FINAL PROGRAM 6TH EDITION - EuroMediCom

Friday April 11 th / Vendredi 11 AvrilAESTHETIC DERMATOLOGY & SURGERYBLUE AUDITORIUM / AMPHI BLEUAESTHETIC DERMATOLOGY & SURGERYSESSION 58.30 am / 8h30LIP ARTISTRY AND LOWER FACE REJUVENATION: MEDICAL AND SURGICAL APPROACHESEMBELLISSEMENT DES LÈVRES ET DU BAS DU VISAGE - APPROCHES MÉDICALE ET CHIRURGICALECHAIR: ANTOINE PARASKEVAS PLASTIC SURGEON (PARIS, FRANCE)MARK LUPIN DERMATOLOGIST (VICTORIA, CANADA)ANATOMY OF THE AGING LOWER FACE (FILM WITH CADAVER DISSECTION)ANATOMIE DU BAS DU VISAGE VIEILLISSANT (VIDÉO DE DISSECTION SUR CADAVRE)FABIO INGALLINA(ITALY)Beauty is individual, aging as well.However, aging of the face follows certain common and predictable patterns Genetics and environment are guiding together the agingprocess which concerns all the tissue layers from the skin to the bone.As years go by, there is a progressive descent of the soft tissues due to gravitational forces and consequently wrinkles, furrows andfolds appear.These changes generally become apparent in a woman's skin in her mid-30 s when oestrogens level start to decline.Actinic damage of the skin and photo aging result in loss of collagen and elastin fibres in the dermis and the skin becomes thinner andinelastic.Fat, unlike muscle, is supported only by the facial ligaments of the face. Progressive facial and ligamentous laxity causes fat descentand sagging.In the lower face, fat descent along with attenuation and lengthening of the orbicularis oris and depressor anguli oris muscles, createsa downward slant of the corner of the mouth and the appearance of " marionette lines ".The falling fat accumulates behind the mandibular retaining ligaments and creates " jowls "In the neck, the platysma muscle is also attenuated, there is pre platysmal and sub platysmal fat accumulation, submental and neckfolds and loss of the cervicomenal angle.Another process that contributes to facial aging is the loss of glandular tissue, much of the firmness of a youthful face is due to a highglandular concentration.At the bone level, osteoporosis results in skeletal resorption which alters soft tissue support.Overall, the volumetric distribution in the face is altered and, in facial rejuvenation surgical procedures, volumetric restoration is moreimportant than the amount of skin excess resected.ARTISTIC ANALYSIS OF THE HARMONY OF THE LIPSANALYSE ARTISTIQUE DE L’HARMONIE DES LÈVRESROBIN MOOKHERJEE(FRANCE)EnglishMedical or surgical correction of the lips cannot be done without an artistic approach.Analysing the harmony of lips is speaking of caracteristic elements like beauty and mobility and involving the different parts of the facelike nose chin, eyes.There is a very subjective aspect to this analysis as beauty varies during the different periods of life, and also with race, culture,fashion. But there are some basic facts that stay, that we should keep in mind to give our patients the best medical or surgical result.We will show how in different cases, different artistic approches are possible, concerning lip contour, cupid's bow, volume, oralcomissures, in connection with the rest of the face.FrançaisAnalyse artistique de l'harmonie des lèvresUne correction médicale ou chirurgicale des lèvres se doit d'être effectuée avec une approche artistique. Parler de l'harmonie deslèvres c'est parler de beauté et de mobilité concernant d'autres éléments du visage comme le nez, le menton, les yeux, les joues.Il y a un coté très subjectif à cette analyse, puisque par définition la beauté varie selon l'age, la race, la culture, la mode de chacun.Il reste cependant des éléments constants,que nous devons garder à l'esprit pour donner le meilleur résultat médical ou chirurgical ànos patients.Nous allons démontrer les différentes approches possibles concernant l'ourlet, l'arc de cupidon, le volume des lèvres, les commissureslabiales et ceci en connexion avec le reste du visage.48