conferenceseries.com
conferenceseries.com 919th Conference
6th International Conference on Cosmetology, Trichology and
Aesthetic PracticesApril 13-14, 2017 Dubai, UAE
Accepted Abstracts
Page 39 J Clin Exp Dermatol Res 2017, 8:1 (Suppl) conferenceseries.com http://dx.doi.org/10.4172/2155-9554.C1.054 6th International Conference on Cosmetology, Trichology and
Aesthetic Practices April 13-14, 2017 Dubai, UAE
Management of hair loss Pragya Nair P Pramukhswami Medical College, India
oss of hair is one of the commonest complaints that baffle dermatologists. Depending on whether hair follicles are Lpermanently damaged or not, hair loss from the scalp is divided into scarring and non-scarring alopecia’s. Causes of non-scarring alopecia includes congenital and hereditary disorders, telogen and anagen hair loss, hair shaft defects, alopecia totals and universalis, telogen effluvium, andogenic alopecia, alopecia areata, drugs or any systemic illness. Discoid lupus erythematous, morphea, trauma and pseudopalade of brocq are few of the causes of cicatricial alopecia. Hair evaluation methods are grouped into three main categories: Non-invasive methods (e.g., questionnaire, daily hair counts, standardized wash test, 60-s hair count, global photographs, dermoscopy, hair weight, phototrichogram, trichoScan and polarizing and surface electron microscopy), semi-invasive method involves trichogram and invasive method includes scalp biopsy. Complete blood count and routine urine examination, levels of serum ferritin and T3, T4 and TSH should be checked in all cases of diffuse hair loss. High fever, any infection or disease should be identified and treated. Patients with suspected excess androgen need hormonal assessment. Telogen effluvium does not require specific drugs as the condition is self-limiting and usually resolves in 3-6 months. Oral iron sulphate, zinc and biotin should be given in deficient cases. Drugs should be avoided which are causing hair loss. Minoxidil solution 2% and 5% is indicated for mild to moderate hair loss while Minoxidil 2% plus antiandrogens/ finestride for hair loss with hyperandrogenism. Hair prosthesis (wig, hair extension, hairpiece) and hair cosmetics (tinted powders, lotions sprays) is used for severe and recalcitrant hair loss and also as an adjuvant to medical therapy in mild to moderate cases. Ideal candidate for hair transplantation are those who have high-density donor hair (>40 follicular unit/cm2). Other therapies like PRP (Platelet Rich Plasma) and meso therapy have also been used with good results.
Fractional CO2 laser versus intense pulsed light in treating striae distensae Moustafa Adam El Taieb1 and Ahmed Khair Ibrahim2 1Aswan University, Egypt 2Assiut University, Egypt
Background: Striae distensae are linear atrophic dermal scars covered with flat atrophic epidermis. They cause disfigurement, especially in females. Many factors may cause striae distensae such as steroids, obesity and pregnancy. Although there is no standard treatment for striae, many topical applications, peeling, light and laser systems have been tried.
Aims: This study aims to evaluate and compare the efficacy of fractional2 CO laser with intense pulse light in treating striae distensae.
Subjects & Methods: Forty patients with striae distensae were recruited. Twenty of them were treated by fractional CO2 laser and 20 were treated with intense pulse light. Length and width of the largest striae were measured pre and post treatment. Patient satisfaction was also evaluated and graded. Patients were photographed after each treatment session and photos were examined by a blinded physician who had no knowledge about the cases. Results: Both groups showed significant improvement after treatments (P<0.05). Patients treated with fractional CO2 laser showed significant improvement after the fifth session compared with those treated with ten sessions of intense pulsed light (P<0.05) in all parameters except in the length of striae (P>0.05).
Conclusion: Fractional CO2 laser was found to be more effective in treatment of striae distensae. [email protected]
J Clin Exp Dermatol Res Volume 8, Issue 1 (Suppl) ISSN: 2155-9554 JCEDR, an open access journal Cosmetology 2017 April 13-14, 2017
Page 40 J Clin Exp Dermatol Res 2017, 8:1 (Suppl) conferenceseries.com http://dx.doi.org/10.4172/2155-9554.C1.054 6th International Conference on Cosmetology, Trichology and
Aesthetic Practices April 13-14, 2017 Dubai, UAE
Micro needling: A form of collagen induction therapy for acne scars Pragya Nair Shree Krishna Hospital, India
cne Vulgaris (AV) is the most common skin disease affecting adolescent and young adults with reported prevalence of Anearly 80%, characterized by comedones, papules, pustules and nodules involving face, upper back, chest and upper arms. Furthermore, it causes permanent scarring which is difficult to treat. AV has a psychological impact on patient, regardless of the severity or grade of the disease. It cause long-lasting and detrimental psychosocial effects and is associated with depression and anxiety. Acne scars are graded broadly, as atrophic and hypertrophic. Atrophic acne scars have been further classified as icepick, rolling and box scar. Micro needling, a form of collagen induction therapy using a device called derma roller is used as a treatment modality for acne scars. Micro needling is effective in grade 2 and 3 rolling/box car scars with good to excellent response and moderate response is seen in pitted scars. Micro needling aims to stimulate collagen production by producing micro wounds and initiating the normal post-inflammatory chemical cascade. Collagen fiber bundles qualitatively increase, thickens and are more loosely woven in both papillary and reticular dermis. It lays down in normal lattice pattern than in parallel bundles as in scar tissue. Neovascularization and neocollagenesis also occurs following treatment which leads to reduction of scars. This technique is easy to master. It has a short healing time and can be used in any type of skin where lasers and deep peels cannot be performed. No risk of post inflammatory hyperpigmentation is evidenced. It can be combined with other acne scar treatment like subcision, chemical peeling, microdermabrasion and fractional resurfacing and maximum benefits can be achieved.
Aesthetic rhinoplasty - Primary and secondary: How I do it? Hamid Karimi Iran University of Medical Sciences, Iran
hinoplasty is a very frequent aesthetic procedure in my country. During this presentation, I will explain my techniques and Rmethods for primary and secondary rhinoplasties. Several methods for correction of secondary nasal obstruction will be discussed with video presentation. At the end, results of methods for treatment of nasal obstruction will be presented. Nasal obstruction is a very omnius complication of the aesthetic rhinoplasty. In our country, more than 600 rhinoplasty surgeries are performed every day. One of the frequent complications of these surgeries is nasal obstruction. Internal Nasal Valve (INV) is the narrowest point in nasal airway and thus is the controlling point which regulates inspiration flow. Cross-section area of INV is about 40-55 mm and 40-50% of inspiratory resistance is due to INV function. Collapse of one or both INV can be a consequence of previous surgery, trauma, aging, or primary weakness of upper lateral cartilage. In this study, autologous conchal cartilage was used as a butterfly graft for opening and reconstruction of INV and the results were compared with spreader graft or spreader flap. All of the patients with secondary nasal obstruction in past 6 years in our office and clinic were included. Inclusion on criteria was positive Cottle and modified Cottle sign. And nasal function was studied before and after treatment. The results were compared with results of spreader graft and spreader flap. During more than 6 years, 41 patients (28 female and 13 male) were operated using butterfly graft and 94 patients were treated with spreader graft and 79 patients with spreader flap. In butterfly graft group, etiology of collapse was previous surgery in 22 patients (53.6%), primary weakness in 10 patients (24.3%) and nasal trauma in 9 patients (21.9%). After 10-40 months follow up, 96% of patients had good to excellent (stable) subjective respiratory function. The results of butterfly graft were similar to spreader grafts and flaps. There was no major morbidity or complication with butterfly graft after surgery. Six patients complained of broadening in middle vault. The butterfly graft for secondary nasal obstruction has the same results as spreader graft or flap.
J Clin Exp Dermatol Res Volume 8, Issue 1 (Suppl) ISSN: 2155-9554 JCEDR, an open access journal Cosmetology 2017 April 13-14, 2017
Page 41 J Clin Exp Dermatol Res 2017, 8:1 (Suppl) conferenceseries.com http://dx.doi.org/10.4172/2155-9554.C1.054 6th International Conference on Cosmetology, Trichology and
Aesthetic Practices April 13-14, 2017 Dubai, UAE
Aging and volumes of the midface: New strategy of volumization Sergey Prokudin Rostov State Medical University, Russia
he ageing of the middle third of the face has its individual peculiarities and regularities. Based on sections of cadaveric Tmaterial (23 heads), a retrospective analysis of a group of patients (70 people), we have developed a classification based on time of occurrence of volume changes in deep and superficial compartments of the middle third of the face. The first changes its volume and position masking the deep compartment (deep malar fad pad), the second is medial SOOF (Suborbicularis Oculi Fat), third changes its volumetric characteristics of the superficial temporal-cheek compartments, the fourth volume of the surface changes its medial cheek compartment, all of these changes lead to a change in the position of the superficial nasolabial compartments, where its volume does not change the lateral SOOF, one of the last changes its volume, without changing the position. Based on this classification algorithm, stepwise correction of age, and changes of volumes are performed in pathogenetic and not in a symptomatic direction.
Biography Sergey Prokudin is serving as the Chief of Department of Plastic Reconstructive Surgery, Cosmetology and Regenerative Medicine at Rostov State Medical University, the Chairman of the Southern Society of Plastic Reconstructive Aestetic Surgeons and Cosmetologists (SSPRASC), a member of the Board of the Russian Society of Plastic Reconstructive Surgeons (SPRAS), member of the ASSECE, Honorary Member of the SIDE, member of EAFPS, member of the Editorial Board of the journal, Aesthetic Medicine. He was a Speaker at Sicily Regional Congress on "Advances in Aesthetical Surgery in the Meditarraneo", which was held in Italy.
Aesthetic functional septorhinoplasty in deviated noses Mohsen Naraghi Tehran University, Iran
The objectives of this study are: 1) To know anatomic characteristics of deviated noses. 2) Identify risk factors and pitfalls in correction of deviated noses. 3) Select the best technique for each type of deviated and crooked noses. Deviated nose is defined as a deviation of the external nasal framework, which is almost always accompanied by deviations in the nasal septum. Most patients have problems both in form and function. Establishing stable and long-term results has been a nightmare even for experienced surgeons. Analyzing the underlying anatomy in each case is important to establish the plan of treatment which differs in every case. Deviation could be noted in bony upper third part of the nose, cartilaginous middle third or combination of both and may extend to the lower third or lobule. All types of deviated noses are operated in one stage with correction of pyramid and septum. Correction of form and function includes restoration of straight dorsum, reducing asymmetries and providing functionally patent nasal valve. It involves correction of both intrinsic and extrinsic forces which are responsible for deviation. Wide exposure and extensive release of deviated cartilages would help to minimize extrinsic forces over the deviated pyramid and septum. It is especially important in the case of deviation of cartilaginous septum. Proper cuts and resections of cartilage and insertion of resected materials as different types of grafts are the basis of the most techniques which were described in this problem.
J Clin Exp Dermatol Res Volume 8, Issue 1 (Suppl) ISSN: 2155-9554 JCEDR, an open access journal Cosmetology 2017 April 13-14, 2017
Page 42 J Clin Exp Dermatol Res 2017, 8:1 (Suppl) conferenceseries.com http://dx.doi.org/10.4172/2155-9554.C1.054 6th International Conference on Cosmetology, Trichology and
Aesthetic Practices April 13-14, 2017 Dubai, UAE
A comparative study of microneedling with PRP (Platelet Rich Plasma) plus topical minoxidil (5%) and topical minoxidil (5%) alone in androgenetic alopecia Kaksha B Shah Kaksha B Shah's Skin, Hair & Cosmetology Clinic, India
Context: There are very few studies evaluating efficacy of platelet rich plasma (PRP) in hair restoration and its combination with microneedling. As far as ascertained, there is no study to evaluate efficacy of Microneedling with PRP + Topical minoxidil (5%) versus Topical minoxidil (5%) alone in androgenetic alopecia. Aims: 1) To compare the efficacy of a) Topical minoxidil (5%) alone and b) Topical minoxidil (5%) + Microneedling with PRP in men between 18 to 50 years with androgenetic alopecia grade 3 to 5 vertex (Norwood-Hamilton scale). 2) To perform objective and subjective evaluation based on clinical improvement and photographic evidence. Methods & Materials: Fifty patients with androgenetic alopecia were selected on the basis of inclusion and exclusion criteria. These patients were randomly divided into two groups of 25 patients each and were given following treatment. Group A: Topical minoxidil (5%) alone. Group B: Topical minoxidil (5%) + Microneedling with PRP (Platelet Rich Plasma) Statistical Analysis Used: Patients were assessed before starting the treatment and at the end of 6 months on the basis of: • Patient’s self-assessment based on standardized 7-point scale compared with baseline • Physician’s assessment based on standardized 7-point scale of hair growth compared with baseline Results: There was a significant improvement (p<0.05) in both patients’ assessment and investigator’s assessment in group B as compared to group A at the end of 6 months. Conclusions: Thus Topical minoxidil (5%) + Microneedling with PRP turned out to be better treatment modalities than Topical minoxidil (5%) alone in this study. For drawing better conclusions, further studies are required to be done with larger sample size and longer duration of follow up to assess the effects of these treatments in androgenetic alopecia.
Aesthetic rhinoplasty techniques for correction of tip position Mohsen Naraghi Tehran University, Iran
The objectives of this study are: 1) To know different factors contributing to the nasal tip ptosis. 2) Acknowledge different methods for correction of drooping nose with the advantages of augmentation. 3) Learn and apply efficient augmentation techniques for prevention of tip ptosis during rhinoplasty. Maintaining long term results in rhinoplasty is the state of art in nasal plastic surgery. Numerous parameters in nasal wound healing and nasal support mechanisms have made rhinoplasty as the most difficult plastic surgery. In the recent years, the role of augmentation for tip support has been emphasized by many authors to prevent unwanted long term changes. Unpleasant appearance on animation, inducing aging face and impairing nasal valve function are considerable effects of ptotic noses. Nasolabial angle and tip location are affected by different factors. These factors include the cartilaginous framework of the lower third of the nose and the motor unity of this portion consists of levator labii superioris alaeque nasi and depressor septi nasi. The cartilaginous framework and these muscles stand for the static and dynamic factors respectively. This presentation will demonstrate one of the most effective augmentation techniques to make very stable long term results for prevention of nasal ptosis. Multiple aesthetic parameters should be assessed before and at least two years after surgery to evaluate results for drooping tips. The pearls and pitfalls of strut cartilage insertion will be discussed. Open structural and endonasal approaches will be presented with results of both.
J Clin Exp Dermatol Res Volume 8, Issue 1 (Suppl) ISSN: 2155-9554 JCEDR, an open access journal Cosmetology 2017 April 13-14, 2017
Page 43 J Clin Exp Dermatol Res 2017, 8:1 (Suppl) conferenceseries.com http://dx.doi.org/10.4172/2155-9554.C1.054 6th International Conference on Cosmetology, Trichology and
Aesthetic Practices April 13-14, 2017 Dubai, UAE
Acne and scarring Meghana Madhukar Phiske Meghanas skin clinic, India
ighty to ninety percent patients with acne have atrophic scars (subdivided into boxcar, icepick, or rolling), while few Ehave hypertrophic scars. Treatment requires different approaches with choice of treatment being based on scar type. Dermabrasion, useful in softening sharper scar edges, involves use of diamond embedded fraises attached to hand piece that evenly abrades skin to papillary dermis. In subcision, a hypodermic, tribevelled, or filter needle is introduced into subdermal plane to undermine scars. Skin needling involves vertically puncturing the skin to release scar tissue and promote neocollagenesis. For icepick scars, punch excision, elevation, and grafting are used. In punch excision, a scar is removed with punch biopsy and site is sutured. In punch elevation, punched-out scar is elevated to level of surrounding skin which heals secondarily. In punch grafting, scar is excised and a full-thickness skin graft is positioned. Chemical Reconstruction of Skin Scars (CROSS) technique of TCA application minimizes side effects of scarring and dyspigmentation and is used for icepick scarring. Deeper peels like phenol can be used to treat scars. Hyaluronic acid (HA) fillers are used for rolling acne scars. New technique known as subdermal minimal surgery allows precise and even radial dispersion of HA into dermal planes. Poly-L- lactic acid (PLLA) has been used successfully for atrophic acne scars. Calcium hydroxyapatite semi-permanent filler has shown to improve rolling scars. Autologous fibroblast transfer (AFT) represents newer filler techniques for scarring. Laser resurfacing
has emerged at the forefront of acne scar treatment. Various lasers used are ablative CO2 and Er:YAG lasers, erbium-doped
1550 nm laser and ablative fractionated CO2. Concurrent use of fractional laser skin resurfacing with punch elevation is effective. Picoseconds pulse duration with diffractive lens array may be a new technological advancement. Role of activated platelets in severe acne scarring has been reported.
Platelets rich plasma versus minoxidil 5% in treatment of alopecia areata: A trichoscopic evaluation Moustafa A El Taieb1, Hassan Ibrahim2, Essam A Nada3 and Mai Seif Al-Din4 1Aswan University, Egypt 2South Valley University, Egypt 3Sohag University, Egypt 4Qena New General Hospital, Egypt
lopecia areata is a common cause of nonscarring alopecia that occurs in a patchy, confluent, or diffuse pattern. Dermoscopy Ais a noninvasive technique for the clinical diagnosis of many skin diseases. Topical minoxidil solution 5% and platelet rich plasma are important modalities used in treatment of alopecia areata. We aimed to evaluate the efficacy of PRP versus topical minoxidil 5% in the treatment of AA by clinical evaluation and trichoscopic examination. Ninety patients were allocated into three groups; the first was treated with topical minoxidil 5% solution, the second with platelets rich plasma injections, and the third with placebo. Diagnosis and follow up were done by serial digital camera photography of lesions and dermoscopic scan before and every 1 month after treatment for 3 months. Patients treated with minoxidil 5% and platelets rich plasma both have significant hair growth than placebo (p<0.05). Patients treated with platelets rich plasma had an earlier response in the form of hair regrowth, reduction in short vellus hair and dystrophic hair unlike patients treated with minoxidil and control (p<0.05). In conclusion, platelets rich plasma is more effective in the treatment of alopecia areata than topical minoxidil 5% as evaluated by clinical and trichoscopic examination.
[email protected] [email protected]
J Clin Exp Dermatol Res Volume 8, Issue 1 (Suppl) ISSN: 2155-9554 JCEDR, an open access journal Cosmetology 2017 April 13-14, 2017
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Aesthetic Practices April 13-14, 2017 Dubai, UAE
Surgical and resurfacing applications of CO2 laser Moustafa A El Taieb Aswan University, Egypt
Background: CO2 lasers are now widely used around the world. Based on their ablative and fractional resurfacing effects, there
are multiple growing indications for CO2 lasers. In this topic, I share my 5 years’ experience in using CO2 lasers.
Methods: I used CO2 ablative effect to treat many skin lesions with variable pathology such as rhinophyma, tuberous sclerosis,
verrucous nevi, keloids and warts. Regarding fractional resurfacing, I used CO2 laser mainly to treat post acne scars, striae, post burn scars and wrinkles.
Results: Regarding the ablative effect, CO2 laser is very effective in removing rhinophyma, tuberous sclerosis, verrucous nevi
and keloids with no recurrence and minimal scaring after two years follow up. CO2 laser removed warts without scarring, but still the main problem is the recurrence. Regarding the fractional resurfacing, results were excellent with and good with post acne scars and post burn scars.
Conclusion: Ablative effect of CO2 laser can replace surgery in many indications with many advantages such as no general anesthesia, low cost and no residual scarring. Post acne scars should be treated with multiple therapeutic methods.
[email protected] [email protected]
Fractional laser assisted cutaneous drug Rania Abdulghani Madi Al Azhar University, Egypt
herapeutic efficacy of topical drugs depends on their ability to penetrate different skin layers. Topical drugs have a poor Ttotal absorption with only 1%-5% bioavailability. The major rate-limiting step for drug absorption is passage through the stratum corneum, which is impermeable to hydrophilic and large molecules greater than 500 Da. Currently available strategies that overcome the skin barrier include chemical biomodulation and physical techniques. Physical drug delivery systems include microdermabrasion, microneedling, radiofrequency, sonophoresis, electroporation, iontophoresis and laser.
The most common fractional laser systems used in drug delivery include fractional Er:YAG laser 2940 nm, fractional CO2 laser 10600 nm and fractional Er:Glass laser 1550 nm. I show clinical studies that use this facility for multiple indications including non-melanoma skin cancer, onychomycosis, vitiligo, alopecia, scars, warts, infantile haemangiomas and cosmetic purposes. Optimal laser parameters and pharmacokinetics of the drug should be taken into consideration to reach the best results of this modality of drug delivery. Researches in this field are rising; both in dermatologic and systemic scope.
J Clin Exp Dermatol Res Volume 8, Issue 1 (Suppl) ISSN: 2155-9554 JCEDR, an open access journal Cosmetology 2017 April 13-14, 2017
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Aesthetic Practices April 13-14, 2017 Dubai, UAE
Diffuse hair loss Ranjan C Raval C U Shah Medical College, India
t least 25% of 1,00,000 scalp hairs need to be lost to produce noticeable hair thinning. Loss of >100 hairs/day is considered Aabnormal. Various factors are responsible for hair loss such as telogen effluvium, physiological factors, androgenetic alopecia, chemical dyes and various drugs, systemic diseases like systemic lupus erythematous, physical factors like trauma and hair styling, various infections like syphilis, alopecia areata and various hair shaft disorders. The diagnosis of diffuse hair loss can be carried out by proper history taking (for e.g., use of drugs and dyes, obstetric and menstrual history, family history), general examination (pallor, icterus, thyroid disorders) local examination (pattern of hair loss, colour, thinning), routine lab investigations and some specific investigations (Serum TSH, T3, T4, plasma testosterone, serum VDRL, serum HIV, zinc level). Dermoscopy plays an important role in diagnosis of various hair disorders. Management of hair loss can be divided as topical (for e.g., minoxidil, steroids), systemic (for e.g., antiandrogens, steroid pulse therapy), surgical modalities (hair transplant) and cosmetic substitutes (wigs). Platelet rich plasma therapy (PRP) is the newer modality in treatment of hair loss. We carried out a study of PRP in 10 patients out of which 8 patients had good response, of which 3 were young children under 15. Other 2 patients had minimal response with the therapy.
Is it andogenetic alopecia? Rua Al Harithy Security forces Hospital, Saudi Arabia
ndrogenic alopecia is the most common cause of hair loss in men and women and the most common hair condition seen Aat the dermatology clinics. Most dermatologists are comfortable with diagnosing androgenic alopecia which at advanced stages is amenable for transplantation. However, other scarring and non-scarring hair loss conditions may mimic androgenic alopecia and be misdiagnosed and managed as androgenic alopecia. These cases may not be good transplant candidate and the underlying condition may worsen. It is very important for dermatologists and hair transplant surgeons to recognize these conditions and treat them to suppress their activity prior to transplanting them. In this presentation, we will discuss some of these conditions including but not limited to scarring alopecia in pattern distribution, Central Centrifugal Scarring Alopecia (CCCA), frontal fibrosing alopecia, diffuse alopecia areata, traction alopecia and senescent alopecia. We will highlight the differences between these conditions, provide clinical and trichoscopic clues to identify these androgenic mimickers and outline the main treatment options. At the end of this session, dermatologists and hair transplant surgeons will be able to identify the basic clinical diagnosis and underlying pathological condition of hair loss that are not always amenable for transplantation.
J Clin Exp Dermatol Res Volume 8, Issue 1 (Suppl) ISSN: 2155-9554 JCEDR, an open access journal Cosmetology 2017 April 13-14, 2017
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Aesthetic Practices April 13-14, 2017 Dubai, UAE
Improving the face of cosmetic medicine: An automatic three-dimensional analysis system for facial rejuvenation Syed Afaq Ali Shah The University of Western Australia, Australia
recision imaging in medicine using ultrasound, X-rays, MR, CT and PET scans is generally of the highest importance in Ppatient management. These technologies are often relied upon as integral components for quantitative assessment of the patient’s initial presentation and progress. By contrast, initial assessment and recording outcomes of aesthetic procedures is largely limited to 2D photography and subjective feedback from the patient. In this report, the authors provide insight into an Australian Government-funded four-part research program that aims to produce: (1) A high definition three-dimensional imaging system that produces quantitative assessment of outcomes in facial rejuvenation that is cost-effective, user-friendly, and time-efficient; (2) A predictive modeling of potential outcomes prior to treatment derived from real data; (3) A high definition three-dimensional imaging system that illustrates changes in facial movements in response to facial rejuvenation treatments; (4) A predictive modeling of dynamic movements of the facial features as a response to a planned treatment program derived from real data.
J Clin Exp Dermatol Res Volume 8, Issue 1 (Suppl) ISSN: 2155-9554 JCEDR, an open access journal Cosmetology 2017 April 13-14, 2017
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