FINAL PROGRAM 6TH EDITION - EuroMediCom

HOW TO CORRECT THE AESTHETIC FAILURES OF THE LIPS AESTHETIC TREATMENTS?COMMENT CORRIGER LES ÉCHECS DES TRAITEMENTS ESTHÉTIQUES DES LÈVRES ?KOENRAAD DE BOULLE(BELGIUM)RHYTIDECTOMY OF LOWER THIRD OF THE FACE AND NECK: MY EXPERIENCERHYTIDECTOMIE DU TIERS INFÉRIEUR DU VISAGE ET DU COU : MON EXPÉRIENCESESSION 8CLAUDIO CARDOSO DE CASTRO(BRAZIL)ENHANCEMENT OF THE FACE: THE BEST FILLING TECHNIQUESEMBELLISSEMENT DU VISAGE : LES MEILLEURES TECHNIQUES DE COMBLEMENTCHAIR: PIERRE ANDRÉ DERMATOLOGIST (PARIS, FRANCE)DIMITRA DAZIOU-PLAKIDA DERMATOLOGIST (ATHÈNES, GREECE)AESTHETIC DERMATOLOGY & SURGERY4.30 pm / 16h30WHAT'S NEW IN BIOCOMPATIBLE FILLERS?QUOI DE NEUF DANS LES FILLERS BIOCOMPATIBLES ?LUITGARD WIEST(GERMANY)This presentation will focus on newer developments of the fourth generation of Hyaluronic Acid Preparations, on a new porcine derivedcross-linked collagen product and new semipermanent and permanent biocompatible fillers.Hylans: The changing generation of Hyaluronic acid based (HA) Dermal fillersDerivates of hyaluronic acid, the Hylans, are temporary tissue fillers with advantages compared to collagen, including longerpersistence in the skin and decreased incidence of delayed hypersensitivity reactions. By chemically cross-linking molecules of HA,more stable macromolecules are formed which have the same biocompatibility as native HA. Since they are water insoluble gels theyremain stable in tissue. They can be classified by their concentration, the method and degree of cross-linking, and the source of theHA., and also by the size of gel particles per mL. Hylan gels in the third generation have been developed that are processed chemicallydifferent, others contain no particles for better distribution in the upper dermal level, thus being suitable for mesotherapy. There arealmost 50 Hylans on the European market, and as more hylans become available,- there will be a greater opportunity to match specifichylan preparations to treatment areas and defects.Collagens:A new product is being discussed which is produced by polymerization of monomeric porcine collagen followed byribose glycation andwhich lasts for at least 12 months.Semipermanent, resorbable synthetic fillersPolylactic acid, Polyalkylamide and Dextran beads suspended in Hylan Gel have been used as semipermanent dermal hydrogel fillers,which are not simply fillers, but also stimulate increased dermal connective tissue regeneration.They are synthetic polymers that areresorbable, biocompatible and biodegradable. They are injected into the deep dermal tissue or subcutaneous tissue and are expectedto last between 2 and 4 years.Permanent FillersThe demand for permanent fillers to correct soft tissue defects is increasing on the European market, and has compelled theproduction of many synthetic options. They offer the advantages of lower cost, consistent formulation, longevity, and limitedhypersensitivity.Inert synthetic (alloplastic) agents may have the potential for permanent implantation. The prolonged clinical improvement followinginjection of these fillers that are permanently deposited in the tissue, is due to stimulation of fibroblasts that synthesize new collagenaround the various particlesGenerally permanent fillers are delivered into the deep dermis or below and require sometimes injections with larger bore needles.Hydrogels are polymers that draw water into the area. Out of more than 30 permanent fillers on the market the most recent FDAapprovedPMMA spheres in 3,5% bovine collagen carrier and 0.3% lidocaine are being presentedHOW DO I TREAT THE PERI-ORAL AREA?COMMENT JE TRAITE LA ZONE PÉRI-BUCCALE ?INES VERNER(ISRAEL)The perioral area is of major importance in the aesthetics of the lower face. Many changes occur in this area with aging e.g. theappearance of perioral rhytides, volume loss, lengthening of the upper lip with lateral lip drop, marionette lines etc. etc.Numerous different soft tissue fillers are available to correct these different problems but only some are suitable to address the differentindications in this area.Anatomy of the perioral area, how it changes with aging and the most suitable fillers for correction in the various locations will bediscussed.53