FINAL PROGRAM 6TH EDITION - EuroMediCom

AESTHETIC DERMATOLOGY & SURGERYstage of lifetime our skin loses its glow, shade, volume, tone and thins out leading to dry, sagging and wrinkly skin.To face this big challenge the most popular and widely used answer is: Filler.Hyaluronic acid based fillers are the most commonly effective products used at the moment.Hyaluronic acid is a natural polysaccharide that forms an essential part of the intercellular matrix in all human tissues, including thedermal matrix area that has undergone a constant and substantial decline due to the skin's natural aging process.Due the complete biocompatibility of this particular molecule, hyaluronic acid based fillers do not require a prior allergy test to beeffectuated.If this substance has a weak point, like all the absorbable fillers, it lies solely during the short process of infiltration, being that, in itsnatural form hyaluronic acid is rapidly degraded in hyaluronidase.For many years now, researchers have been seeking to improve its performance by increasing its molecular weight or even in linkingit with other substances aiming to extend its lifespan. This product is still considered by doctors in being among the safest.I used a brand new product that is a new hyaluronic acid based filler that demonstrated excellent results in terms the percentage ofimperfections corrected and long-term effectiveness in wrinkle and volume loss correction.The exceptionally long-lasting effects of this product are likely to be attributed to its high molecular weight that is included in itsformulation and by an innovatibe procedure that is employed in the last stage of its production with the purpose of obtaining andincreasing the quantity crosslinks found between the molecules which add to the crosslink process polarised magnetic field.This process causes an increment in surface electric charges which induces coagulation - COHESION - of the product. These are thefundaments of the new and revolutionary Coesix patented Technology, which besides protecting Hyaluronic Acid from hydroxyl radicalsand making cell degeneration very slow, gives both durability to filler implants and a filling-up effect.CARBOXYTHERAPY IN THE TREATMENT OF SCARSLA CARBOXYTHÉRAPIE POUR LE TRAITEMENT DES CICATRICESNINA KOUTNA(CZECH REPUBLIC)Background: Carboxytherapy (CO2 gas injections) is a non-invasive method, used in aesthetic medicine and dermatology for morethan 10 years. Besides the treatment of cellulite, alopecias, wounds and sclerodermias, the method is a safe and relativelly very naturaltool for gentle skin rejuvenation, hence also for the treatment of scars.Method: During my practical work with carboxytherapy (till now 246 patients) a small group of 35 persons came out, wishing also thetreatment of scars. The types of scars were: post-acné on 12 patients (8 persons with mainly saucer shape, 4 with mainly ice-pickscars), 6 patients with post-surgical or post-traumatic atrophic scars, 11 patients with "normal" scars (in the level of surrounding skin,but disturbing by colour or wideness), 3 patients with hypertrophic scars, 3 with keloids.Carboxytherapy was applied once in 2-4 weeks, if no improvement was reached during 2-3 sessions, the therapy was stopped. Finalnumber of treatments was from 2 to 11 (and some patients wish to continue further on) according to the state and interest of thepatients.Results: Nice improvement was reached especially in post-acné scars, both saucer shape and ice-pick. Saucer shape scars tend tobe smoother, ice pick ones tend to shrink.Post-surgical & post-traumatic tougher hypertrophic scars, narrow atrophic and narrow normal scars responded also very nicely.However, wide normal or atrophic scars, and especially soft ones responded poorly.Keloids usually reacted, but not very much.Conclusion: Carboxytherapy is good non-invasive and non-risky method for the treatment of both saucer shape and ice-pick postacnéscars, also for post-surgical & post-traumatic hypertrophic and narrow atrophic or normal scars.However, for wide and soft normal or atrophic scars and for keloids the method seems to be not effective enough as a sole technique.This is just a preliminary work aimed to inform about this therapeutical possibility, which has advatages of good effect in not manysessions, no risk of post-treatment pigmentary changes and no invasiveness.ADVANCED AND SAFE PEELING METHOD OF DEEP SKIN REJUVENATION: PDSR (PYUN'S DEEP SKIN REJUVENATION)MÉTHODE DE PEELING PERFECTIONNÉE ET SÛRE DE RAJEUNISSEMENT DE L'ÉPIDERME PROFOND : PDSRINSOO SHIM(S. KOREA)Deep Skin Rejuvenation is medical term of deep chemical peeling using phenol-based formula. There are many different methodsavailable for undertaking an anesthetically rejuvenating peel, practically affecting a chemical lift in patients.However these formulas itself are insufficient in the treatment of pigmentary disorder, wrinkle, scars and permanent and transientcomplications were frequently seen. Deeper peels are necessary to reach and correct deeper diseased lesions but it was difficult toreach deeper dermis and was not indicated to Asians. In 2002, Dr. Pyun developed a new Timepeel formula which is a deep chemical,phenol based peeling solution that compares favorably with other solution as a matter of fact rare arrhythmia, short duration oferythema, mild pain, rare hypopigmentation, no demarcation line and wide safety margin.Timepeel is a special solution saves skin as it only penetrates and restores skin originally. The ingredients, methods of preparationand application, as well as postpeel occlusion techniques are modified and advanced in PDSR. Acne, smallpox scar, keloid, burn scarand traumatic scar are kinds of incurable by chemical peeling or laser therapy alone and it has limitation and doesn't have enoughsatisfaction. Generally, there are highly risks of complications with combined operation of deep peeling and laser therapy, however,PDSR (Pyun's Deep Skin Rejuvenation) using Timepeel formula is the best route to make skin rejuvenation and it is new, safer, andmore predictable deep chemical peeling method. It is a safe and cost effective method with a high degree of patient satisfaction andexcellent results. Indications for PDSR include wrinkled skin, cutaneous pigmentation (such as freckles, solar lentigo and melasma),acne scar, burn scar, traumatic scar, deep dermal pits, and precancerous lesion (such as actinic keratosis and early phase of basalcell carcinoma). In order to maximize the positive cosmetic results and to enjoy the great reliability that the PDSR offers, the peelingmust be executed exactly according to the PDSR guidelines.78