To finish, we can remodel the skin by sweeping the whole face with a suitable handpiece. Each of these programmes takes into account the settings, the phototype, and the treatment depth of the lesions to be abraded Fig. The treatment can also be used on all other areas of the body: neck, décolletage, hands, Fig. Acne is generally improved red and blue light.
Ony- The Blue Derma software comprises a series of treatments with several possible phases, each characterised by settings such chomycosis responds well to a few pain-free LLLT sessions, as energy, pulse duration and frequency, which can be changed allowing the patient to avoid other treatments, which may be by the operator.
A function allows the practitioner to save any personalised protocols. Downtime is almost never cou, décolleté, mains, membres, thorax. Les onychomycoses répondent bien destroyed. This kind of treatment should be performed before any sensibles. The dermal rejuvenation and remo- Tous ces soins post-laser ne sont bien sûr pas à négliger, le delling results are even more effective when you associate the résultat obtenu en sera optimisé en qualité et en précocité : les procedures with the right cosmetics.
Une séance de ce type devrait être un préalable à toute autre intervention esthétique lorsque la peau a été chroniquement insolée. Diplômée de Lasers en Dermatologie, ces traitements avec de plus en plus de précision et de moins Angiologie et Chirurgie Plastique.
Graduated from the Saint-Louis Lariboisière faculty in Paris inin Les résultats obtenus sur la réjuvénation et le remodelage dermatology and plastic surgery of the face. Vice-chairman and regional head of the French associée est bien choisie. Doit-on toujours vouloir un sourire parfait aux allures parfois un peu trop photoshopées? What are the methods available in aesthetic dentistry today? Is it always best to want a perfect smile, even if it looks a little photoshopped?
Society sees a large, régulier et symétrique est typiquement flawless smile displaying straight, white teeth as a benchmark considéré symbole de santé, vitalité, richesse et succès. The size and shape nouvel équilibre. La taille et la forme patient looks. Les canines quant à elle, représentent la force, th.
Il est possible Aesthetic dentistry techniques de métamorphoser un visage, de changer une expression en To increase the size of the teeth, the dentist performs a gin- choisissant des formes de dents plus ou moins carrées, arron- givoplasty — gum surgery — with the aim of altering their height dies.
La taille des dents étant très importante, le rapport de and shape. These materials give avec la hauteur du visage et la largeur de la base du nez. Dental surgery has offre un excellent résultat esthétique, toujours plus naturel. If Ces modifications profondes repositionnement des dents et the morphology of the lower face is altered, then it will still restauration dentaire par des facettes céramiques peuvent look strange.
When you are in your prime and full of health, you want to Dans le cadre des traitements de dentisteries esthétiques boast a sensual smile full of pristine, straight, white teeth! Dans les cas où la morphologie du tiers inférieur du visage est altérée, il persistera une disharmonie. Restituer les expressions dans leur entièreté implique de fait la prise en charge de la forme, du volume, mais aussi de la topo- graphie des structures tant sur le plan superficiel cutané.
Création du projet AOD audition, optique, dentaire. Dental surgeon, trained at the Garancière dental faculty in Paris. Set up the AOD project hearing, optical, dental. Has his own dental practice, Racines, in Dreux. An aesthetic concept to correct shadows and reflect light with just the right amount of product. Each syringe contains 1. Chaque seringue contient 1. I use these products because they contain 1.
It goes without saying that the 2. Bien entendu, 2. Cela signifie to the next. Correcting the shadows and indentations Correction des ombres et dépressions that cause negative vertical expressions qui génèrent des expressions négatives We correct the triangular areas of shadow, which are vi- verticales sible both at rest and when the face is moving.
This stage is not necessary for all patients, and will sometimes Cette étape ne sera pas nécessaire pour tous les patients et elle be just enough for young patients who want to enhance their sera parfois juste suffisante pour les jeunes patientes souhai- existing look.
Surgeon of the face and neck. I ls sont très fréquents et seul un expert peut les traiter Festoons are more common than we think but only an expert correctement. Ils représentent un vrai problème pour would recognise them. They have been a frustrating problem les chirurgiens car ils peuvent persister suite à une for surgeons because they persist after classical blepha- blépharoplastie, sont récurrents et nécessitent par- roplasty, are recurrent and sometimes a secondary procedure fois une seconde intervention.
Étiologie et physiopathologie Etiology and pathophysiology Les monticules de Malar et hernies graisseuses sont Festoons can appear with age or can be genetically inherited. Le développement des monticules de Malar, des hernies and mid face. The chronic distention voque une descente de la jonction de la joue et une dégénéres- over a strong structure, represented by the malar septum and cence des muscles orbiculaires qui étire la peau sus-jacente.
Fat and fluid may also begin to accumulate in the de Malar et des poches. Avant et un mois après malaire marqué, avant et un mois après la procédure. A 62 year old patient with marked malar festoon, A 47 year old patient with festoon.
Before and one month after the procedure. Settings used were intensity 4 and fractionation 3. Settings used were intensity 4 and fraction 3.
Le plasma est considéré comme le quatrième état de la matière après les solides, les liquides et les gaz. Il agit uniquement sur la zone concernée, injection fat or fillers are the options to consider in the treat- sans endommager les couches plus profondes de la peau et ment of festoons.
This device delivers 4 levels of frac- affecter la couche de cellules basales, créant un effet lifting. In this way, the doctor can Les dispositifs non fractionnés causaient plus de dommages adapt the treatment and maintain a constant level of safety.
Les dispositifs Plasmage generates its plasma through an electric discharge, fractionnés ne vont eux pas aussi profondément et évaporent without directly contacting the skin. En cicatrisant, ces spots se rapprochent les uns The electrical discharge causes a temperature rise in a targeted des autres. On part of the skin in a very selective way, with high energy den- ignore encore quel est le mécanisme permettant de réduire sity.
Le plasma fractionné est bien surrounding tissue and side effects are much more common: adapté au traitement des festons légers ou modérés à prédomi- prolonged erythema, hyperpigmentation. This is due to the nance cutanée. Il sera bien évidemment adapté au cas par cas continuous beam of energy used, compared to the pulsating et pourra être un bon complément à une approche chirurgicale beam of the fractionated devices.
The fractionated devices also de cette zone pour obtenir un résultat optimal. This technology can be an adjuvant therapy or a solution for small, incipient festoons.
This technology does not anchor the sagging tissue, but stimulates contraction and improves the skin laxity. It is still unclear what brings about this reduction in local oedema. The results are encouraging but further long term studies should be done. Fractionated plasma can be an adjuvant for surgical correction or can be a primary treatment for mild or moderate, skin predominating festoons.
However, a clear un- derstanding of each patients dr berg cellulite exercises variations of festoons, together with an individualised treatment that might combine surgical and non-surgical procedures, may be the key for an optimal outcome. Monticule malaire sévère avec accumulation de liquide et atrophie de la région médiane de la joue. La deuxième image montre le résultat un mois après la procédure.
Une deuxième séance est prévue après 2 mois. Patient 62 years old with massive weight loss post bariatric surgery. Dermatologue et médecine esthétique. Elle exerce Severe malar festoon with fluid accumulation and atrophy of mid cheek à la clinique Skin Clinic de Bucarest. Second image shows the result one month after the procedure. Dermatologist and aesthetic dermatologist Settings used were intensity 4 and fractionation 3. Another second session is scheduled after 2 months.
Vous aimeriez illuminer votre visage? Want to look less tired this winter? Want to brighten up your face? This aesthetic medicine technique can make you happy again, by correcting your nasolabial folds and expression lines. The second set crosses the expression line area: the first re- La première série vient traverser le sillon nasogénien.
As the months pass, this product, which contains de la 1re rétro-traçante se situe sous la lèvre inférieure, celle calcium hydroxyapatite, creates collagen that will continue to des 2e et 3e se situent en dessous, en direction de la zone men- lift the sagging areas, without adding any volume so as not to tonnière. The amount of broken skin is minimal and the expression lines Le Happy Face se réalise uniquement avec du Radiesse. Rajeuni laser clinic jakarta cannula should be des mois du collagène qui continuera à tracter les zones pto- inserted into the dermo-hypodermal junction, as superficially sées, et ce sans ajouter de volume afin de ne pas changer ni as is possible for a cannula.
The Radiesse is injected in a retro-tracing fashion, slowly and Les cassures dermiques sont amoindries et les plis se evenly, and without over-correcting the product is very pre- retrouvent largement diminués.
Deux seringues de Radiesse cise and non-hydrophilic. Once the injections have been car- Lidocaïne 1,5 ccsoit une mx rider shop côté, sont utilisées. La canule ried out, the practitioner gently models the product to achieve doit être insérée dans le plan de la jonction dermo-hypoder- the desired result.
Une fois les injections faites, le praticien modèle right down to the chin. Only Radiesse, due to its composition, can achieve this lifting effect without affecting the facial volumes. Immediately afterwards Seul le Radiesse, de par sa composition, peut donner cet effet de traction sans intervenir sur les volumes.
Their negative expressions have vanished, and their mouth is back to its original position as the skin folds are no longer Un résultat naturel dragging it down. Patients aucune altération du visage ni des mimiques. Le visage en are often surprised at the results achieved with just one sy- dynamique reste naturel et mobile, sans effet figé.
Les expres- ringe of product on each side, and at such an affordable price. Un protocole simple, reproductible à essayer rapidement. Muriel Creusot Dermatologie chirurgicale, médicale, dépistage des cancers cutanés, dermatologie esthétique et laser. Cryolipolysis is a well-established treatment option for patients La cryolipolyse est une solution de traitement largement looking for non-surgical reduction of submental fat.
The be- reconnue pour les patients recherchant une réduction non nefit of this technique is that it incurs hardly any downtime chirurgicale de la graisse sous-mentale.
The results will be the same as with this surgery: la nécessité de porter des vêtements de compression comme patients will enjoy a permanent elimination of fat cells and dans le cas de la liposuccion. Tout comme cette méthode permanent results. What results can be expected? Setting realistic patient expectations is the key to success.
Définir des attentes réalistes du patient est la clé du succès. In very rare cases we notice panniculitis after cryolipolysis. Quels sont les risques de ce traitement? The benefit is a very good result on fat tissue reduction. Globalement, la cryolipolyse a des effets secondaires with medical cryolipolysis? We also avec la cryolipolyse médicale? This is why the inner thighs are tricky areas la cryolipolyse est très efficace, nous pouvons également for classic liposuction.
Cryolipolysis is our favourite treatment traiter la partie interne du genou ou les plis adipeux situés au option for non-surgical fat reduction. En effet, cette zone important? La cryolipolyse chines promising to freeze fat away.
Just like your home fridge, est le traitement de choix pour la réduction non chirurgicale a lot of machines probably produce low temperatures but are des amas graisseux localisés.
Être à la pointe des dernières techniques, réaliser des traitements avec mais ne sont pas pour autant capables de concentrer un froid un haut standard de qualité et construire une relation privilégiée avec ses patients sont ses stable, homogène et sûr dans des applicateurs durant tout un principales priorités. Rolf Bartsch has many years of experience in the field of plastic and aesthetic surgery.
In her very first appointment Fig. Dès la première consultation cli- takes an hour, without the need for anaesthetic, and involves nique Fig. There are a great consacrée à un nettoyage minutieux des surfaces dentaires many techniques around to recover the natural appearance détartrage, retrait des colorations exogènes et polissage of clean teeth.
Elle se déroule en une technique carried out in the dental chair. Nous utili- teeth and the gums so as not to cause any harmful collateral sons pour cela un aéro-polisseur avec poudres à granulomé- damage a protective gum shield is used. Résultat clinique en Fig. Fig 3. Fig 4 and Alphabio, over the past twenty-five years. Anti-âge intégral, a prolonged cooling effect, a pillow structure to gently massage the eye area, and anti-rides, cernes et poches.
Priced des yeux avec sa formule trio-moléculaire associée à des peptides anti-âge. Crème super-perfectrice éclat. Est-il possible de en atténuant poches et cernes. En flacon airless de 30ml A global anti-aging cream. This high- make-up? Retrouvez dans cette gamme 2 soins : Oxygen-Glow et Oxygen-Glow smoother and denser, while reducing dark circles and puffiness. Crème en pot de 50ml au prix de Excellence range, along with the Masque Crème Magique. Super-perfecting radiance cream.
How can you post flawless pictures 2. Crème cryo-booster. Cette formule composée without resorting to layers of make up? The range is made up of two face care products, luttant contre le vieillissement du regard. Trois molécules incontournables ont été Oxygen-Glow and Oxygen-Glow Eyes, and two boosters, Oxygen-Glow Clean and sélectionnées : acide hyaluronique, sulfate de l tyrosine perte de poids zumba, vitamine B3.
Une structure Oxygen-Glow Mask. Cryo-Booster cream. This product réaliser tous vos désirs. Triple benefit: prediction on the inside of the label comes true!
Masque Défatiguant Lissant Yeux. En 10 gourmande pour mieux préserver la jeunesse de votre peau. Résultats : moins de poches, un drainage des tissus et une contre les effets de la pollution, cette ligne de soins booste, détoxifie et hydrate peau repulpée. Smoothing and Reviving votre peau durablement. Crème hydratante fondante en pot de 50ml au prix Eye Mask. Protective hydration. Comprising a refreshing gel, a lavish cream eye area thanks to its duo of brown and red algae coupled with buckwheat oil.
Containing Cellular Water, which has bioelectric and antioxidant 8. Des actifs issus du terroir. Fluide premières rides. Active ingredients from a Alpes qui possède des propriétés anti-âge exceptionnelles et agit sur la fermeté vineyard.
With a high concentration of polyphenols from the vines in the Chateau de la peau. Boostée également en acide hyaluronique pour un effet repulpé et plus Roubine estate, this serum was formulated with Mediterranean plant actives: vine jeune. An flower that has exceptional anti-aging properties and increases skin firmness. A surgical approach with precision! La médecine esthétique comme la chirurgie évoluent de options envisagées. Preuve en est, sion et la possible visualisation des divers projets envisagés.
Rare en Suisse romande. Guidé par micro-caméras vidéo, il embellit le front, les tempes, les sourcils, le regard et les pom- mettes.
Un travail de précision millimétrée. Guided by micro-video cameras, he beautifies the fo- elle aussi. Un traitement éprouvé qui confère un regard The 3-stitch lift for the lower face and neck is perfect for particulièrement naturel, reposé, attirant et intense.
A Liposuction and lipofilling in the neck and jowls are also useful very rare offering in French-speaking Switzerland. A gentle approach He also fits cheekbone implants and performs straightforward In the heart of the city, on the left bank, in the Champel genioplasty — also called mentoplasty — by fitting chin implants, neighbourhood and not far from the Russian church, the Face with or without a visible scar.
Clinic Geneva is dedicated entirely to aesthetic treatments for the face and neck. Among the treatments available in this frien- Surgery-free aesthetics dly clinic, located inside Imaderm, is a full range of aesthetic The clinic offers an extensive portfolio of quick and effective surgery procedures for the face and neck, as well as aesthetic non-surgical aesthetic medicine treatments that use botulinum medicine.
Most of their facial surgery is carried out in outpa- toxin injections or hyaluronic acid. They are mainly used to tient surgery, in a partner clinic in Geneva or Genolier. It ment, coupled with an interactive 3D simulation and analysis involves beautifying the eye area with injections to achieve a sub- of the options suggested.
This proven treatment derstands the procedures and can visualise the results of the makes the eye area look natural, rested, attractive and intense. With a central location in the Bouches du Rhône, at bis Cours medicine and surgery Gambetta in Aix-en-Provence, the clinic is in a prime location in the heart of Provence. La clinique Sainte Victoire a fait peau neuve ces derniers mois, This premium establishment offers all kinds of aesthetic treat- avec un nouveau look et de nouveaux équipements pour rester ments in one place: cosmetic surgery and aesthetic medicine à la pointe de la médecine et de la chirurgie esthétique.
Les Facteurs de croissance sont un groupe de protéines fragiles Growth factors are a group of fragile and select proteins that et spécifiques qui agissent comme des messagers chimiques act as chemical messengers between the different types of entre différents types de cellules. Ces Facteurs de croissance se trouvent naturellement dans le Growth factors are naturally found in the human body, par- corps humain et plus particulièrement dans les fibroblastes. These select growth factors play Les Facteurs de croissance spécifiques jouent un rôle dans la a role in cell regeneration, blood vessel differentiation, and régénération cellulaire, dans la production de vaisseaux sanguins collagen and elastin production.
Ces facteurs de croissance per- abundant hair. Hair Complex permet de nourrir le cuir chevelu en stimulant la circulation sanguine au niveau des racines du cheveu.
What results can you expect with Hair Complex? Addresses hair loss by stimulating the hair follicles. Quels résultats avec Hair Complex? Nowadays, an attractive smile is an essential factor for beauty and self-esteem. There are many different types of cosmetic and dental treatments available, a combination of which can help us achieve a more dazzling, whiter smile that makes us look younger and more attractive.
Réjuvénation des tissus du tour de bouche bas du visage par exemple ou un remodelage, cette technique La technique du Resurfacing ou relissage laser permet de apporte un bel effet de réjuvénation et de tonification de la retrouver une peau jeune et tonique par une sorte de gom- peau mettant en éclat le bas du visage et par la même occasion mage des rides du visage dans leur ensemble, réalisé en une la bouche et le sourire.
Les implants den- thermique lui procure une capacité unique à retendre la peau. The rejuvenating effect is spectacular and natural-looking.
Toxine botulique prix overheating warning
This technique is an ideal solution for correcting deep radial wrinkles around the mouth, to achieve more youthful-looking and smoother skin. Laser resurfacing involves removing the epidermis and part of the dermis, layer by layer. A CO2 laser is essential for perfor- ming this kind of skin peel: its thermal effect gives it a unique skin-tightening ability.
Plumping the lips implants and highly compatible zirconia crowns. In such a delicate area as the mouth, it is important to consider Retracing the facial contours all of the features - the lips, the teeth and even the lower part A technique using HAUTE COUTURE regenerative threads of the face - in order to achieve the overall result desired by the tightens, rejuvenates and lifts the face and facial contours wit- patient.
This is why a combination of aesthetic and dental tech- hout surgery and in just one or two sessions. Ideal for redefining or niques, paired with the expertise of each specialist concerned, reshaping the lower face, this technique significantly rejuvenates is the ideal recipe for achieving a perfect smile. Véronique Emmenegger Dental treatments Docteur en Médecine. A complete overhaul ans.
By virtue of their osseointegrative properties, dental Clinical Dermatology, Venereology, Allergology and Immunology.
Inshe co-founded the Lémanic implants are now the solution of choice for replacing missing Clinic in Lausanne, Switzerland — a clinic dedicated to anti-aging, skin health and beauty — where she teeth or simply for creating a more harmonious smile. High-definition liposuction enables us to reveal the anatomical structures underneath.
It is not just about removing fat, but rather about highlighting the shape of the muscles and tendinous insertions with the help of new equipment and new techniques. We use new equipment: new cannulas narrower veaux matériels, notamment des nouvelles canules canules and slightly rougher that allow us to enhance the definition plus fines et légèrement râpeusesqui permettent de renfor- of the muscles, particularly on the lateral side of the muscles, cer la définition des reliefs musculaires, notamment sur la par- where the tendons go in.
We also use assisted liposuction tie externe et sur la partie latérale des muscles au niveau des equipment, such as vibro-liposuction tools, which are vibrating insertions tendineuses.
On utilise également des matériels de cannulas that improve the muscle-sculpting effect. However, the muscles. OC: That is a very good question. Effectivement, la so in our pre-op appointment, we ask the patient if they would graisse est un matériel précieux.
Donc on ne jette jamais la like it to be reinjected elsewhere. On doit évaluer la silhouette de la patiente, voir which areas could do with a little extra padding.
This is the widest point of the body. So, by removing this excess loca- excès de graisse qui sont localisés sous le muscle deltoïde et lised fat, we can slim down the figure. Cette zone est en fait la région la plus latérale, la plus externe de notre silhouette.
Elle a ten- dance, même avec quelques millimètres en excès, à élargir la silhouette. Donc en traitant ce petit excès de graisse localisé, on élancera la silhouette. Qualité en Chirurgie Plastique, Reconstructrice et Esthétique. Qualified in Plastic, Reconstructive and Cosmetic Surgery.
Graduated www. Member of the French You can watch the video of this intervention on: Society of Plastic, Reconstructive and www. Medical penoplasty using hyaluronic acid is a non-invasive medical technique that quickly and easily increases the circumference of the penis. Comment répondre à cette demande? How do you respond to this demand? Nous pouvons safe. Quelles sont les innovations? What has changed? We need to choose monophasic cross-lin- Il faut choisir des gels monophoniques réticulés qui pourront ked gels that can be easily dispersed without forming lumps.
De final result depends on the quality of the product used. The second concerns the equipment used to carry out the in- Le second concerne le matériel utilisé pour les injections. Un jections. The cannulas must not be too thick, Les canules ne doivent pas être trop épaisses, sinon elles sont otherwise they are too rigid.
The best choice is a cannula maigrir 2 kilo en 1 semaine quantité is rigid la canule.
There can also be some problems du patient qui demande un passage au bloc opératoire et une with irregular distribution of the fat. When it is not distributed anesthésie générale. On peut également être soumis à des correctly, fat is difficult to remove. This type of surgery is very aléas de répartition de graisse.
Le geste chirurgical patient needs to have it done again because the fat has been demeure très lourd, sans possibilité de retour en arrière et avec partially reabsorbed. SA: It is an outpatient procedure, not a surgical operation. First, the patient meets with the doctor to discuss their ex- quelquefois la nécessité de retourner plusieurs fois au bloc pectations. On the day of the procedure, the patient applies opératoire en raison de la résorption importante de la graisse.
I make two injection points: one into the head of the médicale? Pour autant, il doit être réalisé par des praticiens formés à sings onto the penis, and the patient can then return home. We cette technique car cela demeure un organe particulier. The aftercare au préalable ses attentes. Gently massaging the applique une crème anesthésiante une heure avant sur les area several times a day can help distribute the product around endroits qui vont être injectés le gland et la verge.
Je réalise the shaft of the penis. Many men think de manière à ne pas faire bouger un produit peu stabilisé.
This procedure can therefore give men a sie locale. Des massages plusieurs fois par jour peuvent être huge confidence boost in their everyday life, and particularly pratiqués au niveau de la verge pour bien répartir le produit. Stéphane Auroy on social networks aux hommes dans leur vie de tous les jours et surtout lors des rapports sexuels. Il faut aussi préciser que lors des débuts de www. Finalement, pas du tout.
Les premières demandes You can watch the video of this intervention on YouTube: que nous avons eu étaient des hommes qui avaient des pénis youtu.
Stéphane Auroy Spécialiste en dermatologie et vénérologie. Ancien chef de clinique des Hôpitaux de Paris, spécialisé en dermatologie esthétique depuis 20 ans. Specialist in dermatology and venereology. Master of Advanced Studies in skin biology and pharmacology. Former Registrar for the Paris Hospitals, specialising in aesthetic dermatology for the last 20 years.
This procedure also allows the buttocks area to be treated completely non-invasively, lifting it and making it tighter, with no injections necessary! It is an entirely new technology in a category that goes beyond waist line reduction and surgical buttock augmentation. Depuis longtemps le développement musculaire est confiné à des entraînements intensifs, laborieux et chrono- phages. Un champ électromagnétique concen- tré est envoyé de façon non-invasive à travers le corps et interagit avec des neurones moteurs qui déclenchent des contractions musculaires extrê- mement denses.
Cela permet non seu- lement de renforcer et de tonifier le muscle, mais aussi de réduire la masse graisseuse sans affecter les tissus environnants.
Ces contractions maximales ne peuvent pas être atteintes par une action musculaire normale. HIFEM utilise une gamme spécifique de fréquences qui empêche les muscles de se détendre entre deux stimulations consécutives. Nelly Gauthier, medical director and owner of Dr. Nelly Gauthier Aesthetics in Paris, France.
Les applicateurs qui that subsequently trigger supramaximal muscle contractions. The focused energy induces almost 20, ceinture les maintient en place. These supramaximal contractions can ne- le patient peut repartir. The use of electromagnetic fields is what makes consultation. Après avoir examiné le patient et pris en compte EMSCULPT unique and permits it to penetrate deeply and ses antécédents médicaux, le docteur Gauthier demande au contract muscles with unmatched intensities, which is the key patient quelle région du corps, entre le ventre et les fesses, to exceptional treatment results.
High intensity focused electromagnetic therapy 5 Jacob, Carolyn I. Lasers in Surgery and Medicine [online]. Journal of Cosmetic Dermatology. ISSN [cit. DOI: ISSN It is also cleared by the U. The feeling after treatment is usually one of eleva- tion, just like the one you get from a good workout. Gauthier 8 weeks after 4th treatment explained. The appli- cators that transmit the electromagnetic waves are placed in full contact with the skin.
No gel is required, and a belt holds them in place. The correct level of intensity is achie- ved gradually, allowing the body to become accustomed to the feeling. MCCOY is recommended that a physician performs the initial patient consultation.
In Dr. The whole pre-treatment process is important for setting the right goals and expectations. They tant car il permet de fixer les bons objectifs et de clarifier les have said they feel stronger, which I totally agree with, because attentes.
Gauthier, body posture is what really helps improve the sur les muscles commencent habituellement à apparaître au appearance of both young and older people. Se stomatologie, a assisté et formé de nombreux médecins et chirurgiens plasticiens. Skin aging is an extremely complex process, which basically depends on two factors. However, it is vital to adopt a suitable pre- signes du temps sont encore peu présents. En revanche, vention routine, such as treating dehydration with Skinboos- il faut impérativement adopter une routine de prévention tersTM and Biostimulation.
I also recommend trying to prevent adaptée par exemple pour la deshydratation avec du Skin- the appearance of wrinkles on the forehead and around the boostersTM et de la Biostimulation. An SPF50 is essential. Le SPF50 est évidemment indispensable. This type of skin wrinkles very little, and on average looks around ten years younger than Caucasian skin.
Rarely dry, usually com- extrêmement sensible à la pollution et qui a tendance à se bination to oily, it often lacks water and radiance, while suffe- tâcher.
Il faut donc dès 40 ans prévenir de la déshydratation et apporter une redensification dermique. Et pour le teint terne et les imperfections, je préconise quelques peelings doux NeoStrata et de la mésothérapie de vitamines.
Pour elle aussi, le SPF50 est évidemment indispensable. Marilyne Plasqui, and flawed complexion, I recommend a few gentle NeoStrata médecin esthétique peels and vitamin-rich mesotherapy. SPF50 is also vital for this type of skin. En vieillissant, elles lanin, a veritable sun shield that preserves the cells. Les sillons more sebum. Mais surtout il faut hydrater on this type of skin, as they can aggravate any pigmentation en profondeur avec du skinboosterTM.
Marilyne Plasqui, issues. But, above all, this type of skin needs deep hydration médecin esthétique. Grâce à ce nouveau système la sensation de 2.
Le visage retrouve ainsi toute sa pour combler les rides moyennes à profondes et peut également apporter une plénitude et sa jeunesse. Vivacy presents a new innovative patented injection correction subtile et naturelle aux lèvres. Son haut niveau de needs of patients. Sci Rep ; 6: Kim J. Symptoms of atopic dermatitis are influenced by outdoor air pollution. J Allergy Clin Immunol ; — Kim E.
Indoor air pollution aggravates symptoms of atopic dermatitis in children. Thiele J. In vivo exposure to ozone depletes Vitamins C and E and induces lipid peroxidation in epidermal layers of murine skin. Free Radic Biol Med ; — Hoe Q. Effects of environmentally realistic levels of ozone on stratum corneum function.
Int J Cosmet Sci ; — Ambient ozone pollution as a risk factor for skin disorders. Br J Dermatol ; — Eberlein-König B. Influence of airborne nitrogen dioxide or formaldehyde on parameters of skin function and cellular activation in patients with atopic eczema and control subjects. Just M. Effect of smoking on skin elastic fibres: Morphometric and immunohistochemical analysis. Br J Dermatol ; 85—91 Robert C. Low to moderate doses of infrared A irradiation impair extracellular matrix homeostasis of the skin and contribute to skin photodamage.
Skin Pharmacol Physiol ; 28 4 : — Liebel F. Irradiation of skin with visible light induces reactive oxygen species and matrix-degrading enzymes. J Invest Dermatol ; 7 : — Lohan S. Free radicals induced by sunlight in different spectral regions — in vivo versus ex vivo study. Exp Dermatol ; 25 5 : — Duteil L. Differences in visible light-induced pigmentation according to wavelengths: a clinical and histologicalstudy in comparison with UVB, UVB exposure, Pigment.
Cell Melanoma Res ; 27 5 : — ZD Draelos, Noxious sensory perceptions in patients with mild to moderate rosacea, Cutis 74 — Wood et al. Archives of Dermatology Allured books, R Wolf, L Parish et al, Drinking 6 to 8 glasses of water in day is essential to skin hydration : myth or reality. Skin Med 6 Une nouveauté également, le dispositif Agate by Cristal, dédié au traitement des petits amas graisseux : menton, bras, genoux ou zone pectorale.
Sa technologie de refroidissement brevetée CCDSTM et ses 3 applicateurs interchangeables offrent la garantie de résultats en toute sécurité. Dr Nicola Zrbinati discusses new technologies to determinate a real improvement in HA filler preformance. Presentation of the IMCAS Academy and its figures, and a first assessment regimenes matrimoniales en la republica dominicana a new, practical and modern training tool.
Dr Emmanuel Elard and Dr Per Heden exposes the secrets of good clinical photography and new coming advanced technologies. He is also a member of the Faculty of Pharmaceutical Medicine and is an expert in the science behind botulinum toxins for aesthetics.
Injection de toxine botulique (botox°) contre les rides
Professor Andy Pickett has worked on botulinum toxins for over 23 years. Andy has lectured around the world on the products, translating the science into practical understanding for injectors. Tiina Orasmäe-Meder, aesthetic doctor, founder and director of Meder Beauty Science Switzerlandspecialised in the field of creation and development of cosmetic products and professional protocols of the applicationshe.
Mr Erian practices in Cambridge and Harley St. Printed by Imprimerie de Champagne. Valérie Philippon is an aesthetic and anti-aging doctor, holding a DU in aesthetic gynecology, IUD in nutrition, anti-aging morphological medicine, filling and injection techniques. Graduated with an MBA in Marketing, she is an international consultant in medical management and scientific communication. He has written for numerous publications and has a particular interest in the thyroid and menopause. Next Comment faire perdre du poid a ma fille de 8 ans karaté Motion Motion is is a complete a complete solution solution Next Motion is a complete solution that that allows allows Doctors Doctors toto create, create, that allows Doctors to create, edit edit and and share share videos videos thanks thanks toto edit and share videos thanks to a motorized a motorized equipment equipment run run byby aa a motorized equipment run by a mobile mobile and and tablet tablet application.
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Stored Stored onon a secured a secured cloud, cloud, Stored on a secured cloud, reachable reachable from from any any device device reachable from any device at at any any time. First and foremost, Dr Ascher, congratulations! We are, of course, very happy to celebrate this 20th anniversary congress. It is a celebration of our growth, step-by-step, to be one of the leading teaching group of congresses, dedicated to high-level content about plastic surgery, dermatology and aesthetic science.
We want to thank our strong physician community, including the 8, attendees that we will welcome in Paris, the 1, attendees we will welcome in Cartagena and Seoul, and the 12, members connected on IMCAS Academy. Could you give us some highlights of this special edition?
A lot has changed over the last 20 years. In our program for the 20th anniversary congress we will analyse the progress that has been made over the last two decades in our major topics, and then look towards the future. Our major topics of course include anatomy, and our famous anatomy on cadaver workshop, but also all injectables, lasers, threads, surgery, genital treatments, cosmeceuticals, clinical dermatology, economy, and practice management. Another highlight will be the all-new Aesthetics Innovation Forum, which will gather entrepreneurs and investors together.
The forum is designed to educate participants about the new innovations out there and give advice to innovators. Finally, IMCAS is working in collaboration with Academic learned societies and sponsors to bring attendees pre-congress workshops.
Specialists from around the world will lead the discussion on the complete range of procedures and recent innovations involved in septorhinoplasty. Each session will begin with an anatomical presentation, followed by video presentations. Master Course in Aesthetic and Reconstructive Genital. This full-day workshop will focus on both topics in surgical and non-surgical genital restoration, with live demonstrations broadcast from a nearby clinic.
There will also be a sponsored pre-congress class on mammary implants and contour aesthetic surgery, and sponsored cadaver workshop focusing on injection and suture techniques, both with the participation of a number of leading experts in the field. After 20 years of the congress, we would say that aesthetic medicine and IMCAS grew up together and witnessed the changes and evolution of the anti-ageing and medical aesthetic field. In your opinion, which type of innovations or trends will become the most significant in the next few years?
I believe that the influence of Artificial Intelligence AI will become one of the most dominant trends over the next few years, especially concerning patient analysis, diagnosis determining and practice treatment. AI imaging tools and robotics in particular will play a big role in our field as well as in all medical development.
The influence of the digital world, including social media, will become more important than it already is. And our ability to control this influence will become one of our biggest concerns. One of the main areas of interest for delegates in the scientific programme, is learning from both plastic surgeons and dermatologists.
Do you think these two specialities should work more closely togehter to pursue the enhancement of the anti-ageing and aesthetic fields? And do you think this would result in benefits for the patients, and improvement in quality of care? It is important to nurture the link between all medical and surgical expert physicians dedicated to our field.
One way we can see the benefits of maintaining these good relations is the mutual good partnerships that we now have with the non-physicians in our field, including aesthetic professionals, physician assistants, nurses and dentists.
Of course, our patients then benefit from improved quality of care as we are all working together. IMCAS Global prices seem to be reducing, while demands from patients for different treatment are rising. This expanding situation needs to be managed to ensure patients continue to receive top quality treatment. Our medical approach needs to be balanced to keep up with the expansion.
Medical training is essential for all practitioners, particularly in our field that shows constant evolvement within a digital environment. What could be the next advancements in digital Medical training? And do you know what expectations practitioners have? As physicians become more and more busy, they need to be able to access high quality content quickly, in a short and practically manageable format.
Coupled with the fact that everything is now linked in permanence to our mobiles phones, our constant companions, provided evidence that we needed to grow the e-version of IMCAS.
The videos are not only beautiful and easy to watch, they are also very accurate, with a convenient mode of peer review. And new videos are added throughout the year from our congress.
Finally, we have also added some addi. It is a place where they can learn and exchange. Physicians cannot only acquire knowledge, including unbiased, unsponsored product information, but also get professional assistance. Any new projects or big ideas you want to develop?
The conviviality between attendees and speakers, the access to the exciting companies and products coming out of the industry, and the source of direct contacts with developers, economists, and creative people is something that could never be replaced by the Internet and the digital. However, as I mentioned above, the digitalisation of learning will only continue.
Therefore, we are excited to be launching a new version of the IMCAS Academy in early that will be optimized for mobiles, tablets and computers. The first hyaluronic acid that respects facial expressiveness, the RHA range was created according to a patented process, making it possible to meet the specific requirements of mobile facial areas.
This further reinforces our commitment. The global medical device company Groupe Sebbin, headquartered in France and established for more than 30 years, who creates, develops, manufactures and markets high quality implants, expanders and other solutions for aesthetic and reconstructive surgery, announces that it has reached an agreement with the French post-operative lingerie brand, Embody Paris, to start distributing their products in Europe including France, Monaco, Luxembourg, Belgium, Spain, UK, Austria, Netherlands, Germany, Switzerland, Iceland, Norway, Finland, Denmark and Baltic countries.
This partnership will extend our non-invasive product line furthermore and is beneficial for both Sebbin and Embody as we share the same values of quality and image and the same network of professionals working in aesthetic and reconstructive surgery.
The young company Embody Paris was born after a two-year research and development period along with extraordinary partners to bring a fresh look at post surgery lingerie with innovation and boldness. Fitting every morphology like a second skin, supporting every woman made vulnerable by their intervention, keeping thinking of new solutions to improve their comfort and make their bodies look better; that is the challenge that Embody has taken up with passion.
The idea arose from a woman who did observe that women had difficulties in finding postoperative lingerie that could be both comfortable and elegant. Embody stands out thanks to its great technical assets that are patent protected: magnetic snaps, innovative fabrics that brings an ideal support without compressing, at stitches and many adjustments points along with French glamour.
Joining forces with a leader is a great opportunity especially as we share the same values regarding quality and services. Diet, genetics, stress, environmental pollutants and sun exposure contribute to the visible signs of facial ageing.
These include fine lines, wrinkles, dullness and loss of natural hydration, however the often neglected effect of the ageing process is enlarged pores.
Although not commonly associated with ageing, enlarged pores are a visible sign of the aging process. In the aging process, your skin loses some of its natural resiliency due to the breakdown of collagen and elastin; this causes pores to look larger and more noticeable.
The key benefits include normalising sebum and balancing oily skin; exfoliating dead skin cells around the pores; helping to prevent congestion and protecting the skin from free radical damage. Reduced appearance of pore size and visible imperfections on the skin. Unclogged pores reduce the appearance of pore size and pore depth for a more even, smooth skin tone and youthful looking skin appearance.
These factors can resuly in the appearance of skin inflammation and redness, and expose the skin to free radical damage, which can further contribute to visible signs of premature ageing. You can now recommend the Ossential Pore Refiner to your patients as the next step in their skincare regime, to minimise shine and smooth skin texture. They will thank you for it. E Balm to reduce bruising in post medical aesthetic procedures. Firstly in addition to medical aesthetic and surgical procedures, and secondly for skin damaged by external agressors such as weather conditions, pollution or simply by the passage of time.
Based on its knowledge in the field of aesthetic medicine and surgery, Cebelia develops and formulates skincare for the most complex problems experienced by doctors and their patients and offers daily skincare with technologically advanced active ingredients and pleasing textures. Their constant dialogue with doctors enables them to develop the most appropriate formulas, then trial them and gather feedback and advice to always develop the best healing and anti-ageing care.
E Balm, created in response to one of the major problems of cosmetic medicine: skin healing. Born through collaboration with aesthetic doctors and surgeons and a partnership with CNRS renowned French research instituteit acts directly on the dermo-epidermal junction.
They worked with Dr. Rousselle, a world specialist in Laminin 5 LN5on the adhesion properties of a LN-5 peptide fragment. For the first time ever, it was possible to demonstrate and patent that this LN-5 extract can replace its original, absent or deficient counterpart.
Capable of producing immediate biological activity and reinforcing the dermo-epidermal junction, their LN-5 fragment can stimulate tissue regeneration. As a post-procedure repair care, L. E Balm Accelerates epidermal restoration, in pre and post aesthetic procedures injections, mesotherapy, roller, fillers, thread lift, etc. SOS care for cuts, bruises, lips and nose cracks and for eye contour anti-dark circles, anti-eye bags, anti-fine lines.
The study1 and results on Cebelia L. Experimental plan Collecting fragments from abdominal dermolipectomy following plastic surgery interventions from three different patients.
Every fragments are cut in five pieces with a scalpel. Eight to 13 bruises are induced by cutaneous explant. The bruises are massaged for 20 seconds with each cream. For the control, the bruise is massaged without cream for 20 seconds. Photographs and measurements carried out at T0 and T24h. The surface of each bruise is calculated using a ruler acting as a scale. Courderot-Masuyer, S. And while all physicians can understand the basic anatomy and mechanics of injecting filler, so too can the classical artists paint a bowl of fruit.
However, it is the differences between the individual artisans that we come to. And while so much attention and emphasis is placed on best practices, evidence based medicine and rigid protocols, the essence of what makes our field unique and special are the plethora of flavours, colours and blends that individuals bring to the craft. We are all influenced by a unique combination of religion, culture and experiences. And it is only through our individual prisms that we can create our version of beauty with the tools and products at our disposal.
And while we can. Imagine if artists were funnelled to all think and deliver their craft in the same way… imagine for a minute, if you will, generational artists coming together such as Salvador Dali, Vincent Van Gogh, Pablo Picasso, Claude Monet, Michelangelo, Leonardo da Vinci, Henri Toulouse Lautrec, and Fernando Botero all sitting around a table attempting to come up with a consensus on fillers?
Now Dali, you know our patients are asking to look perfect and thanks to Phidias there is a golden ratio known since the 4th century B. I mean, I am all for teaching beginners the paint by numbers thing, but who really wants a nose to be completely straight or symmetrical? My patients like the uniqueness of their characterising features. Therefore, I offer edged, asymmetric eyes, crystalised noses, ears and lips that make you appreciate the individuality of each feature and person.
When faces are not perfect they tell a better story. Well nobody looks at just one or two features of the face. In Giverny we like to sit amongst the stacks, reflect and view beauty from a distance. For it is only then that you can see the whole picture.
And it is important to recognise the influence of light. When you are close up, the face appears flat. May I impress upon you that if we want to highlight the O-G curve and the G-K line just right then we need to view the face from oblique angles at various light settings. Only from a distance and with a bit of interpretation can we appreciate the beauty. Botero what do you think? Listen I think what looks best and most preferred is a full round gordito face! People want to look healthy and vitality is expressed by pillow-full cheeks.
Uh no Botero that is where I have to stop you…nobody wants to look fat and lazy. This is what my patients want. I mean look at all the apps today with morphing tools allowing a person to create their own idealised version of themselves.
They are all portraying an image beyond perfection and despite us all knowing it we accept it because we all seek the ideal even if it is beyond reality. Yes, we can make a perfect face as Lenny mentioned, or even beyond perfect as Micky mentioned but our results only have meaning when we recognise the impact our interventions have had on our patients as they move within the context of their life.
We should be asking how our treatment affects their disposition when they are out entertaining, socialising or working. Are they happier, better people?
Do they experience greater self-awareness? Many of my patients feel comfortable in their bedroom gazing into a mirror knowing they are doing it for themselves and nobody else… and yes I agree it can potentially lead to increased awareness and confidence, but unlike Botero… I really believe this is best achieved using small needles with tight fanning strokes.
And to get even better results I like to blend my fillers, to get just the right viscosity and tones. Fine Vince, that may work for you but I am against blending - there is a risk for contamination and I think the people of Colombia gravitate to the consistency of robust primary colours. Edgar… where have you been? Uh excuse me. Can we please mention my filler course in Medellin I invite you all there in November.
I really have to conclude this meeting and would like to thank our sponsors, Medici-Gan, Merz-schilds and GaldermAvis, a division of the Holy Nestle Empire. I hope to see you all at the welcome reception it will be at the Red Mill, Henri loves it and I hear they serve a dynamite absinthe. Could they ever come to a consensus and would we want them to? They all have forged a version of beauty in their own right, and just as some people prefer one artist over another, perhaps our patients seek variability in physicians as well.
After the basics of beauty and safety are agreed upon it is our uniqueness in aesthetic thought and practice that separates us as individuals. And it is precisely these same two tenets that act as the glue strengthening and enriching us collectively. This is what makes aesthetics a unique field at the forefront of medicine and culture. There is a reason that we are growing. It is our individual tastes that we should aim to protect, preserve and celebrate.
Otherwise over aggressive consensus may be the slippery slope leading us to irrelevancy and commoditization, or to a corner alcove at the Holiday Inn starving artists convention hall. He is a frequent lecturer, a physician educator and an active researcher in emerging cosmetic medicine technologies and techniques.
As we age, our skin loses its elasticity and exhibits small wrinkles produced by repeated mimics that will evolve into expression wrinkles.
Skin also experiences sagging caused by gravity. Moreover, ageing affects subcutaneous tissues as well: fat, muscles, and aponeurosis. To attempt delaying signs of ageing, especially the sagging of the oval of the. Today, soft, aesthetic, non-invasive no surgery and efficient medical procedures are available to treat numerous aspects of face or body aesthetics.
Reshaping lasers, radiofrequency RF and Intense Pulsed Light IPL devices, heat up the skin from the outside to trigger the retraction of collagen fibres in the dermis and subsequently induce skin tightening. This thera. Cell collagen and elastin regeneration induced through stimulated fibroblasts, takes place from the deeper layers to the surface of the skin. Moreover, owing to technological advancements, focused ultrasound techniques have an even deeper action that makes it possible to eliminate local fat deposits softly and without skin injury.
Thus, it becomes possible to simultaneously treat two different maigrir avec le regime sans sucre moderate age-induced skin sagging, and superficial or deeper fat deposits localised in certain parts of the body, if performed in properly selected patients.
Treatment principles Ultrasounds US are mechanical vibrations, the frequency of which exceeds human hearing capabilities. US waves are produced by a transducer which transforms electrical energy into acoustic energy. The US beam easily penetrates human soft tissues. The thermal effect is caused by the heat that results from the acoustic energy absorption within the target tissue. The HIFU beam utilised for therapeutic purposes is produced by transducers focused at the level of the focal spot zone to be treated where US energy is the highestlocated at a variable distance from the transducer focal distance.
As a function of the treatment objectives, this local temperature increase at a specific point focal spot will cause either tissue heating or tissue necrosis, both in a reliable and specific manner. There is no damage to the tissues located between the transducer and the transducer focal point. The focused US are emitted as very short pulse or shot lines.
The treatment transducer is moved slightly between each pulse until the entire zone planned has been treated. The HIFU treatment is proposed as a selective, non-invasive approach, as a function of the clinical indications. The most advanced clinical indication for the HIFU is undoubtedly the thermal ablation high temperature tissue destruc. It becomes possible to simultaneously treat two different issues: moderate age-induced skin sagging, and superficial or deeper fat deposits localised in certain parts of the body.
HIFU therapy is currently utilised in aesthetic medicine to produce non-destructive local thermal effects intended to tighten the skin and to refine the silhouette. Those points are detailed below. Interaction mechanisms between the Tulip device HIFU waves and biological tissues Tissue interaction with HIFU waves applied at the treatment site can produce the following therapeutic effects: Tightening effect on both the face and body The handpiece equipped with transducers that emit high intensity wave beams focused on the target zone, is placed against the skin to provoke localised heating of the biological target at a specific point within the tissue.
The acoustic energy penetrates into the skin, especially in the deep layers and in the subcutaneous tissues, as a function of the transducer focal setting selected by the physician, and which determines the depth of the region to be treated. A focused transducer with a 1. Finally, at a setting of 4. The purpose of head and neck surgical lifting is to retighten the SMAS.
The focused US shots produce a thermal energy that creates coagulation micropoints within the target zone, at a temperature of. At that temperature, collagen is denatured and shrinks. This causes a regeneration of elastin and collagen fibres: neoelastogenesis and neocollagenesis collagenic remodelling and neocollagenesis.
HIFU energy is delivered under the skin surface, with no damage to the epidermis and to the tissue located between the US source and the zone treated. The tissue regeneration process takes place progressively from the deeper tissues towards the skin surface. As a function of the specific indications, shots must be multiplied at the level of each layer two to three passesto achieve the lifting effect.
Such types of transducers are present in most HIFU devices commercially available designed to correct moderate facial and neck skin sagging. It has been granted a CE mark for this indication. The Tulip device utilises a technology that is very similar to that of the other HIFU devices available today, although it offers the advantage of being usable for body skin laxity and excessive volume, two symptoms that are often associated.
Effect on fatty volumes, targeted thinning effect Recent developments have contributed to the widening of the HIFU domain of application in aesthetic medicine. Those technological advances are largely due to the introduction of higher performance transducers that associate treatment power. The Tulip-FB device can emit US waves that converge into the deep fatty tissues, via transducers with long focal settings - 7 mm for the arms or thighs and 13 mm for the abdomen.
When adequately selected, the transducers can also deliver high acoustic energy - up to 80 Joules - to eliminate excess body fat. Its mode of action is based on the targeted destruction of fat cells, or non-invasive controlled hyperthermic adipocyte lysis, with no damage to the surrounding tissues. The HIFU generated heat only targets the adipocytes and spares all surrounding tissues nerves, blood vessels, muscles The fatty cells are then naturally eliminated from the organism by the macrophages within a few weeks, with no risks for the patients.
This is the reason why the results are not visible immediately but only after a couple of weeks post-treatment. Therefore, this device combines two simultaneous actions in one risk-free, invasive surgery-free treatment: one action on skin sagging and one action on unpleasant fat pads, assuming the indication has been properly established. Treatment in Practice Pre-therapeutic consultation Prior to any treatment, the patient must attend a consultation conducted by a physician trained to carry out this technique.
It is vital to inform the patient about the aesthetic procedure not covered by health insurance and to ascertain that there are no contraindications. After the first consultation, the physician will establish a detailed price quote based on the zone to be treated and will give the patient an information document together with an informed consent document which needs to be approved and signed by the patient. Sun exposure is not a contraindication. Photographs of the zone to be treated are taken before the procedure to be used as.
It comprises two transducer-fitted handpieces, one for the face and the other for the body. The treatment first step consists of marking using a dermographic pencil, the zones that will be treated by a series of US shots applied by means of the different transducers hence at a preset depth.
For the face, this marking is essential to avoid the zones where the treatment is prohibited; the thyroid gland, the facial nerve mandibular branch risk of facial deformityand the supra-orbital nerve, a branch of the frontal nerve, that innerves the upper eyelid and the frontal region. For body remodelling, the zones to be treated are marked with the patient standing up, and the initial fat folds are measured by pinching the skin between the thumb and the forefinger to assess the thickness and evaluate the therapeutic efficacy.
Then, a conductive gel is applied ultrasound waves are not transmitted through air and the handpiece is placed on the skin. In order to achieve a lifting effect and to destroy localised superficial fat mincir vite et rester mince fnac, it is necessary to carry out two to three successive, superimposed passes of the transducers focused with settings for different depths as a function of the tissues to be treated.
The details of the different protocols will not be described herein since the therapeutic strategy is case-specific as a function of the nature of the targets abdominal fat, for exampleof the thickness of the skin in the zone to be treated, and of the experience of the physician. We will simply discuss the example of the medical procedure we implement to redefine the face oval shape. This procedure forms part of our current practice due to numerous requests from patients who seek soft, anti-ageing treat.
The selection of treatment parameters transducer focus, acoustic intensity, spot spacing, etc. All our patients signed a written informed consent. Once the zones to be treated have been delineated, the treatment starts with a first pass using the deep transducer set at a focal depth of 4. A second pass over the same zones is carried out with a transducer set at a focal depth of 3mm to reach the deep dermis spot space 1.
The session lasts about sixty minutes. The patients may experience tingling, small pains, electrical shock feeling prise de poids semaine 19 grossesse the eyes or in the cheek bones. There are two modes of production of the US beams: in continuous mode or, principally, in stamp mode. In the stamp mode, energy set at 5J is delivered by each of the four transducers fitted into the hand piece.
When this therapeutic cycle is applied four times, the energy may reach 80J; it makes it possible to eliminate the fat deposits located deeper into the body. Our main indications Since Januarywe have treated about fifty patients, mainly women, general age range: 35 to 60 years. According to our. This method is therefore recommended to refine the silhouette without surgical procedure.
We proposed this treatment to non-obese patients exhibiting spread unpleasant fat pads. We consider horse breeches as a good indication for this technique, if the fad fold is within the 2. Although not a contraindication per se, anti-coagulants call for some precautions such as test zones.
Results Clinical efficacy The aesthetic results give a natural look but are not immediately apparent. Results are visible after four to six weeks, and the final result is achieved after approximately six months.
As an example, this technique enabled us to reduce a fat fold by more than 2. On the basis of our clinical follow-up of 18 months and more than 50 patients treated, the aesthetic results were globally satisfactory. Treatment tolerance Almost all the patients exhibited good clinical tolerance. Main side effects: tingling, papulae, light oedema and red striae on the treated zones.
These are minor secondary, short term effects. No irreversible side effect has been reported. Discussion Different knife-free aesthetic medicine methods - lasers, IPL, radiofrequency may be used to retighten moderately age-related damaged skin.
Such techniques transmit energy from the outside to the inside, through the skin, to increase the dermis temperature and subsequently stimulate the fibroblasts. The HIFU-therapy is a fairly novel approach based on a new treatment concept. The principle is to deliver thermal energy at a predetermined depth, selected by the physician, using a focused US beam.
The SMAS is a relatively deep layer 4. This technique provides a knife-free lifting effect and does not damage the surface of the skin or the surrounding tissues. Thanks to this technique, tissue regeneration increased collagen and elastin production takes place from the deep layers to the surface of the skin.
Histological stainings have shown that the neocollagenesis and the neoelastogenesis taking place within the deep reticular dermis were higher with the HIFU than with radiofrequency to achieve a face lift effect 8.
Moreover, another advantage of this technique is the ability to target different depths during the same session by simply changing the transducer. A recent study compared two different HIFU devices used for the treatment of face skin laxity. South Korea. Although the cohort is minimal 20 Korean subjectsthe authors reached the conclusion that both devices can be used safely and efficiently for face and neck rejuvenation9.
This device makes it possible to simultaneously treat skin laxity and fat deposits in a non-invasive procedure. Indeed, this state-of-the-art technology for aesthetic care also targets excess superficial or deeper fat deposits, which is a high aesthetic demand. In our clinical practice, the Tulip-FB has proven its efficacy to refine the oval of the face, reduce the malar fat, double chins or to treat skin laxity in the abdomen, around the thighs and over the sub-gluteus fold.
For the body, we prefer the new focused US to eliminate fat from large zones. Small bellies and horse breeches respond adequately to this treatment, assuming that the fat fold is within the 2. The number of sessions one to three, one-month intervalis a function of the fat overload; however, when dealing with large fat pads, invasive surgery remains the procedure of choice.
Patients must be selected strictly according to the inclusion criteria to guarantee the best possible results. Obese patients with indurated cellulitis or excessive fat deposits, albeit well delineated love handles in men, for exampleare not good candidates. In such cases, we recommend cryolipolysis or invasive surgical procedures. Patients must express realistic expectations since none of these aesthetic medicine technologies is able to replace surgery when damages are significantly advanced.
HIFU therapy must be restricted to cases of moderate skin laxity or cases of localised or scattered fat deposits, albeit the fat volumes treated must be moderate. The treatment efficacy depends on the skills and competence of the physician, and on the patient who must conduct a healthy life and will need to practice regular physical activity post-procedure.
This treatment is compatible with all phototypes, including sun tanned skins, regardless of the season. There is no socio-professional downtime, as is the case with certain lasers or medium chemical peels, since this technique does not cause any skin lesion. It should be noted, however, that this technique is limited to mild to moderate skin laxity cases, especially the oval of the face and localised fat deposits, excluding all obese patients.
The physician must establish the proper indications and customise the treatment to fit each case. Our results last longer than one year. Our follow-up is still insufficient to assess long term benefits.
Those promising results achieved on more than 50 patients must be confirmed by other studies on larger cohorts and it seems indispensable to optimise the parameters of this latest generation device to improve the system performance. Conclusion The Tulip HIFU therapy is an innovative, safe, non-invasive method for skin tightening creme gel minceur guinot harmonious silhouette refinement within a single session, thanks to the treatment depth defined by the choice of the transducer used from 1.
Each treatment transducer is so designed to focus US waves onto the zone. Dr Catherine de Goursac is an aesthetic medicine expert. She has authored numerous scientific publications and published numerous works for the general public.
Baumann L, Zelickson B. J Drugs Dermatol. Ann Dermatol. Gutowski KA. Microfocused Ultrasound for Skin Tightening. Clin Plast Surg. Comparative histometric analysis of the effects of high-intensity focused ultrasound and radiofrequency on skin.
Cosmet Laser Ther. J Cosmet Laser Ther. Patient satisfaction and efficacy of accent high-intensity focused ultrasound for face lifting. Study of efficacy of esthetic High-Intensity Focused Ultrasound system on Iranian skin for reducing the laxity and wrinkles of aging.
J Cosmet Dermatol. References: 1. Fabi SG. Noninvasive skin tightening: focus on new ultrasound techniques. Clin Cosmet Investig Dermatol. Facial Plast Surg. Tonks S. Understanding Ultrasound. J Clin Aesthet Dermatol. Pascal, Dr. This trend is expected to increase since there presently is no other class of filling agent that rivals the properties and advantages of HA fillers.
The extreme purity of the HA raw material and the outstanding crosslinking technology with PEG are crucial elements for the production of an innovative biocompatible implant that is not only a common filler…. The difference is perceptible and substantial in terms of safety and biocompatibility: contains no residual nucleic acids, proteins, bacterial endotoxins and microbial contamination—mainly responsible for allergic reactions.
Hyaluronic acid dermal fillers are used in a considerable number of procedures each year due to their unequaled ease of administration, effectiveness, and safety profile.
Dr Nicola Zerbinati discusses new technologies to determinate a real improvement in HA filler preformance. Crosslinking with PEG polymer Safety, efficacy and duration of fillers depends on how they are stabilised. PEG has outstanding performances as a polymer and even more in combination with HA, if used in a biomaterial.
PEG is detected as something belonging. NEAUVIA Organic fillers are injected: even though with a high concentration with HA, products get an immediate perfect biointegration with the tissues due to the great viscoelasticity, which is not effecting at all the plasticity of the biomaterial.
Furthermore, all NEAUVIA fillers have a great mold ability in the tissues making absolutely impossible to detect, even immediately after the injection, the presence of a foreign body that can change or create unnatural facial expression.
The purest form of hyaluronic acid currently available is obtained from Bacillus subtilis. This bacterium, which is non-pathogenic to humans, produces HA in a process based on water usage. PEG in combination with HA is under heavy investigations in many different fields as it gave very encouraging results as a biomimetic material to replace part of the nerves and of the brain tissues.
As a filler the HA-PEG mix gives birth to an implant which has incredible rheological properties, together with outstanding mechanical and thermal resistance, far higher than any other product available on the market. The secret is due to the interpenetrating polymer network IPNtechnology where the HA polymer—a weak and easily degraded molecule—gets stronger from the combination with PEG.
The advantages are strongly evident when. It is the first product worldwide with a double action filler effect, due to the cross linked HA and the bio-stimulation effect due to an innovative and extremely safe use of CaHA.
The use of PEG as crosslinking agent allows the allocation, during the manufacturing procedure, of 8 to 12 micron size molecules of CaHA inside the clusters of the hydrogel matrix.
It is very easy to understand the difference with similar products present on the market in the past years where CaHA particles were not trapped into the hydrogel ma. NEAUVIA Organic Stimulate works in a completely different way: during the natural degradation of the product, there is a continuous release of small particles of CaHA, that are directly phagocyted, stimulating the process of neocollagenesis by signalling so in a more natural and less traumatic way.
Furthermore, hystologies revealed that collagen production happens inside the implant and not outside as for all the other products on the market: thanks to the high permeability of HA-PEG hydrogel matrix, there is a migration of fibroblasts inside the implant where they find better living conditions to proliferate and produce collagen! Another aspect that has to be underlined is the immediate reversibility of such a product: hyaluronidase can be safely injected in case of overcorrection, without causing any side effects to the patients, something impossible with the classic particle fillers.
Conclusion Neauvia hydrogel matrix is not only an excellent and durable filler, but also a biological scaffold that could be used in the near future to deliver different active ingredients and molecules into the dermis, starting from CaHA for a safe and natural collagen stimulation. Until recently, the use of CAR T-cell therapy has been restricted to small clini. But these treatments have nevertheless captured the attention of researchers and the public alike because of the remarkable responses they have produced in some patients—both children and adults—for whom all other treatments had stopped working.
Nevertheless, research. But after several decades of painstaking research, the field has reached a tipping point, Dr. Rosenberg continued. In just the last few years, progress with CAR T cells and other ACT approaches has greatly accelerated, with researchers developing a better understanding of how these therapies work in patients and translating that knowledge into improvements in how they are developed and tested.
Brentjens, M. As its name implies, the backbone of CAR T-cell therapy is T cells, which are often called the workhorses of the immune system because of their critical role in orchestrating the immune response and killing cells infected by pathogens.
The therapy requires drawing blood from patients and separating out the T cells. Next, using a disarmed virus, the T cells are genetically engineered to produce receptors on their surface called chimeric antigen receptors, or CARs. June has led a series of CAR T cell clinical trials, largely in patients with leukemia. These special receptors allow the T cells to recognize and attach to a specific. Although there are important differences. Antigen recognition domaine First generation.
A possible option where none had existed The initial development of CAR T-cell therapies has focused largely on ALL, the most common cancer in children. Co-stimulatory signaling domains have been added to newer generations of CAR T cells to improve their ability to produce more T cells after infusion and survive longer in the circulation.
Credit: Brentjens R, et al. Relapsed ALL, in fact, is a leading cause of death from childhood cancer. Grupp has led several trials of CAR T cells in children and young adults with ALL that had recurred or was not responding to existing therapies.
In one of these earlier trials, which used CDtargeted CAR T cells, all signs of cancer disappeared a complete response in 27 of the 30 patients treated in the study, with many of these patients continuing to show no signs of recurrence long after the treatment.
Many of the patients who participated in the trial, funded by Novartis, had complete and long-lasting remissions. Based on the trial results, FDA approved tisagenlecleucel in August They are then expanded in the laboratory and returned to the patient.
Credit: National Cancer Institute. For example, in a small NCI-led trial of CAR T cells primarily in patients with advanced diffuse large B-cell lymphoma, more than half had complete responses to the treatment. We have cohorts of patients who would have been considered terminal who are now in durable remissions with good quality of life for up to five years, so the enthusiasm for this technology is now quite high.
But the fact that the first approval is for a therapy for children and adolescents with ALL is a watershed moment, Dr.
Fry continued. However, there is no shortage of promising data on CAR T cells used to. Brentjens said. The experience over the past 5 years, including the entry of the biopharmaceutical industry into the field, has altered his outlook. One of the most frequent is cytokine release syndrome CRS.
As part of their immune-related duties, T cells release cytokines, chemical messengers that help to stimulate and direct the immune response. In the case of CRS, there is a rapid and massive release of cytokines into the bloodstream, which can lead to dangerously high fevers and precipitous drops in blood pressure. Kochenderfer explained. In many patients, both children and adults, CRS can be managed with standard supportive therapies, including steroids.
Several years ago, for instance, the research team at CHOP noticed that patients experiencing severe CRS all had particularly high levels of IL-6, a cytokine that is secreted by T cells and macrophages in response to inflammation.
The approach worked, rapidly resolving the problem in most patients. Since that time, tocilizumab has become a standard therapy for managing severe CRS. CD19 is also expressed on normal B cells, which are responsible for producing antibodies that kill pathogens. To regime sans gluten ni caseine. A z-projection of an osteosarcoma cell phalloidin stained to visualise actin filaments. The image was taken on a confocal microscope and the subsequent deconvolution was done using an experimentally derived point spread function.
Author: Howard Vindin. More recently, another serious and potentially fatal side effect—swelling in the brain, or cerebral edema—has been seen in some of the larger trials being conducted to support potential FDA approval of CAR T-cell therapies for patients with advanced leukemias. One company, in fact, decided to halt further development of their leading CAR T-cell therapy after several patients in clinical trials died as a result of treatment-induced cerebral edema.
However, the problem appears to be limited, with the leaders of other trials of CAR T-cell therapies reporting no instances of cerebral edema. Other so-called neurotoxicities—such as confusion or seizure-like activity—have been seen in most CAR T-cell therapy trials.
But in nearly all patients the problem is short lived and reversible, Dr. There was speculation early on that these neurotoxicities might be related to CRS. As the biopharmaceutical industry has become more involved in the regime soupe et pain, for instance, the number of clinical trials testing CAR T cells has expanded dramatically, from just a handful five years ago to more than and counting.
And even in those who experience a complete response, up to a third will see their disease return within a year, Dr. Fry said. Many of these disease recurrences. In the first trial of CDtargeted CAR T cells, most treated patients had complete remissions, including patients whose cancer had progressed after initially having a complete response to CDtargeted therapy. Fry explained. One potential way to improve durability and perhaps at least forestall antigen loss, if not prevent it altogether, is to attack multiple antigens simultaneously.
Several research groups, for example, are testing T cells that target both CD19 and CD22 in early-phase clinical trials. Early studies in animal models have suggested that this dual targeting may prevent antigen loss. Skin Cancer Skin cancer rates quadruple in the last 40 years and continue to increase.
According to the World Health Organization, in2 to 3 million of carcinomas and new cases of melanomas have been identified worldwide. Furthermore, if the melanoma is 20 times less represented than other skin cancers, nevertheless, its incidence rate shows the fastest increase in uber promo code 3 rides industrialised societies.
Also, according to the Skin Cancer Foundation Statistics, 1 on 3 diagnosed cancer is a skin cancer and 1 American on 5 will declare a skin cancer during his life. The melanoma incidence is due to several causes like skin type or genetic but it is mostly related to environmental factors and people sun exposure. So even if patient education and a daily prevention strategy could help to slow the incidence of malignant melanoma, the number of cases will continue increasing related to ozone layer destruction, so new innovative immune cells therapies could represent a strong hope against skin cancers.
Antigen targets for CAR T-cell therapy have been identified in other blood cancers as well, including multiple myeloma. In an early-phase clinical trial of BCMA-targeted CAR T cells in patients with advanced multiple myeloma, more than half of the patients had a complete response to the treatment. There is some skepticism that CAR T cells will have the same success in solid tumours.
Rosenberg believes that finding suitable antigens to target on solid tumours—which has been a major challenge—may prove to be too difficult in most cases. Researchers estimate that the overwhelming majority of tumour antigens reside inside tumour cells, out of the reach of CARs, which can only bind to antigens on the cell surface.
As a result, as has already been shown in melanoma, Dr. Rosenberg said that he believes other forms of ACT may be better suited for solid tumours. For example, investigators are conducting trials of CAR T cells that target the protein mesothelin, which is overexpressed on tumour cells in some of the most deadly cancers, including pancreatic and lung cancers, and the protein EGFRvIII, which is present on nearly all tumour cells in patients with the aggressive brain cancer glioblastoma.
Brentjens acknowledged. Another key obstacle with solid tumours, he explained, is that components of the microenvironment that surrounds them conspire to blunt the immune response. One approach is the development of CAR T-cell therapies that use immune cells collected not from patients, but from healthy donors.
The idea is to create so-called off. In both cases, the treatment was effective. Numerous other approaches are under investigation.
Researchers, for example, are using nanotechnology to create CAR. He is particularly enthusiastic about the potential to use CAR T cells earlier in the treatment process for children with ALL, specifically those who are at high risk based on specific clinical factors of their disease returning after their initial chemotherapy, which typically is given for approximately two and a half years.
It is in fact, impossible to describe appearance in an objective way without high quality pictures. Pictures are important to educate patients, but not only that; the aesthetic practitioner also learns and develops by evaluating their results from pictures.
Some practitioners may also be in need of excellent result documentation for use at lectures during congresses. Getting a perfect before and after picture can be extremely difficult without good knowledge of basic photography. Once photographs are taken, they still may need to be sorted, edited, and put into post-production.
Some practitioners delegate this time consuming job to assistants, others may take pictures by themselves with varying degrees of success. But how can we improve what we do? Flash erases shadows in a photograph and creates a fake treatment. The same way, other parameters such as white balance, exposure, patient and camera positioning can be used to cheat and easily distort reality. Knowledge of these parameters is the best start to improve photography skills and do justice to results with transparency, in order to gain patients trust.
Lighting Lighting is probably the most important parameter that we need to master. Aesthetic injectors know that we need to restore balance between lights and shadows.
Light alone can change our perception of reality, especially when we use fillers: treating dark circles is nothing more than pushing forward the recess under the eyes in order to remove the shadows.
To get two perfectly comparable pictures, ambient light must be always the same, and light must always come from the same direction. Instead, use continuous lighting, like video LED lamps set up with the same intensity and temperature, in the same position for every picture that is taken. In this before and after, no treatment has been performed to correct dark circles and nasolabial folds.
The flash incorrectly used in the second image has erased the shadows to create a false treatment result. Before nasolabial and marionett HA filling? No—the only difference in these two images is the lighting. No treatment has been undertaken.