FINAL PROGRAM 6TH EDITION - EuroMediCom

AESTHETIC DERMATOLOGY & SURGERYperfusions to induce major complications more rapidly. Secondly, superficial dorsal veins are the main channels of venous drainageof the hand. To destroy too many veins may induce a secondary and undesirable dilation of residual veins.The second principle is to give a very selective result. A pretherapeutic agreement decides the veins to be treated and those to bekept in place.Sclerotherapy and phlebectomy are the two possible methods. Injection of sclerosing agents is the less aggressive method. But it ispoorly selective as sclerosis may spread too widely. And results frequently include unaesthetic sub-cutaneously visible cord as residueof the fibrosed vein. The method of our choice is phlebectomy. Performed under local anesthesia, procedure can be precisely tailoredto the initial venous anatomy and keep the chosen veins. Veins are removed with sharp hooks through 1-3 mm incisions, whichbecome invisible 1 to 3 months later. From a series of 45 consecutive patients, all procedures but one have been technicallysuccessfull. No complications or side effects have been noted. The aesthetic satisfaction rate is 97.8 % for both patient and physician.Conclusion: Aging induced hands dilated veins are no more answerless unaesthetic troubles. A meticulous but simple surgicalprocedure may give smile back to our patients.FAT GRAFTING OF THE HANDLA GREFFE GRAISSEUSE DE LA MAINRENÉ-FRANÇOIS NIFOROS(FRANCE)INDICATIONS FOR DYSTROPHIC HAND VEINS : DICUSSION FROM CLINICAL CASESINDICATIONS POUR LA DYSTROPHIE DES VEINES DE LA MAIN : DISCUSSION SUR DES CAS CLINIQUESPANEL SPEAKERSTREATMENT OF HAND PIGMENTARY DISORDERS (BROWN SPOTS)LE TRAITEMENT DES TROUBLES PIGMENTAIRES DE LA MAIN (TACHES BRUNES)TORELLO LOTTI(ITALY)Smaller darkened patches can occur usually on photoexposed skin of older adults who have been exposed to the sun for many years.These spots can be seen on the face, forearms and backs of hands. Brown marks may fade with careful sun protection, broadspectrum sunscreen applied daily for 9 months of the year. Regular applications of anti-aging or fading creams may also help. Thesemay contain hydroquinone, or antioxidants such as: alpha hydroxy acids, vitamin-C, retinoids, azelaic acid. However, brown marksmay be removed more rapidly and effectively by chemical peels, cryotherapy or certain pigment lasers that target melanin in the skin.Multiple treatments may be necessary. Suitable green-light devices include: Flashlamp-pulsed tunable dye laser and Frequencydoubled Q-switched Nd:YAG laser (neodynium:yttrium-aluminium-garnet), while suitable red light devices include: Q-switchedAlexandrite and Q-switched Ruby Intense pulsed light has a similar effect. Ablative lasers (carbon dioxide and Erbium:YAG lasers)vaporise the surface skin thus removing the pigmented lesions. A fractional laser may also have some efficacy. Results are variablebut sometimes very impressive with minimal risk of scarring.HAND REJUVENATION WITH CHEMICAL PEELS AND FILLERSLE RAJEUNISSEMENT DE LA MAIN AVEC LES PEELINGS CHIMIQUES ET LES PRODUITS DE COMBLEMENTSOHAIL MANSOOR(UK)AGING NAILSLE VIEILLISSEMENT DES ONGLESECKART HANEKE(GERMANY)SESSION 1811.00 am / 11h00BREASTS IN ARTLES SEINS DANS L'ARTBREAST REJUVENATIONRAJEUNISSEMENT DES SEINSCHAIR: JEAN-CHRISTOPHE BICHET PLASTIC SURGEON (PARIS, FRANCE)MICHAEL SCHEFLAN PLASTIC SURGEON (TEL AVIV, ISRAEL)PHILIPPE COMAR(FRANCE)WHAT NEEDS TO BE CONSIDERED IN THE AGING PROCESS ON THE BREASTCE QU'IL FAUT PRENDRE EN COMPTE DANS LE PROCESSUS DE VIEILLISSEMENT DES SEINSJAVIER DE BENITO(SPAIN)72