’s possible to obtain different effects, depending on the kind of scalp. Short hair effect, following the length of the hair; Density effect, replacing Toppik (single keratin fibers that are able to anchor to the remaining hair, giving immediate coverage effect), for shaved hair. Referring to the scars, there are two kinds, f.u.t. (linear scar) and f.u.e. (round scars, white dots), in this case the Tricopigmentation is really an excellent ally! The duration of a Tricopigmentation can change from a minimum of 6 months to a maximum of 12, depending on the age of the individual, his phagocytosis power, the type of pigment pushed into the dermis and the time of exposure to the sun. The treatment is always preceded by a free preliminary evaluation: the client is provided with all the necessary information, the good health of the skin is ascertained and the areas to be treated are chosen. The necessary sessions are carried out, until satisfactory coverage is reached. During the session, which can last from 2 to 4 hours, the client remains comfortably lying down. The pigment is introduced in the dermal layer of the skin and the action of the needle does not bring particular stress to the skin. The client who has just been treated feels no discomfort: he can drive, work and carry out normal daily activities. It is informed about how to take care of the skin in the immediate days following the treatment. As soon as the session is over, no blemishes are visible and the effect of the tricopigmentation is immediately evident and appreciable.


Biography


Matteo Perazzi began his career in the field of aesthetics and visagism in 2006. He has worked as a Make-up Artist for the GìlCagné brand owned by the Baldan Group, participating as a visagist at fashion shows in Milan and Rome and photo shoots. Subsequently he began his career as a Permanent Make-up Artist attending the Biotek International Academy of Milan of which he became Technical Director and Training Manager at foreign distributors of the same company. He has participated in many national and international events and conferences as a speaker in Canada, Mexico, Spain, Norway, Belgium, Holland, Germany, Poland, Lebanon, Israel. He is Co-Founder and Technical Director of the Italian Permanent Makeup Academy (Accademia Italiana di Trucco Permanente), based in Milan. He is Co-Owner of the Belfatto Lab in Milan. Matteo Perazzi is International Master of: Permanent aesthetic makeup and Tricopigmentation (scalp pigmentation).

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Matteo Perazzi

BELFATTO LAB MATTEO PERAZZI
Italy

Title: Periorbital Hyperchromia' Dark Circles under the Eyes


Abstract


'Periorbital hyperchromia'- a technical name for dark circles around the eyes. Dark circles may be considered cosmetically unappealing, but they are rarely a medical concern. How to examine the patient? A variety of differing aesthetic treatments are available for non-surgical Periorbital rejuvenation but one procedure or technique alone is usually insufficient. The most popular treatments presently are filler + carboxytherapy + peeling + prp or mesotherapy.


Biography


Dr Victoria Inene working is a Cosmetic dermatologist, CosmeSurge, United Arab Emirates. American Board of Aesthetic Medicine 2016 Arabian board in dermatology 2015 Master degree in Dermatologist Residency Program 1999-2004 Aleppo University, Aleppo, Syria Doctorate Degree in Medicine 1993-1999

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Victoria Inene

CosmeSurge
UAE

Title: The Cyantic Aesthetics


Abstract


We know the advances of science to reduce pathologies and cutaneous alterations, we know the therapeutic effects in each of the cases, the cell process before the passage of time and the results at the aesthetic level before these alterations. Just as the placebo effect is used in previous treatment to determine the predicted power, the aesthetic level can be implemented, thanks to the conscious reaction of the patient's energy, in the reality that is answered, with generating words of Emotional changes, before the possible results. If we add to this the theory of complexity, but the reaction of Psychosocial fractality, which are added to the complex of aesthetics as a fundamental pillar of the reaction Psychopatient,in the reflection of the Teguido Tegumentario towards the outside, with fractals, based on the movements that become a change of vital and vibrational energy, from the external energetic movements that they affect in the patient, predisposing their cellular metabolism, thanks to the reaction, of the Fractal chain in the neuronal ramifications, Systema Immune and the DNA bonds. Also using NLP, therapeutic techniques such as music therapy, chromotherapy, cuencoterapia, Reiki, in environments proposed for self-acceptance in direct relation with its reality and internalization, activating the energetic movements. Interacting with the active ingredients Therapeutics, equipment Biomedical with the continuous objective of minimizing and / or healing the already diagnosed state. If we affect the fractal links of DNA, and as such the RNA, with each of the fractal chains of the SN (mind), SI (emotions), we will get the open plan to consider the tangible reality in effect and lasting results in TIME. Recursive vision in which everything is possible to transform, reflect, revert, theory of reality, contemplate the same reality, the differences, (Nobel Prize in Quantum Physics Eugine Wigner).


Biography


At the ASOMPROV Institution in Homologation with the MEDIDA Institution, she graduated in Comprehensive Aesthetic Cosmetology and Nursing in Bogota, Colombia, completed the Diploma in Pedagogy and University Teaching, performing as a teacher in MEDISED, coordinate the area of Aesthetics and Teachers in the Institution of ASOMPROV, Coferencista, seminarian and Training of Laboratories Dermocosmeticos Colombians at a national level, has written 4 Dermocosmetics articles in the magazine PAIDEIA, entrepreneurial manager of his project Holistic Aesthetic Center TARA BLANCA, Bogota, Colombia. Collaborating in the growth of Hundreds of enterprising women.

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Tatiana Sofia Nieto

White Tara
Colombia

Day 02 Schedule

Feb 11, 2020

Plenary Talks

Title: Stemcell Clinical Application in Cosmetic Field


Abstract


Recently there is a big interest about stemcell, but there are very few papers about stemcell and stemcell clinical use. There are some papers of the university medical center and large laboratory but they show us a very shallow range of whole stemcell area and small clinics are very difficult to apply their results to the patients. I have been doing practicing the stem cell for 6 years in my clinic and my own laboratory and I am very satisfied with the results and the patients are also satisfied. So I want to talk about my experience to the doctors and staffs who are interested in stem cell. I am emergency medicine board certified doctor for more than 10 years in the ER at that time had great amount of experience to manage all kinds of urgent diseases and trauma, After ER I do liposuction surgery and I have more than 10,000 cases of liposuction Those two career make me do stemcell therapy using fat cell. Procedure of stemcell therapy Liposuction: take 100-500cc of fat from the patient. Separations stem cell from the fat using separating machine named Huricell or manually by the technician at the lab Procedure. 1. I VOF STEM CELL For reverse aging, DM, various autoimmune dis, liver dis ect 2 direct injection to local region Skin, scar, atopy, arthritis, hair loss, muscle ect


Biography


Kang Jaegu Completed his Doctor Degree from Kaemyoung University Daegu Korea, and Post Doctor Studies from Kaemyoung University and He is the Chief Director of Donggook University Emergency Medicine Department in Gyungju and He was USMLE Certificated, China Beijing Basquia Clinic Director, Wonjin Plastic Clinic Liposuction Center Chief Doctor, Yumastem Clinic Director Doctor, Hurimbiocell Company Medical Staff.

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Kang Jaegu

Yumastem Clinic
South Korea

Title: The Method of Surgical Correction of A- Shaped Deformations of the Upper Eyelids


Abstract


The invention relates to medicine, in particular to ophthalmology and plastic surgery. It is intended for the correction of the A-shaped deformation of the upper eyelid and the Periorbital region by the operation of moving the non-free fascial-fat flap to the soft tissue defect. Perform local infiltration anesthesia. Spend a skin incision along the marking lines. The flap of the skin is peeled off and excised, with the blunt and sharp way moving the fibers of the circular muscles of the eye apart. Dissect the tarso orbital fascia over 2/3 of its length, starting from the medical margin. They pull out the medial and median portions of Paraorbital fat on the legs. Then they separate the space under the circular muscle of the eye, pushing the fiber in a blunt way fir ½ the length of the circular muscle of the eye. Next, place the medial portion on the pedicle and the medial one under the circular muscle of the eye, placing them medially under the muscle. Fix fatty lumps (flaps on the pedicle) are not absorbable 6/0 threads to the periosteum of the upper medial orbital edge of the orbit. Stitched on the edges of the skin wound. The method provides the elimination of the A-shaped deformation of the upper eyelid. The invention relates to medicine, in particular to ophthalmology and plastic surgery, and is intended for the correction of the A-shaped deformation of the upper eyelids in the form of a lack of the soft tissue in the paraorbital region and the upper eyelid.


Biography


Olga Dobryakova is a professor and plastic surgeon. She states in Novosibirsk, Russia. Her professional activities are more than 30 years. She created many methods of aesthetic and reconstruction surgery in different parts of the body. She is the author of more than 300 scientific publications.

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Olga Dobryakova

Siberian Institute of Beauty LLC
Russia

Sessions:

Title: Laser Complications Today


Abstract


Introduction: During the everyday practice we use Lasers as coherent efficacy treatments for different skin conditions. There are different invasive or not-invasive procedures and different types of Lasers. But sometimes the results are not to the level of expectations or there are some side effects or risks for doctors and patients as well. Aims of presentation: To know, to understand the treatments side effects or risks for patients and doctors. To reemphasize the concepts of safety. Reviewing various procedures to reduce risks by following laser safety protocol. In this presentation we show our experience and the risks of using different lasers during the everyday practice. Materials and Methods; 2240 patients have been treated for different skin conditions during the period 2014-2018. Results: Some of the patients refer for few side effects after the treatments. There are either the risks reported by doctors that are using Lasers machine and Law problems are reported. The side effects reported by the patients were; edema, erythema, discomfort, hipopigmentation or hiperpigmentation, keloid formation, disfigurement. The risks and safety rules for the doctors that are using the Lasers were; eye injury, smoke plume, infection such are HIV, Hepatitis, HPV and Law problems. Conclusions: As a main conclusion for doctors : Choose the right patient. Choose the right laser for each procedure. Do not make things on Hurry. Discuss the side effects with the patients and hear for their expectations. Always sign a consensus form for the procedure and take a photo.


Biography


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Monika Fida

University of Medicine
Albania

Title: Erythema Nodosum Leprosum and Lucio’s Phenomenon- Case Report


Abstract


Leprosy is caused by Mycobacterium leprae and is characterized for preferentially affect the skin and the nerves. Leprosy can be clinically classified in paucibacillary, or multibacillary, according to the number of skin lesions. Reactional episodes are described and could de showed by a variety of types and degrees, besides symptons acute or sub acute, and could occur before, during or after the dignose of leprosy. It is known 2 mainly types of reaction: reverse reaction (type 1) and erythema nodosum leprosum (type 2). Only multibacillary patients can have type 2 reaction. The episodes of reaction could be related to infections, hormonal changes, immunossuppression and emotional disturbs. Lucio`s phenomenon is an uncommom leprosy reaction characterized by leukocytoclastic vasculitis. This reported a patient who presented an atypical form of leprosy. Female, young adult, recent postpartum with systemic symptons like fever, abdominal pain, tachycardia, arthralgia and myalgia. She was admitted in the hospital with main condition of acute abdominal disorder and underwent to a laparotomy and biopsies of the liver and limphonodes. Evoluted with disseminate dermatologic lesions and her general state got worst, so skin biopsy and bacilloscopy was done to complement the diagnosis. She was treated with multidrug therapy and corticosteroids with the improvement of her symptons and the skin lesions.


Biography


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Ellene P Alquati

Hospital Unimed Volta Redonda
Brazil

Title: The Fillers Point


Abstract


Fillers reposition structures giving volume to depressed areas, thus obtaining a more aesthetic and anti-aging result. The Fillers Point consists of the classification through areas of application of facial bioimplants. Differentiating them in upper, middle and lower third according to anatomical repairs. This technique allows to evaluate more accurately the injection zones of the fillers, avoiding possible vascular or fibrotic complications. Depending on the type and density of the bioimplant, the points will be approached differently. To carry out this procedure requires an experienced and detailed injector. The interest of this presentation is based on achieving facial harmonization using specific injection points minimizing the risks for the patient.


Biography


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Florencia Carla Salvo

Argentine Institute of Aesthetics and Rhomodelation
Argentina

Title: Tofacitinib Citrate-A Ray of Hope for Refractory Dermatological Disorders


Abstract


Introduction: Tofacitinib, an oral Janus kinase inhibitor,is an emerging drug for the treatment of various cutaneous diseases which are not responding to or having intolerable side-effects to classical immunosuppresants and/or biologicals. Objectives: To summarize and clinically analyze the efficacy and safety of Tofacitinib in skin diseases. Materials & Methods: Only FDA approved indication of Tofacitinib is psoriatic arthritis. We have given it in 3 diseases which are off-label indications of Tofacitinib. Six adult patients with a confirmed clinical diagnosis of Psoriasis (2 patients), Vitiligo(3 patients) and Chronic Actinic Dermatitis(1 patient) were selected,who did not achieve adequate clinical response with regular immunosuppresants .Tofacitinib 5mg BD was given to all the patients and the results were noted after 6months duration. As the cost of the drug is high the patient number is limited. Results: Five out of six patients have completed the treatment for 6 months.One psoriasis patient had discontinued the treatment due to the cost reasons of the drug. Patient with Actinic Reticuloid have shown near complete resolution of the disease, Psoriasis patient have shown reduction in PASI score and in all 3 Vitiligo patients the disease has become stable and showed 60% repigmentation in the depigmented patches.No adverse effects have been reported in all 5 patients. Conclusion: No case studies on off-label indications of Tofacitinib have been found in Indian literature and very few in world literature.Tofacitinib seems to be a promising new drug but more studies need to be done on a large scale to ensure the same.


Biography


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Chitralekhya Rao

Anchalas Skin Institute and Research Centre
India

Title: Female Patterned Hair Loss (FPHL)


Abstract


FPHL is the most common cause of Hair loss in women Affecting 25% by age 49 and 50% by age 80. The Halmark of Femal Patterned Hair Loss is increase Miniautrized hair in affected scalp. In this presentation I will Describe Ludwig Female Pattern Hair Loss (FPHL), Explain why hair restoration surgery is now a viable treatment option for FPHL patients. Techniques of Hair Transplant Surgery for FPHL Contrast and compare the evolutionary epidemiology of male and female patterned hair loss. Describe the risk-benefit ratios Of HRS for the FPHL patients Outline the key components of the differential diagnosis in suspected FPHL. List the current treatment options.


Biography


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Ahmed Alkhateeb

CosmeSurge Clinic
UAE

Title: Lip Augmentation


Abstract


Lip augmentation has become one of the most popular cosmetic procedures in recent years. Although it is a seemingly simple technique, we frequently find inadequate results. We must ask ourselves a series of important questions before making an aesthetic improvement of the lips. Aesthetic improvement is not always equivalent to pure lip augmentation, and in certain cases, improving definition or proportions can be enough. The focus of the injector should be achieving the most natural results, the one that compound with face. In this presentation we will explain techniques using hyaluronic acid fillers described in literature, with canullas and needles and what can be safer. Since better technique depends on doctor’s practice and particular choice, we are going to show the most common used in our practice: profile enhancement, projection and augmentation according to patient needs. Anatomy is an essential subject to an injector. So we are going to show a quick resume of lip anatomy and important arteries and their anatomical variation. After that, we can understand better each approach. The ultimate goal is to achieve more natural results as safe as we can and improve patient satisfaction.


Biography


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Abir F Ellakkis

International Society of Dermatology
Brazil

Title: The Skin Cancer Rates Since 1953 in Finland


Abstract


Finland is the eight-largest country in Europe and the most sparsely populated country in the European Union with population of 5.52 million.According to the World Happiness Report 2019, Finland is the happiest country in the world for two years in a row (World happiness report 2019).Also according to an extensive international research, Finland's publicly funded health care is the best in the world in terms of quality and availability together with Iceland, Norway, the Netherlands, Luxembourg, Switzerland and Australia (GBD 2016 Healthcare Access and Quality Collaborators, 2018). The Cancer Society of Finland (CSF) is one of Finland’s largest patient and public health organizations as well as being an expert organization nationally.The aim of the CSF is to ensure a good quality of life for people in Finland whether or not they have cancer.The Cancer Society maintains a national and internationally important research body, the Finnish Cancer Registry. The Cancer Registry is a statistical and epidemiological cancer research institute. It runs a database of all cases of cancer in Finland since 1953. The incidence of skin cancer is raising rapidly world-wide (Geer, 2013). Skin cancers can be divide into 2 groups: malignant melanoma, which can be fataland non-melanoma, such as squamous cell carcinoma and basal cell carcinomas, which are rarely lethal (Berry, 2016). Also in Finland, skin cancersare the most common form of cancers.In 2017 there were 1716 new cases of malignant melanoma, 1828 new cases of squamous cell carcinoma and around 9000 basal cell carcinomas diagnosed in Finland 2017. In my lecture, I will go through how the skin cancer rates have developed since 1953 in this happiest country in the world, where the sun never sets during mid summers.


Biography


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Sari Huikko-Tarvainen

Private Dermatology Clinic
Finland

Title: Pediatric Scleroderma: Siriraj Experience 2005-2017


Abstract


Introduction: Scleroderma is a rare autoimmune disease with unknown cause. There are no research studies about pediatric scleroderma in Thai children. Therefore this study was conducted. Objective: To study about pediatric sclerodema in Siriraj Hospital including clinical manifestations, investigations, treatment and outcomes of the disease. Methods: A retrospective chart review in patients who were diagnosed as scleroderma aged less than or equal to 15 years in Siriraj hospital from 2005 to 2017. Results: Thirty-nine patients diagnosed scleroderma were included in the study. Localized scleroderma or morphea was found in 87.18% of the patients. The mean age of diagnosis in patients with morphea and systemic sclerosis (SSc) were 7.67 ± 3.38 and 9.17 ± 3.43 years, respectively. The median of disease duration in morphea was 1.79 ± 0.39 years and in SSc was 0.43 ± 0.39 years. The linear morphea was the most common subtype. Parry Romberg syndrome (PRS) and En coup de sabre (ECDS) were found in 26.47% of the patients. Neurologic involvement was rarely found. Joint contracture was found in 47.06% of linear morphea in the extremities. Most of the patients were treated by combination therapy including topical and systemic treatment. Methotrexate was the most frequent systemic drug used in the patients. No significant differences about the outcome of the treatment were found in each therapy. Relapsing course between 1-3 times was found in 58.82 % of the patients. Median of duration of the relapse was about 20.5 months. About 41% of the patients were in remission in 23 months. Diffused SSc was the common subtype and found in 80% in this study. Proximal sclerosis and sclerodactyly were found in 100% of cases. Raynaud's phenomenon, articular symptoms, pulmonary manifestations were found in 80%. No deaths have been reported after more than 5 years of follow-up. Conclusion: The most common type in pediatric morphea was linear subtype. The course of the disease usually showed relapsing. The musculoskeletal involvement was often found in linear morphea of the extremities. Systemic sclerosis was quite rare. Diffuse SSC is the common type. The disease duration of SSc was quite short, but the prognosis was good.


Biography


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Noralak Kongwiman

Mahidol University
Thailand

Title: Fillers Complications


Abstract


Injectable products are expanding dramatically. Although the safety profile of hyaluronic acid fillers is very favorable, adverse reactions can occur, and their number may rise as the numbers of indications and procedures increase and treatment paradigms evolve, including the use of larger volumes and layering techniques, new classes of products, and long-term repeated treatment. Since we have early and late complications, a correct diagnostic has to be done because different treatments may be used: Clinical management of different complications including bruising, swelling, edema, infections, lumps and bumps, skin discoloration, and biofilm formation. Special attention to vascular compromise and retinal artery occlusion. Injectors should be fully aware of the signs and symptoms related to complications and be prepared to confidently treat them. Establishing action protocols for emergencies, with agents readily available in the office, would reduce the severity of adverse outcomes associated with injection of hyaluronic acid fillers in the cosmetic setting. Injectors have to be prepared to avoid, diagnose and treat those complications when necessary.


Biography


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Victor Azulay

Brazilian Society of Dermatology
Brazil