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SESSION 204.00 pm / 16h00DARK CIRCLES: A NEW APPROACHLES CERNES NOIRS : NOUVELLE APPROCHECONTRIBUTING LECTURES IN AESTHETIC DERMATOLOGY AND SURGERYCONFÉRENCES PARTICIPATIVES EN DERMATOLOGIE ET CHIRURGIE ESTHÉTIQUECHAIR: PHILIPPE DEPREZ AETHETIC MEDICAL DOCTOR (EMPURIABRAVA, SPAIN)ALAIN MICHEL PLASTIC SURGEON (MONTBÉLIARD, FRANCE)JEAN-LUC LEVY(FRANCE)AESTHETIC DERMATOLOGY & SURGERYTUMESCENT ANAESTHESIA FOR THE COSMETIC VARICECTOMYL'ANESTHÉSIE TUMESCENTE POUR LA VARICECTOMIE COSMÉTIQUEECKART HANEKE(GERMANY)FEMALE SEXUAL REJUVENATION: NYMPHOPLASTY OR AESTHETICAL LABIAPLASTYRAJEUNISSEMENT SEXUEL FÉMININ : NYMPHOPLASTIE OU LABIAPLASTIE ESTHÉTIQUELAURENT BENADIBA(FRANCE)EnglishThe reduction of the labia minora lips (Labiaplastie or nymphoplasty) the request most frequent in the consultations of plastic surgeryand aesthetic bus for the majority of the patients the embarrassment is primarily aesthetic. This frequent intervention in the extreme-East, or of many techniques are used, has still bad reputation in France. However, in this intimate surgery, it is necessary to be awareof the handicap which exists in many patients who very often do not dare in speaking to their spouse but also to their gynaecologist.The use of techniques of plastic surgery (V Plasties) makes it possible to make importants resection of cutanéo-mucous labia bykeeping the shape and the functional aspect of the labia minora lip fully giving satisfaction to the patients. This intimate surgery istechnically simple and give excellent result bringing to the patients a true physical and psychological relief. On the other hand, it isimportant that this intervention which presents risks is carried out by experts accustomed in surgical (operating room).FrançaisIntroduction: Il y a une dizaine d'années, les interventions sur le sexe féminin ne se concevaient que dans des cas pathologiques.La chirurgie intime regroupe les interventions ayant pour but d'améliorer la région vulvaire féminine. Il ne s'agit pas d'interventionsvisant à recréer une virginité mais d'interventions de chirurgie réparatrice ou esthétique des petites et grandes lèvres, du clitoris etparfois du vagin. Aujourd'hui, des femmes demandent qu'on leur redessine la vulve, qu'on resserre le diamètre de leur vagin. Plusieursinterventions sont possibles. Certaines sont purement gynécologiques, d'autres purement esthétiques mais la demande s'exprime plusfacilement auprès des chirurgiens plasticiens habitués à traiter " ceux qui ne sont pas malades ".Résumé: La réduction des petites lèvres génitales (Labiaplastie ou nymphoplastie) la demande la plus fréquentes dans lesconsultations de chirurgie plastique et esthétique car pour la majorité des patientes la gêne est essentiellement esthétique. Cetteintervention fréquente en extreme-orient, ou de nombreuses techniques sont utilisées, a encore mauvaise réputation en France.Pourtant, dans cette chirurgie intime, il faut avoir conscience du handicap qui existe chez de nombreuses patientes qui bien souventn'osent pas en parler à leur conjoint mais aussi à leur gynécologue.La médiatisation, l'échange d'informations sur des sites internets médicaux de ce type de problème emmène de nombreuses patientesà consulter. Ces patientes expriment une gêne d'ordre esthétique et fonctionnel accentué par l'évolution des modes vestimentaires(jeans très serrés…) et des dessous (string) mais aussi la comparaison avec les actrices de film X ayant des vulves " juvéniles ". Cespatientes, de plus en plus jeunes, vivent un véritable complexe, parfois depuis l'adolescence troublant leur vie amoureuse.Sur le plan chirurgical, il existe de nombreuses techniques plus ou moins complexes mais aux suites opératoires très variables.En France, cette intervention a encore mauvaise réputation, elle est parfois même déconseillée par certains médecins, en particulier,à cause des suites difficiles de la technique la plus courante. L'utilisation de techniques de chirurgie plastique (Plasties en V) permetde faire des résections cutanéo-muqueuses importantes en gardant la forme et l'aspect fonctionnel de la petite lèvre donnantpleinement satisfaction aux patientes.Conclusion: La nymphoplastie ou la réduction des petites lèvres n'est plus un tabou dans notre société. Cette chirurgie intime estsimple techniquement et présente d'excellents résultats apportant aux patientes un véritable soulagement physique et psychologique.En revanche, il est important que cette intervention qui présente des risques soit réalisée par des praticiens habitués en milieuchirurgical (bloc opératoire).OWN EXPERIENCE IN CARRYING OUT REJUVENATING OPERATIONS IN THE MIDDLE FACEEXPÉRIENCE PERSONNELLE DU RAJEUNISSEMENT DU MILIEU DU VISAGEPETER HAJDUK - MARLEN SULAMANIDZE(CZECH REPUBLIC - RUSSIA)Patients are especially concerned about aesthetic manifestations of the ageing process in the area of the cheekbone, cheeks andsuborbital zones, therefore, rejuvenating interventions in these areas are mostly demanding.Aim: To represent experience of the TOTAL CHARM Clinic gained in carrying out aesthetic operations and manipulations in the middleface area by both classical and original techniques.75
AESTHETIC DERMATOLOGY & SURGERYMethods: Amongst surgical interventions which we have used were as follows: face lift, methods of thread-mediated lifting (Aptosthread, Aptos thread 2G, Aptos needle, Aptos needle 2G) in a combination with inferior blepharoplasty and without it, lipofilling, skinpeeling, as well as a combination of these techniques. In so doing, special attention was paid to the individual approach, aiming tominimize the invasion and, more importantly, trying to achieve the effect of moving the subcutaneous soft tissue to a new, aestheticallymore advantageous, higher position with fixation of tissues to hard structures. It was not uncommon that we used the methods aimedat increasing the volume by means of various fillers.Results: We have studied the outcomes following application of the above-mentioned methods of lifting the bucco-zygomatic andsuborbital regions and a combination thereof over the period from 2003 to 2006 in more than 450 patients. In the overwhelmingmajority of the cases, the obtained outcomes proved to satisfy both the surgeons and patients involved.Conclusion: The methods of lifting soft tissues of the middle face and their combinations which we used proved rather efficient inrejuvenating a flabby, aging face.NEW APPROACHES TO THE TREATMENT OF THE AGING FACE WITH THREADLIFT: COMPLETE, EFFECTIVE AND QUICKRESULTNOUVELLES APPROCHES DU TRAITEMENT DU VIEILLISSEMENT FACIAL AVEC THREADLIFT POUR DES RÉSULTATSCOMPLETS, EFFICACES ET RAPIDESCIRO ACCARDO(ITALY)A beautiful face has in itself some characteristics that are expression of balanced and symmetrical proportions of the facial diametersand of the "stereotassic" geometries of the face. Such mathematical proportions manifest themselves at an aesthetical level though aplastic-geometric harmony, that attracts and captures the visual and emotional attention of each of us, inducing prolonged admiration,a positive compulsive evaluation and an universal appreciation.The technique of the "face lifting" is part of the technological evolutions of the last developed surgical techniques, with the purpose toresolve or to attenuate the signs of the ageing on the face.To such purpose, I am lined up with those surgeons firmly convinced that every surgical action is however a demolition of thestructures, of the mechanical dynamics and functional characteristics of the living tissues. Insofar we establish to propose techniquesthat are less invasive or that "are not invasive at all" to resolve the problem of the aging of the face and more in general of the wholeorganism. This atavistic problem will see its definitive solution only when we will be able to check each single phase of the phenotypicalexpression of our genome but above all if we will ever know, in the next future, how to modify it or to stabilize it in a static state "ofeternal youth."The signals of ageing of the face are known to everybody: cutaneous lapsity, cutaneous redundance, atrophy of the adipose tissue,progressive reduction of the tonicity of the muscle-aponeurotic subcutaneous system, degeneration and bony remodelation, etc..These changes produce alterations of the slowness of the mental cervic angle, the onset of the platismatic folds, the appearance andthe fall of the jaw, with loss of the definition of the mandible border, the atrophy of the grease of the malar eminence and of the adiposepad of the Bichat, the close examination of the nose-buccal and bucco-mandibular furrow, the ptosis of the middle bystander of theface for the action of the gravitational vectors, the fall of the side and central portion of the eyebrow, hypotonia of the skin of the eyelid,the appearance of the plasmatic folds, etc...All these dimorphisms - say "functional" - due to the ageing, must be carefully examined on our patient. This in order to plan the mostcorrect and specific surgical techniques to carry on the specific patient, with the aim to restore in him/her a plastically and aestheticallypleasant look meant to conceal or to reduce or even to eliminate the signs of the ageing, thus realizing a "Natural" rejuvenation of theface.The Happy Lift Revitalizing Double Needle is a new method created to carry out a simple, mini-invasive and effective treatment ofthe human face, in an early phase of the ageing.This new medical device allows the operator to introduce a converging bidirectional barbed thread into the hypoderma with no needto use a cannula needle. This way the procedure of implant of threads becomes faster and simplier to perform, with a significantreduction of the operation time and a better post-op recovery for the patient. Moreover the particolar structure of the device allows torealize pathways till now not possible with the cannula needle. Semi-circular or loop paths with more effective gathering andcompacting of the tissue, with consequent enhancement of volume.Particularly, the treatment of the Eyebrow becomes much easier to perform and the performed cases witness very promising results.We recommend to practise the Happy Lift Revitalizing Double Needle precociously in order to avoid the necessity to subsequentlyrecur to more binding face-liftings. The traditional lifting has prolonged recovery time, changes the plastic harmony of the face, alteringits natural geometric proportions; the patients have the so-called "lifting face."The author proposes new ideas to use correctly this method, and particularly sets his attention on the correct clinical staging of thepatient, on whom to apply the new surgical technique. Keeping in mind all the above, it is fundamental the correct patient age, from27 to 45 years, to apply the new method of lift, above all for the aesthetic surgery result. The Happy Lift Revitalizing Double Needlesoft fast lift is not yet well performed by some surgeons colleagues.In the recent past and still in the present, these applied and today still apply the technique as substitution technique to the traditionallifting. This is absolutely not correct, also because such indication has never been proposed, nor suggested by the inventor of thistechnique but has been an arbitrary initiative of some surgeons.Surgery taught us that the ungluing, the lifting and the stretching of the tissue, as well as the direct action on the deep muscle-facialstructures are techniques guaranteeing the best results with rhytidectomy treatment in older age, that is after 45. It is on this that wehave to focus attention: the two plans to work on out of which we can get the maximum improvement in terms of stretching of the tissueand, consequently, of rejuvenation are sub-cutis and the superficial muscle-aponeurotic system. Therefore it is too much idealistic tothink that after 45, but some exceptions, less invasive techniques acting or, worse, not even acting on the same levels, can have similarresults. Insofar:I confirm that the Happy Lift Revitalizing Double Needle is not a technique able to replace the "orthodox" lifting.Such new technique - for aesthetic surgery indications - could be practiced as much precociously as possible, once the first signs ofcutaneous aging of the soft tissues of the face starts to reveal. With the application of the Happy Lift Revitalizing Double Needlethreads, the tissues are located back to their original place, where laying gravity effected them downwards. No exeresis of the skin nor76
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6 TH EDITIONFINAL PROGRAM+250 Inter
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SCIENTIFIC DIRECTORS ANTI-AGING MED
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AESTHETIC DERMATOLOGY AND SURGERYAN
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Page 64 and 65: ANTI-AGING MEDICINEABSTRACTSThursda
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microbial balance of the intestinal
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Total body Anti-Aging (Vitality ) p
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(5) ContouringUnlike Contour thread
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Friday April 11 / Vendredi 11 Avril
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Friday April 11 / Vendredi 11 Avril
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AESTHETIC WORKSHOP 34 PROPOSED BY L
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wrinkles, striae distensae, hair gr
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