FINAL PROGRAM 6TH EDITION - EuroMediCom

ainsi que des biopsies pré et post traitement. Toutefois il est très difficile de réaliser ce genre d'étude avec une population de patientsayant une demande esthétique et vivant à l'étranger pour une partie d'entre eux.Pour nous, les résultats sont encourageants et malgré l'arrêt de production par le laboratoire Isolagen nous allons continuer cestraitements. En effet, le laboratoire Isolagen a cessé son activité en Europe en raison de pertes financières.Seuls quelques laboratoires en Europe sont équipés pour produire les fibroblastes. Nous travaillons actuellement avec le laboratoireTiceba en AllemagneAESTHETIC DERMATOLOGY & SURGERYSESSION 44.30 pm / 16h30THE COSMETIC CONSULTATION: "COMMON BUT COMPLEX SITUATIONS "LA CONSULTATION COSMÉTIQUE : “SITUATIONS COMMUNES MAIS COMPLEXES”CHAIR: ANTONIO PICOTO PROFESSOR OF DERMATOLOGY (LISBON, PORTUGAL)GERHARD SATTLER DERMATOLOGIST (DARMSTADT, GERMANY)HOW TO EVALUATE THE PSYCHOLOGICAL PROFILE OF A NEW PATIENT IN COSMETIC SURGERY?COMMENT ÉVALUER LE PROFIL PSYCHOLOGIQUE D’UN NOUVEAU PATIENT EN CHIRURGIE ESTHÉTIQUEJOHN COTTERILL(UK)Anxiety, depression and phobias are common in the general population and some phobias, such as body dysmorphic disorder(dermatological non-disease /dysmorphophobia) present most commonly in cosmetic clinics. It is important to identify patients withemotional and psychological problems because a purely mechanistic cosmetic surgical approach may be inappropriate and make thepsychological problems much worse.There is no substitute for a good history. Delegating data collection to a non-medical manager or a poorly trained nurse is not bestpractice and often patients with significant psychological problems will not be identified before a cosmetic procedure is carried out. Theconsequences may be a suicidal patient, or an angry patient resorting to litigation.Questionnaires exist to identify, for instance, patients with depression and body dysmorphic disorder. Patients may lie, and thesequestionnaires are no substitute for a good history carried out by a caring doctor.EVALUATION OF PATIENT'S HEALTH BEFORE COSMETIC SURGERYEVALUATION DE LA SANTÉ DU PATIENT AVANT INTERVENTION CHIRURGICALEGERHARD SATTLER(GERMANY)In cosmetic surgery with the indication for anti-aging purposes, several medically relevant aspects have to be considered. The generalcondition plays the most important role, also infectious diseases as well as preliminary accidents, injuries and surgeries. Cumulatingtrauma in a minimal period of time contributes to the increase of risk for DVT.In the same manner, the psychological evaluation and condition needs to be examined.How old is the patient who wants to undergo surgery and which kind of invasiveness this procedure will probably have?In general, in cosmetic surgery, no-downtime procedures are the most preferred and performed. But the older generation intends moreand more to ask for cosmetic surgery services. This raises the potential risk of undesired situation which can bring old healthy patientsat risk during a cosmetic surgery procedure.APPROPRIATE PLAN TO USE OR AVOID MEDICATIONS BEFORE AND AFTER MEDICO-SURGICAL PROCEDURESPLAN ADAPTÉ POUR LA PRESCRIPTION ÉVENTUELLE D’UN TRAITEMENT AVANT ET APRÈS UNE PROCÉDUREMEDICO-CHIRURGICALEANTONIO PICOTO(PORTUGAL)Very important issues about your patient:Cardiac devicesAntibiotic prophylaxisAnticoagulationHistory of Herpes infectionSmoking and alcoholic habits.Pearls: Have a complete list of the patient's current medications.Don't stop medications unless absolutely indicated.Discuss with the patient GP or Cardiologist.Find out about dietary and "natural products".Use AB only in very selected occasions.Sedation: always useful…even "talkesthesia"…ADVICES TO PATIENT ABOUT FACE ENHANCEMENT: FROM COSMETICS TO SURGERYRECOMMANDATIONS AU PATIENT POUR EMBELLIR LE VISAGE : DE LA COSMÉTIQUE À LA CHIRURGIESERGE LETESSIER(FRANCE)46