FINAL PROGRAM 6TH EDITION - EuroMediCom

SESSION 7PERIORAL REJUVENATION - MEDICAL AND SURGICAL APPROCHESRAJEUNISSEMENT DU CONTOUR DES LÈVRES : APPROCHE MÉDICALE ET CHIRURGICALECHAIR: FABIO INGALLINA PLASTIC SURGEON (CATANIA, ITALY)CLAUDIO CARDOSO DE CASTRO PLASTIC SURGEON (RIO DE JANEIRO, BRAZIL)AESTHETIC DERMATOLOGY & SURGERY2.00 pm / 14h00PERIORAL REJUVENATION WITH PHENOL PEELRAJEUNISSEMENT PÉRIORAL AVEC LE PEELING AU PHÉNOLPHILIPPE EVENOU(FRANCE)Perioral phenol peel is a very effective but delicate technique. There is no systemic risk with phenol on a small surface, but theproblems are slow and rough recovery, risk of achromia and risk of scarring.To obtain a good result with a quick recovery and without complications, it is important to use a good formula, to have a good techniqueand to perform a good follow-up.The formulas recommended by Gregory Hetter, mixing phenol with 1 % or less croton oil, are safer than traditionnal Baker-Gordonformula. A mild hypopigmentation can occur, but achromia and scars are very unusual.Perioral phenol peel is a good complement to surgical face lifting.G. HETTER'S FORMULASPhenol Water Septisol Croton oilHeaviest(Baker-Gordon) 3 cc 2 cc 8 drops 3 drops (2%)Heavy 4 cc 6 cc 16 drops 3 drops (1%)Medium-heavy 4 cc 6 cc 16 drops 2 drops (0,7%)Medium-light 4 cc 6 cc 16 drops 1 drop (0,35%)Very-light Take 3 cc of medium-light and add :(eyelids, neck) - 2 cc of phénol- 5 cc of water.WHAT CAN WE EXPECT FROM LASERS IN THIS AREA?QUE PEUT-ON ATTENDRE DES LASERS SUR CETTE ZONE ?MICHAEL KAMINER(USA)Until recently, the most reliable way to obtain significant improvement in perioral wrinkling was to utilize ablative resurfacing techniquessuch as the carbon dioxide or Erbium lasers. Unfortunately, these lasers were often associated with prolonged healing periods, as wellas potential risks that included scarring and infection. Furthermore, in some cases delayed hypopigmentation was seen, particularlywith the carbon dioxide laser.Some of the available chemical peel techniques were able to somewhat improve perioral wrinkling, but unless Phenol was used, theresults were modest at best. Some of the newer non-ablative fractional technologies such as the Fraxel device have been quite usefulin improving perioral wrinkles, but there are limits to how much improvement can be obtained with a series of treatments.The recent introduction of fractional ablative technologies such as carbon dioxide and Erbium fractional lasers has significantlyimproved our ability to treat perioral wrinkling. Rejuvenation of the perioral area is paramount to improving the appearance of many ofour patients, and the ability to safely and reliably improve this area with fractional ablative technologies is a significant advance in ourfield. Recovery is relatively rapid, less than one week, and the risks are significantly reduced as compared to traditional ablativetechnologies.This lecture will review some of the available fractional technologies available to treat perioral photoaging, and review those patientsthat are good candidates, as well as techniques for providing optimal results.DENTAL AESTHETICS IN IMPLANTOLOGY: INDICATIONS, TECHNIQUES AND RESULTSESTHÉTIQUE DENTAIRE EN IMPLANTOLOGIE : INDICATIONS, TECHNIQUES ET RÉSULTATSPATRICK MISSIKA(FRANCE)Implants supported prosthesis have specific demanding requirements in aesthetics, phonetics and function. The aesthetic challengeis very acute when the implant concerns the anterior area and mainly the central incisor. The surgeon must take care of bone resorptionfollowing tooth extraction.In order to fulfil these criteria, in case of bone resorption, ridge reconstruction must be performed to achieve proper crestal volume.Intra oral bone graft is the way to treat most clinical cases prior to implant placement and obtain an optimal aesthetic result.ADJUVANT TECHNIQUES: LIPS TATOOINGTECHNIQUES ADJUVANTES : TATOUAGE DES LÈVRESBRIGITTE SITBON(FRANCE)52