2^nd International Meeting on Aesthetic Medicine June 17-18, 2019 Osaka, Japan

\ Breast augmentation and augmentation mammoplasty (colloquially known as a "boob job") are plastic surgery terms for the breast-implant and the fat-graft mammoplasty approaches used to increase the size, change the shape, and alter the texture of the breasts of a woman. As a primary reconstruction, augmentation mammoplasty is applied to effect a post–mastectomy breast reconstruction, the repair of the chest wound consequent to the removal of a cancerous breast; to correct congenital defects of the breast(s); and to correct congenital defects of the chest wall. As an elective, cosmetic surgery, primary augmentation changes the aesthetics – of size, shape, and texture – of healthy breasts.

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\ Skin Rejuvenation can be achieved through various modalities including: thermal, chemical, mechanical, injection, and light.

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1. \ Thermal rejuvenation using a radio-frequency device to induce a thermal effect in the skin.
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2. \ Chemical rejuvenation with chemical peels.
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3. \ Photo rejuvenation with light pulses from lasers or lamps.
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4. \ Mechanical rejuvenation by dermabrasion or micro needling damage the outer layers to promote skin regrowth.
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5. \ Injections for rejuvenation with botox, fillers, collagen.
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\ Reconstructive surgery is often performed on cancer patients as well as on burn and accident victims. It may involve there building of severely fractured bones, as well as skin grafting. Reconstructive surgery includes such procedures as their attachment of an amputated finger or toe, or implanting a prosthesis.

\ Prostheses are artificial structures and materials that are used to replace missing limbs or teeth, or arthritic hip and knee joints.

\ In cancer patients, reconstructive surgery is done to restore the function as well as the appearance of the face and other parts of the body. The most commonly performed reconstructive surgeries of cancer patients are breast reconstruction, laceration repair, scar revision, and tumor removal.

\ The most challenging area of reconstructive surgery involves the structures of the face, neck, and jaw because trauma or cancer treatments often affect the patient's ability to see, eat, taste, swallow, speak, and hear as well as his or her external appearance. The surgeon must try to retain as much sensation as possible when performing skin or bone grafts in the head and neck as well as recreate a reasonably normal appearance.

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\ Plastic surgery, the functional, structural, and aesthetic restoration of all manner of defects and deformities of the human body Modern plastic surgery has evolved along two broad themes: reconstruction of anatomic defects and aesthetic enhancement of normal form. The surgical principles of plastic surgery remain focused on preserving vascularity, replacing like tissue with like tissue, respecting anatomic zones, and fostering wound healing by minimizing tissue trauma. As a diverse surgical specialty, the discipline of plastic surgery not only interacts with other disciplines of medicine but also merges medical science with the art of physical restoration. It couples careful evaluation of defects with sophisticated arrangements of tissue to improve the uniformity and natural resemblance of repair. Innovative techniques used in plastic surgery are largely the result of the successful clinical application of advances in tissue engineering, nanotechnology, and gene therapy.

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\ Aesthetic Gynaecology is a highly specialized surgery, also known as “Cosmetic Vaginal Surgery”. It can have multiple benefits including:

\ –Tightening the vagina
\ – Improved appearance of the genitals
\ – Improved sensation from the vaginal area
\ – Removing genital pain or discomfort
\ – Altering the appearance of the vaginal lips
\ – Reducing the size of the clitoral hood
\ – G-spot enhancements for increased sexual sensation

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\ Liposuction is the removal of excess body fat by suction using special surgical equipment. A plastic surgeon typically does the surgery.

\ Liposuction is a type of cosmetic surgery. It removes unwanted excess fat to improve body appearance and to smooth irregular body shapes. The procedure is sometimes called body contouring.

\ Liposuction may be useful for contouring under the chin, neck, cheeks, upper arms, breasts, abdomen, buttocks, hips, thighs, knees, calves, and ankle areas.

\ Liposuction is a surgical procedure with risks, and it may involve a painful recovery. Liposuction can have serious or rare fatal complications. So, you should carefully think about your decision to have this surgery.

\ Types of Liposuction Procedures

\ · Tumescent liposuction (fluid injection): Tumescent liposuction (fluid injection) is the most common type of liposuction. It involves injecting a large amount of medicated solution into the areas before the fat is removed. Sometimes, the solution may be up to three times the amount of fat to be removed). The fluid is a mixture of local anesthetic (lidocaine), a drug that contracts the blood vessels (epinephrine), and an intravenous (IV) salt solution. Lidocaine helps numb the area during and after surgery. It may be the only anesthesia needed for the procedure. Epinephrine in the solution helps reduce loss of blood, bruising, and swelling. The IV solution helps remove the fat more easily. It is suctioned out along with the fat. This type of liposuction generally takes longer than other types.

\ · Super-wet technique: Super-wet technique is similar to tumescent liposuction. The difference is that not as much fluid is used during the surgery. The amount of fluid injected is equal to the amount of fat to be removed. This technique takes less time. But it often requires sedation (medicine that makes you drowsy) or general anesthesia (medicine that allows you to be asleep and pain-free).

\ · Ultrasound-assisted liposuction (UAL): Ultrasound-assisted liposuction (UAL) uses ultrasonic vibrations to turn fat cells into liquid. Afterward, the cells can be vacuumed out. UAL can be done in two ways, external (above the surface of the skin with a special emitter) or internal (below the surface of the skin with a small, heated cannula). This technique may help remove fat from dense, fiber-filled (fibrous) areas of the body such as the upper back or enlarged male breast tissue. UAL is often used together with the tumescent technique, in follow-up (secondary) procedures, or for greater precision. In general, this procedure takes longer than the super-wet technique.

\ · Laser-assisted liposuction (LAL): Laser-assisted liposuction (LAL) uses laser energy to liquefy fat cells. After the cells are liquefied, they can be vacuumed out or allowed to drain out through small tubes. Because the tube (cannula) used during LAL is smaller than the ones used in traditional liposuction, surgeons prefer using LAL for confined areas. These areas include the chin, jowls, and face. A possible advantage of LAL over other liposuction methods is that energy from the laser stimulates collagen production. This helps prevent skin sag after liposuction. Collagen is the fiber-like protein that helps maintain skin structure.

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\ Blepharoplasty is a type of surgery that repairs droopy eyelids and may involve removing excess skin, muscle and fat. As you age, your eyelids stretch, and the muscles supporting them weaken. As a result, excess fat may gather above and below your eyelids, causing sagging eyebrows, droopy upper lids and bags under your eyes.

\ Besides making you look older, severely sagging skin around your eyes can reduce your side vision (peripheral vision), especially the upper and outer parts of your field of vision. Blepharoplasty can reduce or eliminate these vision problems and make your eyes appear younger and more alert.

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\ Rhinoplasty can be performed under local or general anesthesia, depending on the exact procedure and the person's preference. It is performed in a surgeon's office, a hospital, or an outpatient surgery center. Complex procedures may require a short hospital stay. The procedure often takes 1 to 2 hours. It may take longer.

\ With local anesthesia, the nose and the area around it are numbed. You will probably be lightly sedated, but awake during the surgery (relaxed and not feeling pain). General anesthesia allows you to sleep through the operation.

\ The surgery is usually done through a cut (incision) made inside the nostrils. In some cases, the cut is made from outside, around the base of the nose. This type of cut is used to perform work on the tip of the nose or if you need a cartilage graft. If the nose needs to be narrowed, the incision may extend around the nostrils. Small incisions may be made on the side of the nose to break, and reshape the bone.

\ A splint (metal or plastic) may be placed on the outside of the nose. This helps maintain the new shape of the bone when the surgery is finished. Soft plastic splints or nasal packs also may be placed in the nostrils. This helps keep the dividing wall between the air passages (septum) stable.

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\ Rhytidectomy (facelift) is one of the most commonly performed plastic surgery procedures in the head and neck. Traditional approaches to rhytidectomy (facelift), such as superficial musculoaponeurotic system (SMAS) imbrication or plication procedures, can significantly improve changes in the lower face and in the neck caused by aging. These procedures are discussed in the Medscape Reference article SMAS Facelift Rhytidectomy.

\ The deep plane facelift was developed as a modification of standard facelift techniques to correct facial changes caused by aging that are due to ptosis of midface structures (malar fat pad). The deep plane facelift also attempts to correct deep nasolabial folds.  Other techniques (excluding specific midface procedures) do not adequately address these problems.

\ In carefully selected patients, deep plane rhytidectomy (facelift) can be safely performed with a high level of patient satisfaction. The surgeons' goal is to obtain a pleasing aesthetic result that appears natural and provides no evidence of an operation. This article discusses the preoperative evaluation and surgical techniques that help surgeons select patients who may benefit from a deep plane rhytidectomy procedure.

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\ Abdominoplasty is a cosmetic procedure that treats loose or sagging abdominal skin, leading to a protruding abdomen that typically occurs after significant weight loss. Good candidates for abdominoplasty are individuals in good health who have one or more of the above conditions and who have tried to address these issues with diet and exercise with little or no results.

\ Women who have had multiple pregnancies often seek abdominoplasty as a means of ridding themselves of loose abdominal skin. While in many cases diet and exercise are sufficient in reducing abdominal fat and loose skin after pregnancy, in some women these conditions may persist. Abdominoplasty is not recommended for women who wish to have further pregnancies, as the beneficial effects of the surgery may be undone.

\ Another common reason for abdominoplasty is to remove excess skin from a person who has lost a large amount of weight or is obese. A large area of overhanging skin is called a pannus. Older patients are at an increased risk of developing a pannus because skin loses elasticity as one ages. Problems with hygiene or wound formation can result in a patient who has multiple hanging folds of abdominal skin and fat. If a large area of excess tissue is removed, the procedure is called a panniculectomy.

\ In some instances, abdominoplasty is performed simultaneously or directly following gynecologic surgery such as hysterectomy (removal of the uterus). One study found that the removal of a large amount of excess abdominal skin and fat from morbidly obese patients during gynecologic surgery results in better exposure to the operating field and improved wound healing.

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\ Non-surgical liposuction techniques use laser energy, radiofrequency, ultrasound or cold (cryolipolysis) to reduce fat. Devices are applied directly to the skin of the treatment area and do not employ injections (as in injection lipolysis) or incisions (as in laser assisted liposuction). Although fat loss is more subtle with non-surgical lipolysis techniques compared to surgical liposuction, non-surgical lipolysis techniques have several advantages including reduced risk, reduced cost, and reduced healing time. Laser radiofrequency, and ultrasound techniques provide additional advantages of tissue tightening.

\ · Low level laser light: Low level laser light reduces the stability of adipocyte cell membranes, allowing cells to release their stores of fat without damaging the cell. Because the fat is released into the extracellular space, cardio based exercise is usually promoted after the procedure. Exercise increases lymph flow and is thought to also promote the use of the lipids as an energy source. This is also why adequate hydration is encouraged. The laser technologies are differentiated mainly by the wavelength of light used.

\ · Ultrasound: Focused thermal ultrasound techniques work by raising the tissue temperature above 56 °C, resulting in coagulative necrosis of adipocytes, with sparing of vessels and nerves. Passive heating of the skin may also induce collagen remodeling.

\ · Radiofrequency: Radiofrequency devices work by producing an alternating flow, which creates an electric field over the skin. The electric field shifts polarity millions of times per second, that causes a change in orientation of charged particles.

\ · Cryolipolysis: Cryolipolysis is the term for using cryogenics to induce lipolysis. Adipose tissue is cooled above freezing causing localized cell death and inflammation. 

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\ Laser hair removal is a medical procedure that uses a laser-an intense, pulsating beam of light-to remove unwanted hair.

\ During laser hair removal, a laser beam passes through the skin to an individual hair follicle. The intense heat of the laser damages the hair follicle, which inhibits future hair growth.

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\ Chemodenervation is a term frequently used to describe the use of Botulinum Toxin to treat various forms of neurological conditions. Botulinum Toxin is a natural bacterium produced protein neurotoxin called “Clostirium Botulinum.” It is used to immobilize overactive muscle movements by blocking nerve signals sent from the brain. These nerve signals are instructing the muscles to contract, generating irrepressible spasms. Physicians may use Chemodenervation to reduce symptoms of cerebral palsy, spasmodic torticollis, dystonia and other movement disorders.

\ The neurotoxin is injected directly into the muscle tissue to weaken excessive activity in specific focal areas. The injection is presented in small doses avoiding any risk of paralysis. When the muscles are relaxed they are no longer able to contract therefore preventing the uncontrollable spasms.

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\ Trichology is the branch of dermatology that deals with the scientific study of the health of hair and scalp.

\ Trichologists are hair and scalp specialists (one type of skin specialist) who diagnose the causes of hair fall, hair breakage, hair thinning, miniaturization of hairs; diseases of the scalp and treat according to cause.

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\ A Chemical peel is a technique used to improve the appearance of the skin on the face, neck or hands. A chemical solution is applied to the skin that causes it to exfoliate and eventually peel off. The new, regenerated skin is usually smoother and less wrinkled than the old skin. The new skin is also temporarily more sensitive to the sun

\ · Superficial or lunchtime peel: Alpha-hydroxy acid or another mild acid is used to penetrate only the outer layer of skin to gently exfoliate it. The treatment is used to improve the appearance of mild skin discoloration and rough skin as well as to refresh the face, neck, chest or hands.

\ · Medium peel: Glycolic or trichloroacetic acid is applied to penetrate the out and middle layers of skin to remove damaged skin cells. The treatment is used to improve age spots, fine lines and wrinkles, freckles and moderate skin discoloration. It also can be used to smooth rough skin and treat some precancerous skin growths, i.e. actinic keratosis.

\ · Deep peel: Tricholoracetic acid or phenol is applied to deeply penetrate the middle layer of skin to remove damaged skin cells. The treatment removes moderate lines, age spots, freckles and shallow scars. Patients will see a dramatic improvement in skin appearance. The procedure is used on the face and only can be performed once.

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\ \\ Psoriasis is a long-lasting autoimmune disease characterized by patches of abnormal skin. These skin patches are typically red, dry, itchy, and scaly. On people with darker skin the patches may be purple in colour. Psoriasis varies in severity from small, localized patches to complete body coverage. Injury to the skin can trigger psoriatic skin changes at that spot, which is known as the Koebner phenomenon.

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\ \\ There are five main types of psoriasis: plaque, guttate, inverse, pustular, and erythrodermic. Plaque psoriasis, also known as psoriasis vulgaris, makes up about 90 percent of cases. It typically presents as red patches with white scales on top. Areas of the body most commonly affected are the back of the forearms, shins, navel area, and scalp. Guttate psoriasis has drop-shaped lesions. Pustular psoriasis presents as small non-infectious pus-filled blisters. Inverse psoriasis forms red patches in skin folds. Erythrodermic psoriasis occurs when the rash becomes very widespread and can develop from any of the other types. Fingernails and toenails are affected in most people with psoriasis at some point in time. This may include pits in the nails or changes in nail color.

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Pediatric dermatologists offer treatment for numerous skin conditions in kids, as well as new-borns and infants. Kids aren't simply little adults. They can't categorical what's happening to them. They can't continually answer medical queries, and aren't continually able to wait and useful throughout a scrutiny. Medical specialty dermatologists acumen to comfort, examine and treat kids. This includes examination and waiting rooms that will have toys, videos, and books for kids. Additionally, Pediatric dermatologists use medical instrumentality designed for kids

\r\n <span style="\&quot;color:" rgb(51,="" 51,="" 51);="" font-family:="" "roboto="" slab",="" serif;="" font-size:="" 13px;="" background-color:="" rgb(255,="" 255,="" 255);\"="">Hair transplantation is a surgical process that strikes hair follicles from a part of the body known as the 'donor site' to a bald or balding part of the body often called the 'recipient site'. It's particularly used to deal with male pattern baldness. In this minimally invasive procedure, grafts containing hair follicles which might be genetically resistant to balding, (just like the again of the top) are transplanted to the bald scalp. Hair transplantation can be used to restore eyelashes, eyebrows, beard hair, chest hair, pubic hair and to fill in scars precipitated via accidents or surgery reminiscent of face-lifts and earlier hair transplants.

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\r\n The exciting field of Aesthetic Medicine is a new trend in modern medicine. The real benefit of practicing Aesthetic therapy is a type of care that practitioners are offering to their customers. Aesthetic medicine is an inclusive term for specialties that focus on improving cosmetic appearance through the treatment of conditions including scars, skin laxity, wrinkles, moles, liver spots, excess fat, cellulite, unwanted hair, skin discoloration, and spider veins. Aesthetic medicine includes both surgical procedures and non-surgical procedures and practitioners may utilize a combination of both. 

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\r\n Bariatric surgical procedures cause weight loss by restricting the amount of food the stomach can hold, causing malabsorption of nutrients, or by a combination of both gastric restriction and malabsorption. Bariatric procedures also often cause hormonal changes. Most weight loss surgeries today are performed using minimally invasive techniques (laparoscopic surgery).The most common bariatric surgery procedures are gastric bypass, sleeve gastrectomy, adjustable gastric band, and biliopancreatic diversion with duodenal switch.

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\r\n Dermato-oncology is the primary research topic at the branch of dermatology and focusses on three themes: 1. keratinocyte carcinoma 2. melanoma; and 3. cutaneous lymphoma, especially in organ-transplant beneficiaries. The division of Dermatology is perceived as tertiary referral place for every one of the three patient gatherings. Devoted centers for every patient gathering are founded that fill a double need in particular: guaranteeing ideal patient care, (counting access to clinical trials), and deliberate accumulation of clinical information and patient examples. Essential, translational and clinical research is composed in coordinated effort by clinicians and fundamental researchers utilizing the clinical data and clinically explained material created by these specific centers.

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\r\n Skin growth is the most widely recognized of every single human malignancy, with 1 million individuals on the planet. Disease happens when typical cells experience a change and develop and duplicate without ordinary controls. Tumors overpower encompassing tissues by attacking their space and taking the oxygen and supplements they have to survive and work. There are diverse types of skin tumor with various side effects and hazard factors. Some of these growths even show up on specific parts of the body all the more regularly, making regions, for example, the eyes, ears, and temple more at hazard.

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\r\n Aesthetic medicine is an inclusive term for specialties that focus on improving cosmetic appearance through the treatment of conditions including scars, skin laxity, wrinkles, moles, liver spots, excess fat, cellulite, unwanted hair, skin discoloration, and spider veins. Traditionally, aesthetic medicine includes dermatology, reconstructive surgery and plastic surgery. Aesthetic medicine includes both surgical procedures (liposuction, facelifts, breast implants, Radio frequency ablation) and non-surgical procedures (radio frequency skin tightening, non-surgical liposuction, chemical peel), and practitioners may utilize a combination of both. Although aesthetic medicine procedures are typically elective, they can significantly improve quality of life, psychological wellbeing and social function

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\r\n Radio frequency skin tightening (RF) is an aesthetic technique that uses RF energy to heat tissue and stimulate subdermal collagen production in order to reduce the appearance of fine lines and loose skin. The technique induces tissue remodeling and production of new collagen and elastin.

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