Scientific Program

Conference Series Ltd invites all the participants across the globe to attend 3rd International Conference and Exhibition on Cosmetology & Trichology Las Vegas, USA.

Day 1 :

  • Track 1: Cosmetic Surgeries
    Track 6: Hair Transplantation
Location: Las Vegas, USA

Session Introduction

Jorge Ivan Gaviria

Miami Beach Hair Institute,USA

Title: Men & Women Transplant: A permanent solution

Time : 11:55-12:15

Speaker
Biography:

Diplomate of the A.B.H.R.S. Completed two accredited fellowship programs in Hair Restoration, both with physicians: Dr. Walter Unger from New York City, Toronto, CA., and Dr. Matt Leavitt, from Orlando, Florida. He brings a research background to his artistic craft. He is a principal investigator and has authored several protocols on the topics of: Evidence Based Medicine, Donor Site Closure, Dense Packing, FUE, Survival Rates and Digital Medical Hair. His most well known is his study on Trichophytic Closures. This closure procedure creates a non visible scar. Dr. Gaviria is licensed to practice in Barcelona, Colombia, Puerto Rico and actually practices Hair restoration surgery in Miami Beach, Florida. Dr. Gaviria offers ethical assessment of a patient's treatment options, exceptional surgical skills, and keen aesthetic sense in hair transplant design.

Abstract:

1. Introduction - Hair Transplantation is a new profession in the history of medicine. Hair loss is the result of one's genetic makeup. The hair loss gene can be inherited from your mother's or father's side of the family. The leading cause of hair loss in men is male pattern baldness or Androgenetic Alopecia. Hair loss in women is also related to genetics, hormones and age. 2. Objective - The aim of my presentation is to show state of the art techniques in hair transplant surgery, and offer some tips in the practice of hair restoration 3. Materials and/or Methods - Strip harvesting and FUE are both acceptable techniques for harvesting donor grafts. Each technique has advantages and disadvantages. On a cost-benefit ratio strip harvesting would seem to provide the most cost effective procedure. FUE is well suited for patients who insist on not having a linear scar. 4. Discussion/Results-Technical and aesthetic components of performing hair transplant surgery will be discusses, in order to produce consistently good results. How to customize every patient's case, different options and planification. 5.Conclusion-Aside from hair transplantation surgery, there aren't any other permanent hair loss remedies. Over-the-counter medication (Propecia, Rogaine)brings temporary-and only work for as long as you take the medication.

Speaker
Biography:

Dr. Crystal Porter is a hair scientist who has over 13 years of experience studying hair across the globe. She spent the majority of her career at L'Oreal, USA where she managed the Physics Laboratory and Consumer Insights teams to study the biophysical characteristics of hair within different ethnic groups and to understand behaviors that are related to consumers experiences. She has shared scientific knowledge to fellow scientists and the public at national and international venues. She has also contributed to L'Oreal's global classification of curl in hair and has authored numerous papers, presentations and book chapters.

Abstract:

Hair professionals in the hair care industry need science-based facts about hair products, treatments, processes and ingredients in order to make the best decisions about caring for their client hair and providing advice on self-care. However, there are rampant misleading messages in social media blogs, magazines, and even ingredient claims that are assumed to be factual. For example, keratin treatments are still a health threat and products that claim to have keratin in the formulation do not reinforce hair strength as believed. Hair that has higher moisture content do not necessary resolve issues with dryness. In addition, no-lye relaxers are often times more damaging to the hair than lye-based products. Misunderstanding causes the proliferation of misinformation so cosmetologists and trichologists are not able to provide the best care to their clients. This talk will set hair professionals apart from those who buy into the propaganda. They will learn how to decipher jargon related to hair wellness within the industry and know what questions to ask representatives who market their new products based on new technologies and unfamiliar ingredients. The presentation is designed to deliver a platform of empowerment so that superior service can be given and knowledge can be conveyed to their clients based on truthful information which can be proven and explained.

Speaker
Biography:

Dr. Clemens Esche is a dermatologist in Allentown, Pennsylvania and is affiliated with Pocono Medical Center. He received his medical degree from Medizinische Fakultat: Startseite - Universitat zu Koln and has been in practice for 22 years. Dr. Esche accepts several types of health insurance, listed below. He is one of 2 doctors at Pocono Medical Center who specialize in Dermatology. He also speaks multiple languages, including German

Abstract:

Alopecia in middle aged women is discussed with a focus on female pattern baldness (FPB ), telogen effluvium (TE ), and hair shaft alterations due to hair care. Key to establishing the diagnosis is the clinical presentation along with a detailed history, including medication use, systemic illnesses, physical and emotional stress, endocrine dysfunction and hair-care practices. FPB is the most common cause of alopecia in women and presents with gradual thinning over the mid-frontal scalp. The hair pull test will be positive where the hair is thinning, but negative away from the thinning areas. Topical minoxidil 2% is FDA approved. In postmenopausal women with FPB, finasteride 1 mg/day taken for 12 months did not increase hair growth or slow the progression of hair thinning. Somewhat effective are antiandrogens (e.g. oral contraceptives, spironolactone, cypropterone, flutamide, dutasteride ), prostaglandin analogs (e.g. bimatoprost, latanoprost ), and ketoconazole. Hair transplantation can be considered in advanced FPB that is resistant to medical treatment. Concealment with a hairpiece, hair prosthesis such as extensions, or partial hairpieces can be useful. Weight loss improves FPB in hyperandrogenic women. The efficacy of laser and low-level light therapy remains to be established. TE presents with generalized hair loss with a positive hair pull test, indicating active hair shedding, particularly at the vertex and scalp margin. The modified wash test and dermoscopy can further assist, leaving the biopsy for difficult cases. Automated digital image analysis (TrichoScan ) is error-prone. Treatment of TE primarily involves correction of precipitating medical conditions. Conclusion: Despite its common occurrence, our understanding of the etiology of alopecia in middle aged women remains incomplete. Additional basic research followed by adequately powered randomized controlled trials investigating new treatment options are needed.

D.S Johnson Chang

Chief president at YAyo aesthetic
Canada

Title: Autogenous Adipose Tissue with ADSC for Mammaplasty and renovation

Time : 14:00-14:20

Speaker
Biography:

D S Johnson Chang has 26 years of experience in auto-genus adipose tissue transplantation. He had done his plastic surgery training course for 8 years in University Hospital after graduation at Medical School in Taiwan. And have done his PhD degree of stem cell treatment in PU on 2003.

Abstract:

Mammaplasty And Renovation •MLA Method: Peristeun, Muscular, Upper-Mammary Gland, Lower Mammary Gland, Subcutaneous. •Renovation of Mammoplasty with Implant : Subcutaneous , Upper Mammary Gland Type Of Renovation : A. Dissimilar B. Visible or Touchable of Implant C. Post Removed Implant D. Double Augmentation Conclusion : •Autogenous Adipose Tissue is not only for breast size improved also is best method to renovation breast shape , just like to adjust size dissimilar , level dissimilar, shape dissimilar •The compose Implant mammoplasty and Autogenous Adipose can enhance breast coordinating and sense of beauty •The Implant Mammaplasty complication with unsmooth or shadow of implant that can use Autogenous Adipose Tissue be adjustment filler •Autogeus Adipose Tissue is filler and also permanent filler •Autogenous Adipose Augmentation survivor rate is 15 % . But Autogenous Adipose + ADSC Augmentation survivor rate 60 % to 80 %

Speaker
Biography:

He has started his career as a Consultant Aesthetic Plastic Surgeon in 1999. His work load is entirely composed of aesthetic procedures involving Face Lifts, Rhinoplasties, Breast Augmentations, Breast Reductions, Breast uplift, Blepheroplasties, Browlift, abdominoplasties, Liposuction etc. He has written over 50 articles in peer reviewed journals and have given over 150 presentations in international conferences and congresses. He is a member of editorial board of peer reviewed journals.

Abstract:

Back ground In Muscle Splitting Biplane technique, muscle lies in front and behind the implant at the same time. Submuscular positioning of the implant is achieved by splitting muscle along its fibres direction without muscle release. The concept is used for augmentation mammoplasty and augmentation mastopexy in primary and secondary cases. Methods: Since 2005, author performed 1418 implant related surgeries. The technique was used in primary augmentation mammoplasties (1144 ), primary augmentation mastopexies (66 ), multiplane pocket for augmentation and internal glandulopexy through infra mammary crease (63 ). Muscle splitting biplane is also performed in patients requesting for change of implants following partial submuscular and subglandular mammoplasties (75 ), patients presenting with synmastia (6 ), bottoming down (26 ), capsular contracture (17 ), rippling of the breast (17 ), rupture of implants (9 ) and revision mastopexies following subglandular implant position (13 ). Author has also used the pocket to correct dynamic deformity (12 ) seen following partial submuscular breast augmentation. Results: Majority of the patients were happy with the results. Over all infection rate was less than 0.58%. Revision was performed in one patient following bottoming out correction, one patient had capsular contracture following breast augmentation and in another patient, due to muscle spasm, one of the implant was replaced in subglandular position. One patient required vertical scar mastopexy following internal glandulopexy with augmentation. Conclusion: Muscle splitting biplane is a versatile pocket and its quick learning curve and reproducibility has made it a good option for augmentation mammoplasty, augmentation with mastopexy in both primary as well revision procedures.

Speaker
Biography:

Dr.Chia has done his Diploma in Aesthetic Medicine, AAAM, USA, 2010 and Diploma in Practical Dermatology, University of Cardiff, UK, 2008-2009 & Bachelor of Medicine, Bachelor of Surgery and Bachelor of Obstetrics, Queen ’s University of Belfast, UK, 2000-2005. Currently he is the Founder & Medical Director, IDO ’S Clinic (Malaysia & Indonesia ) & Medical Director, Apex Cosmeceutical Group of Companies, Malaysia & Singapore.

Abstract:

Facial aging is a multi-etiological and 3 dimensional process that involves deterioration of skin laxity, volume loss, muscle atrophy, loss/redistribution of facial fat, changes in bony structures and etc. Multiple breakthroughs have been devised for the goal of non- to minimal invasive facelift; ranging from radiofrequency, high intensity focused ultrasound, thread lift, mesotherapy, fractional lasers and amongst others. What these treatments have in common is stimulation and remodeling of the underlying collagen, thereby, achieving an overall tightening of the skin. As too much emphasis has been placed on the replenishment of the collagen; facial muscles, being one of the key aspects contributing to the aging have often been overlooked! Facial muscles stimulation or commonly termed as “Muscle Re-Education ” has been studied since 60 ’s. Unfortunately, there were limited clinical data to support this theory. Furthermore, it is commonly regarded as beautician treatment, thereby neglected as a useful clinical treatment. “Muscle Re-Education ” has been deployed in all our centers (IDO ’S Clinic ) since 2012 and remarkable results have been obtained that reverse visible signs of aging. This treatment uses pulsed micro currents of low frequency and low intensity to produce shortening effect on the facial muscles that have been elongated over time due to aging and gravity. Visible improvements are observed at nasolabial fold, jawline, malar, necks and a small extent, periorbital areas. The results are cumulative. The evidence on use of solitary pulsed micro currents that we have collected over the last 2 years is convincing. We have also collected multiple successful clinical cases when it is used with other treatments (various botanical extracts ) to provide synergistic effects on aging skin.

Speaker
Biography:

Dr.Ardeshir is presently working in Floreasca Emergency Hospital, Bucharest, Practicing plastic surgery and reconstructive microsurgery. He is practicing plastic surgery-reconstructive microsurgery and Aesthetic and Cosmetic Surgery in private clinics and hospitals in Bucharest. His Specialties includes: Plastic Surgery, Reconstructive Microsurgery & Aesthetic Surgery.

Abstract:

Beginning with idea of “informational lines with intense sexual signals ” mentioned in my scientific studies and works, I am sustaining that each line has it ’s own language and words, giving the things a meaning, sense and expression, specially in this content I am referring to Body Shape, Contour on women ’s face and all together in the term of “Psychoaaesthetics ” We as cosmetic surgeons or beauticians are paying a lot of attention to details regarding the lines, contours and forms. The fact that eyes and lips are playing a very important role in facial expression, not only in human race but also in the world of animals; these two are composing a very strong tools for nonverbal communication, specifically one of the most important anatomical elements in expression of women ’s sexuality. The Cupid's Bow, line of sensuality, the magnetic eyes of Cleopatra in the universal literature, and actually Angelina Jolie ’s, or Scarlet Johansson ’s lips are making subject of beauty and attraction, these are as I mentioned before “The informational lines of intense sexual signals ”. Double-reversed curve of Hogarth, French curves, which are usually based on logarithmic or exponential basis, I am determined to take in consideration in the same sense any other kind of artistic lines which can improve or decrease the “sexual signals ” in surgical procedures.. These lines and curves are important in the psychology and art; however they are accentuated in mimics as nonverbal facial expression in the composition of “Body language ”. One of the most important issues in lip surgery in case of removing or excision of skin lesion or moles on upper lip, specifically on the Cupid area raises a considerable modification of anatomical reports regarding post-op asymmetrical aspect of lips and visible unwanted scar. Usual procedure in case of excision biopsy of any skin lesion according to the British guide lines, is done vertically and with 2mm surrounding secure margin. This is as oncological or pathological secureness, of not leaving any suspected tissue behind. These two case reports of mine are about a patient of 55 and 65 years old which were concerned about post-op outcome and the asymmetrical appearance of the upper lip after excision biopsy of a long standing mole. As we know the vertical excision of lesions on upper lip will leave an asymmetrical aspect of lip and a visible scar later on. So in this technic I am avoiding asymmetrical aspect of upper lip, using my personal approach of butterfly incision which is in accordance to guide lines of primary excision biopsy of skin lesion in UK and cosmetic post-op outcome within an invisible scar. I have to highlight the fact that after this procedure patient has a permanent beautiful lip augmentation which will give her an unexpected cosmetic result and psychological comfort and satisfaction. Conclusion If the removal of mole or skin lesion from upper lip with vertical approach gives to the patient release of not having a malignant or suspected lesion, but it will give here a permanent and undoable asymmetrical lip and a vertical visible scar. I am highlighting that in my proposal technic patient will have an excellent outcome psychological satisfactory beside removal of a suspected lesion.

Diana Marquez Ruiz

San Luis Potosi
Mexico

Title: Rhytidectomy starting from the bases

Time : 15:20-15:40

Speaker
Biography:

Dr. Diana Marquez Ruiz has completed her PhD with honors at the age of 24 years from Universidad Anahuac, School of Medicine, and Mexico D.F. Entered the residency program at Centro Medico National La Raza, IMSS, UMAE, and UNAM. Observational Rotation of Facial and Reconstructive Surgery at McCullough Institute, Gulf Shores Alabama. Head and Neck training at Centro Medico National La Raza. In charge of the head and neck clinic at Centro Medico National La Raza. Private Practice specialized in head and neck surgery and facial plastic surgery at Hospital Lomas de San Luis International Member of ACP-ASIM,SociedaddeOtorrinolaringologia y CCC Centro Médico la Raza A.C., Sociedad Mexicana de Otorrinolaringologia y Cirugia de Cabeza y Cuello SMORL, Hospitals Angeles ALO731, Colegio Potosino de ORL y CCC. Publication at Anales de Otorrinolaringología Mexicana smorl.

Abstract:

There have been over the years many types of surgeries and procedures to prevent and correct the signs of age in the face. But even though they are quite interesting and many try to be less invasive we have noticed that the techniques that involve making changes from more deep planes are the ones that produce better results. Also the decision of making in the first surgery the more aggressive tuck up has been demonstrated to be of more benefit that to do very small changes, because the patient will need a correction surgery in less time.

Matteo Vigo

American Academy of Cosmetic Surgery Hospital
UAE

Title: Face and Neck tightening: Minimally invasive radiofrequency assisted liposuction

Time : 15:55-16:15

Speaker
Biography:

He is an accomplished surgeon offering over 10 years of experience in performing challenging surgical operations encompassing plastic and reconstructive surgeries. Outstanding in performing fat grafting and breast surgeries (both aesthetic than reconstructive ) as well as possessing impressive skills in facial cosmetic and body recontouring surgeries. Exceptional and hands-on experience in Liposuction procedures. Skilled initiator of innovative procedures and strategies while evaluating and managing clinical practices ensuring exceptional customer services and quality patient care. Established cosmetic surgery expert with exposure to global locations and sound knowledge of standard practices and ethics in medicine; conversant with legislation and standards ensuring patient care, vigilance and safety during interventions while achieving clinical excellence.

Abstract:

The face and the neck areas are presenting different aesthetic issues than the body. With our aging population, cosmetic neck and facial surgery for skin laxity, texture and rhytides has been a growth area in aesthetic plastic and cosmetic surgery. However, the long downtime and the hazards of general anesthesia, wound healing and scaring associated with excisional rejuvenation procedures and fully ablative skin resurfacing are deterring many patients from taking the surgical approach. The facial aesthetic issues have been treated with non-ablative modalities, using IPL, lasers and radiofrequency (RF ), botox and fillers that can be performed without anesthesia or with a local one and have little or no downtime. However, the results are less dramatic than excisional procedures and often require several treatment sessions over several months to achieve the best results. An intermediate approach of non- or minimally invasive and ablative technologies was then developed, deploying fractional lasers and RF, using higher fluence than non-ablative modalities but sparing a significant proportion of the skin to act as a “healing reservoir ”. These fractional ablative devices give better results than non-ablative technologies and a shorter downtime than fully ablative approaches, without the need of general anesthesia. The new technology RFALTM (radiofrequency assisted liposuction ) nowadays is the best solution to correct these blemishes. It provides optimal sub dermal RF energy, with precise and uniform dermal heating. The neck is also a challenging area for aesthetic treatments. It is a small and delicate area that often presents with laxity challenges, with or without fat excess. The aging neck, often having a thin fat layer has not been an ideal target for conventional liposuction, where the main concern of skin tightening was not addressed. The FaceTite and NeckTite hand pieces differ in their dimensions and in some features that stem from the anatomical differences between face and neck. Both hand pieces have an external electrode with embedded temperature and impedance sensors, allowing it to directly monitor skin temperature, skin contact and internal impedance in real time. The internal electrode passes immediately under the reticular dermis in the superficial hypodermal fat, while the external electrode glides along the superficial epidermal surface. The RF generated heat coagulates very superficial adipose tissue, coagulates blood vessels, minimizing aspiration-induced or mechanically-induced ecchymosis. The internal electrode also induces a thermally mediated coagulative disruption of sequential hydrogen bonds and un-raveling of the collagen triple helix in the reticular dermis, resulting in an immediate “on the table ” tightening of the skin. Over the 6-12 weeks following treatment there is an RF thermally mediated neocollagnesis and neoelastogenesis which also adds to the tensile and elasticity of the dermis, improving the clinical appearance of skin laxity. Lastly, the external electrode delivers a gentle papillary supra-physiological heating which results in papillary dermal collagen and elastin production. The short and long term effect of the FaceTite and NeckTite treatments is skin and soft tissue tightening. As there is a complete “thermal containment ” between the internal and external electrode, there is no risk to deeper structures, such as motor nerves and vascular structures in the face, and neck (occasionally body ) for safer procedures.

Speaker
Biography:

He has started his career as a Consultant Aesthetic Plastic Surgeon in 1999. His work load is entirely composed of aesthetic procedures involving Face Lifts, Rhinoplasties, Breast Augmentations, Breast Reductions, Breast uplift, Blepheroplasties, Browlift, abdominoplasties, Liposuction etc. He has written over 50 articles in peer reviewed journals and have given over 150 presentations in international conferences and congresses. He is a member of editorial board of peer reviewed journals.

Abstract:

Augmentation mammoplasty is a commonly perform procedure with a high satisfaction rate. Multiplane Pocket is described for simultaneous internal mastopexy and augmentation using inframammary crease incision for selected primary and secondary mammoplasties. The use of the technique is presented with a larger experience for correction of ptosis in patient presenting for revision surgery following subglandular augmentation mammoplasty. Methods A retrospective analysis of data prospectively collected using the Excel spreadsheet was performed. A total of 215 patients had their revision augmentation mammoplasties between January 2008 and October 2013. Of these 215 cases, 25 patients had multiplane augmentation with internal-pexy or lift. Relevant data of 25 patients who had their revision surgery done in multiplane was further analyzed. Results The group included 25 patients with an average age 36.6 years (range 25-24 ) with mean implant duration 6.4 years (range 1.5-13 ). 23 of the patients were non-smokers and n one patient smoking status was not mentioned. 18 patients presented with grade I capsular contracture, 3 patients with grade II ptosis and 4 patients had a combination of grade I and II capsular contracture. Pseudoptosis was present in 6, class B ptosis in 6, A /B ptosis in 3, water-down deformity in 5 and rippling in 5 patients. Average size implant from initial surgery was 334.4 cc (range 250-340 ) and the mean implant size selected for revision surgery was 416cc (range 260-525 ). Of 25 patients, 21 patients had a bilateral procedure where as technique was used unilaterally in 4 patients for the correction of asymmetry. All patients had a singe dose of intravenous dose of antibiotics predominantly and followed by an oral course for 5 days. There was no infection noted in the series. Conclusion All patients had acceptable results and no corrective surgery has been performed in the data of the patients analysed.

Biography:

Jack Sung has graduated from Chinese Culture University in 1982 at the age of 22. He has dedicated to medical device industry for more than years in product study, design, and marketing of biomaterial. He is the hair therapy instructor of Taiwan Society of Tricho logical and Anti-aging Medicine, and China Cosmetology and Hair Transplant Association.

Abstract:

Hair Graying the most obvious sign of human aging and is becoming more and more popular at young population 30 of age. In 1956, Harman et al. first proposed the ‘free radical theory of aging’, which is widely accepted to explain hair graying phenomenon. Wook et al. have recently demonstrated that the accumulation of hydrogen peroxide (H2O2 ) in human white scalp hair shaft in millimolar concentration, with the absent of catalase and methionine sulfoxide reductase (MSR ) protein expression. The function of key melanogenesis, tyrosinase, is limited which leads to the eventual loss of hair color. While the entire hair follicles are subject to H2O2-mediated stress, it become natural to assume that other proteins, including antiapoptotic Bcl-2 protein are targets for oxidation. Nishimura et al. (2005 ) have also demonstrated that hair graying may be caused by defective self-maintenance of melanocyte stem cells, and not of differentiated melanocytes. Such process was dramatically accelerated with Bcl-2-deficiency, which causes selective apoptosis of melanocyte stem cells. Mayumi et al. (2011 ) have recently identified Wnt signal secreted by EpSCs at the onset of hair regeneration, demonstrated that WpSC Wnt activation in McSCs drives their differentiation into pigment-producing melanocytes, while EpSC Wnt signaling not only dictates hair follicle formation but also regulates McSc proliferation during hair regeneration. Tomita et al (2006 ) discovered that PDGF isoforms (AA & BB ) induce and maintain anagen phase of murine follicle. Horsley et al (2011 ) advocates that PDGF is capable of inducing telogen follicles into anagen phase and the concentration of which is dose-dependent. Based on the above findings, we designed an advanced hair regrowth course with major focus on the activation of bulge Hair Follicle Stem Cells. Thus, we wonder if we can activate EpSC to induce regeneration of new follicles, we maybe also activate McSCs to create new melanocytes and to reverse hair graying. We delivered PDGF (Platelet Derived Growth Factor ) and VEGF (Vescular Endothelial Growth Factor ) isolated from platelet after lyophilization, gamma radiation and then revitalization with normal saline solution. The delivery method evolved from micro-needling to needle free electroporation. Global images and tricoscopy of each treatment are recorded for comparison and validation of course effectiveness. A hair growth course of 4 delivery is indicated for each patients on monthly basis subject to the final finding whether hair density reach 120 hairs per square centimeter. If not, additional delivery is indicated. Total new hair gain is calculated by new hair density multiplying affected region during and at the end of the course. So far, over 400 patients have received growth factor treatment since May 2010, while new hair formation has been confirmed in all patients, and to our surprise, many of which show sign of pigment reproducing by tricoscopic examination at the second treatment 21 ~30 days later. The delivery of the above growth factors has been effective that we noticed prompt growth of new hair as early as 3 weeks in young patients and 4 weeks in mid-aged patients. We noted new pigmented hair with unpigmented tip in all patients at 30 day intra-treatment findings. The continued turnover of gray hairs into black hair has been observed 12 months after the termination of treatment. There is a portion of of white old hairs that may not covert to pigmented hair due to complete loss of McSCs. Progenic Hair Treatment provides promising solution to the reversal of hair graying by activating Melanocyte stem cell and the renewal of old white hairs with new-born black hairs. However, these new-born hairs are sensitive to the attack of oxidative stress that further daily anti-aging hair care treatment is necessary to the long-term success.

Speaker
Biography:

Cagatay Sezgin is a General and Hair Transplant Surgeon. He has been performing hair transplantation since year 2000 and performing only FUE since 2006 because of the patient preferences. He is the director of Adana Acibadem Adana Hospital Hair Transplantation Center. He has been the member of International Society of Hair Restoration Surgery since 2001 and the member of European Society of Hair Restoration Surgery since 2013.

Abstract:

Hair transplantation is one of the most frequently done esthetic operations throughout the world. Especially Follicular Unit Extraction method (FUE) is gaining more popularity because of its serious advantages. As it is a very exhausting procedure for the operator and the team, every technology and/or method that would make any step of this procedure much easier is of great importance. One of them is to stain the recipient sites in order to increase their visibility which helps for proper graft planting. One of the most important issue that directly effects the outcome in hair transplantation procedure is to see the recipient sites and their directions thoroughly while planting the hair grafts in to these tiny sites. This method is previously described but not well known and frequently used. Our aim is to describe the details and benefits of this technique again. We use Methylene-Blue for staining the recipient sites and it is also used in different medical practices such as: gastro intestinal chromo-endoscopy, sentinel node determination in breast cancer surgery, urinary fistula determining etc. and has no systemic and local side effect .We use vials of sterile, diluted methylene-blue. Method: After creating the recipient sites, we apply sterile diluted methylene-blue directly on the whole recipient area with a syringe and wipe it with a dry sterile gauze in the fronto-occipital direction in order to stain the lips of the coronally created recipient sites thoroughly; after waiting for 30 second we clean the whole area with Serum physiologic solution.

Biography:

Jack Sung has graduated from Chinese Culture University in 1982 at the age of 22. He has dedicated to medical device industry for more than years in product study, design, and marketing of biomaterial. He is the hair therapy instructor of Taiwan Society of Tricho logical and Anti-aging Medicine, and China Cosmetology and Hair Transplant Association.

Abstract:

Androgenetic Alopecia (AGA ) is a common disease affecting over 50 % male population over 50 years old in the United States. The main molecular pathway has been accepted that 5-alpha reductase in the fast growing cells outside dermal papilla of hair follicle converting testosterone into dihydrotestosterone (DHT ). DHT then binds androgen receptor and the complex of which next binds DNA in cell nucleus, resulting in growth arrest of follicle cell and gradual decrease of protein synthesis. Such molecular pathway prevents vellus hair growing into terminal hair in the next shortened anagen phase. Cotsaralis and his team (2011 ) discovered that hair follicle stem cells resided at bulge area of follicle are the same in number in bald and in normal scalp of human samples. The difference is that due to some kind of abnormaility of stem cells, they fail to convert into progenetic cells. Earlier study suggested a common microinflammation and fibrosis in AGA resulted in fibrosis of outer root sheath fiber that activating growth factor signals were unable to trigger hair follicle stem cells that telogen follicle became unable to transform into next anagen phase. Tomita et al (2006 ) discovered that PDGF isoforms (AA & BB ) induce and maintain anagen phase of murine follicle. Horsley et al (2011 ) advocates that PDGF is capable of inducing telogen follicles into anagen phase and the concentration of which is dose-dependent. Based on the above findings, we designed an advanced hair regrowth course with 3 major focus: 1. Activation of bulge Hair Follicle Stem Cells. 2. Blockage of 5-alpha-refuctase pathway. 3. Control of chronic micro inflammation and fibrosis. We delivered PDGF (Platelet Derived Growth Factor ) and VEGF (Vescular Endothelial Growth Factor ) isolated from platelet after lyophilization, gamma radiation and then revitalization with normal saline solution. The delivery method evolved from micro-needling to needle free electroporation. Global images, and tricoscopy of each treatment are recorded for comparison and validation of course effectiveness. A hair growth course of 4 delivery is indicated for each patients on monthly basis subject to the final finding whether hair density reach 120 hairs per square centimeter. If not, additional delivery is indicated. Total new hair gain is calculated by new hair density multipling affected region during and at the end of the course. So far, over 400 patients have receive growth factor treatment since May 2010. New hair growth has been confirmed in all patients by tricoscopic examination at the second treatment 21 ~30 days later. The delivery of the above growth factors has been effective that we noticed prompt growth of new hair as early as 3 weeks in young patients and 4 weeks in mid-aged patients. New hair growth (5 ~15 hairs per square centimeter ) is observed regularly. Total new hair gains of, 6,000 ~12,000 new hairs have been confirmed at end of the 90 ~120 days course. Addressing the need for blocking 5-alpha-reductase pathway and controlling follicle microinflammation, a hair care solution containing azelaic acid, saw palmetto extract, grape seed extract, green tea extract, morinda officinalis extract, is applied topically once daily during and after the entire course. Shall a severe microinflammation is observed, a foam steroid is also prescribed. We are pleased with the treatment result of Progenic Hair Treatment as it provides effective solution to the main molecular pathways that have caused hair loss in AGA progression. The longest treatment follow-up has been 24 months and the patient has been satisfied with his result. Surprisingly, we noticed hair regrowth in bitemporate regions with our designed treatment where existing medications neither Minoxidil nor Finasteride proved effective. We believe that Progenic treatment provide a satisfactory solution to AGA population with promising expectations.

Speaker
Biography:

He is an accomplished surgeon offering over 10 years of experience in performing challenging surgical operations encompassing plastic and reconstructive surgeries. Outstanding in performing fat grafting and breast surgeries (both aesthetic than reconstructive ) as well as possessing impressive skills in facial cosmetic and body recontouring surgeries. Exceptional and hands-on experience in Liposuction procedures. Skilled initiator of innovative procedures and strategies while evaluating and managing clinical practices ensuring exceptional customer services and quality patient care. Established cosmetic surgery expert with exposure to global locations and sound knowledge of standard practices and ethics in medicine; conversant with legislation and standards ensuring patient care, vigilance and safety during interventions while achieving clinical excellence.

Abstract:

Stem cell based therapies for the repair and regeneration of various tissues and organs offer a paradigm shift that may provide alternative therapeutic solutions for a number of diseases. The emerging field of regenerative medicine will require a reliable source of stem cells and adipose tissue represents an abundant and accessible source of adult stem cells with neither ethical nor immunoreactive considerations, as long as they are of autologous tissue origin. Plastic surgeons are keenly aware of the principle “replace like with like. ” This principle underlies much of the rationale behind the clinical use of autologous fat transplantation, despite the procedure’s drawbacks. Autologous fat transplantation is frequently used for a variety of cosmetic and reconstructive indications. However, the limitations of fat transplantation are well known, particularly the long-term unpredictability of volume maintenance. Resorption rates ranging from 25 % to 80 % have been reported. Therefore, methods to increase graft viability are needed. A recent study, reports the results of a triple-blind, placebo-controlled trial to compare the survival of fat grafts enriched with autologous adipose-derived stem cells (ADSC ) versus non-enriched fat grafts. Compared with the control grafts, the mesenchymal stem cells enriched fat grafts had significantly higher residual volumes: 23,00 (95 % CI 20,57–25,43 ) cm ³ versus 4,66 (3,16–6,16 ) cm ³ for the controls, corresponding to 80,9 % (76,6–85,2 ) versus 16,3 % (11,1–21,4 ) of the initial volumes, respectively. The difference between the groups was 18,34 (95 % CI 15,70–20,98 ) cm ³, equivalent to 64,6 % (57,1–72,1 ). These promising results indicate that mesenchymal stem cells graft enrichment could render lipofilling a reliable alternative to major tissue augmentation with allogeneic material or major flap surgery. These impressive results were possible thanks the passing of the limits of the actual protocols for cells amplification, through the optimization of the condition of cells culture. In particular, the use of platelet lysate was the key of success of this result. The adipose-derived stem cells, that were cultured in platelet lysate, exhibited a significantly shorter population doubling time (PDT ) of 29.6 h (95 % confidence interval, 22.3 - 41.9 h ) compared with those cultured in fetal bovine serum (FBS ), for which the PDT was 123.9 h (95 % confidence interval, 95.6 - 176.2 h ). Comparative genomic hybridization analyses revealed no chromosomal aberrations. Cell differentiation, capillary structure formation and cell-surface marker expression were generally unaffected by the type of medium supplement that was used or by the addition of vascular endothelial growth factor. The use of platelet lysate as a growth supplement for ADSC facilitated a significantly higher proliferation rate compared with FBS without compromising genomic stability or differentiation capacity and, in general, the well demonstrated safety of adipose-derived stem cells, for clinical use, grown with FBS. In conclusion, clearly adipose tissue enriched with adipose-derived stem cells offer the possibility of finally fulfilling the key principle of replacing like with like as an aesthetic filler, without the drawbacks of current technology.