FINAL PROGRAM 6TH EDITION - EuroMediCom

FACIAL REJUVENATION: WHY TO USE MESOTHERAPY?POURQUOI UTILISER LA MESOTHÉRAPIE POUR LE RAJEUNISSEMENT FACIAL ?PHILIPPE PETIT(FRANCE)EnglishThe means of prevention and treatment of the cutaneous ageing are numerous, but, whatever they may be, their efficiency is alwayslimited and they cannot totally prevent an inexorable evolution.But whatever the methods of prevention and treatment may be, obviously, you never will forget the elementary precautions and naturalprotection: ban the sun exposure, the tobacco, alcohol, and have a reasonable food and a way of life healthy.In aesthetic medicine, we attempt to fight against the cutaneous ageing by preserving as well as possible all the qualities of the skin,the dermis and the hypodermis.For it, we have various means: the beauty care advices, masks, fillers, laser, radio frequency, peelings, mesotherapy.Why did mesotherapy becomes an indispensable element in the prevention and the treatment of the cutaneous ageing in such a shorttime?Mesotherapy is not a standard treatment, but adapts itself to every individual, to every particularity and especially to the age of ourpatient, also the first consultation is essential even major.The Glogau's classification allows us to establish a diagnosis, a protocol, a rhythm and a number of the sessions.AESTHETIC DERMATOLOGY & SURGERYThis Glogau's classification defines 4 stages of photo ageing and their main signs and we are going to be directly able to adapt themesotherapic coverageSTAGE 1:25-35 years - Small wrinkles around the eyes, no skin relaxationTreatment : vasodilators - vitamins - procaïne - intra-epidermic ( I.E.D) technique1 treatment (rarely 2) of 4 sessions a year - 1 session a weekSTAGE 2:35-50 years - Wrinkles and keratosis rising, dyschromias, started then spontaneous cutaneous relaxation, at the beginning ofhypodermic thickening.Treatment :.1st syringe identical to the first one..2nd syringe: silicium - procaïne - vitamins - no reticular hyaluronic acid (AHNR) - calcitonin in I.E.D1 - 2 treatments of 4 sessions a year - 1 session every 2 weeks to alternate with the other means chosen according to the type of skin.STAGE 3 :50-65 years - Permanent wrinkles with confusions of the pigmentation and telangiectasias,spontaneously visible relaxation, ptosis.Treatment :1st syringe identical to the first one2nd syringe: silicium - procaïne - vitamins - HANR - calcitonin.Technique : papules and in superficial intradermic2 treatments of 4 sessions a yearSTAGE 4:65-75 years - Wrinkles of any types, ptosis, keratosis, and when cutaneous excess and fatty excess coexist.Treatment :1st syringe identical to the first one2nd syringe: silicium - procaïne - vitamins - HANR - calcitoninTechnique : papules and in superficial intradermic3rd syringe: lipolytic if need, to relieve the fat zones in excess loads with the phosphatidylcholine, or still much better by using thetechnique of mesodissolution2 treatments of 4 sessions a year1 session of lipolysis a week during 4 in 8 weeksConclusion: Mesotherapy is the indispensable assistant in the prevention and the treatment of the cutaneous ageing today.Its efficiency comes because at every stage a specific treatment is brought and this according to the anatomopathology.Mesotherapy must be mostly associated to the other means, chosen according to the specificity of every patient.Mesotherapy "does not invent". To have a perfect optimization, it must be learnt and understood and not used in "standard cocktails".And never forget the global care of our patient.FrançaisLes moyens de prévention et de traitement du vieillissement cutané sont nombreux, mais quels qu'ils soient, leur efficacité restetoujours limitée à savoir qu'ils ne peuvent pas totalement empêcher une inexorable évolution.Mais quelques soient les méthodes de prévention et de traitement utilisées, il ne faut évidemment jamais oublier les précautionsélémentaires de protection naturelle : proscrire l'exposition solaire, le tabac, l'alcool et avoir une alimentation et un mode de vieconformes et raisonnables.En médecine esthétique, nous nous attachons à lutter contre le vieillissement cutané en conservant le mieux possible toutes lesqualités de l'épiderme, du derme et de l'hypoderme.Pour cela nous avons différents moyens : les conseils cosmétologiques, les masques, les fillers, le laser, la radio fréquence, lespeelings, la mésothérapie.Pourquoi la mésothérapie est-elle devenue en si peu de temps un élément indispensable dans la prévention et le traitement duvieillissement cutané ?37