International Master Course of aging skin -2014
I am happy to share with you some interesting medical news from the International Master Course of Aging Skin held in Paris this January.
The IMCAS 2014 gathered experts in the field of Cosmetics Dermatology and Plastic Surgery from all over the world.
There were multiple sessions discussing, among other things, injectables, techniques of injection, indications, rejuvenation of the face, hands, neck and décolleté, in addition to new research.
The European market is invaded with fillers, mostly hyaluronic acids, for different indications. Of particular interest were the sessions discussing lifting techniques with volume replacement in the temple-periorbital region, cheek enhancement, and jaw line tightening.
New interesting sessions were held on the benefits of mesotherapy – skin boosters, like Resylane, Radiesse and their role as collagen stimulators. Another area of discussion was facial rejuvenation, acne scarring, and tightening using micro needles or the DERMAPEN.
A study out of the US showed the clear benefits of a good daily skin regimen that, added to injectables, increased the duration of the results and patient satisfaction.
Hand rejuvenation using skin boosters, peels, IPLs and fillers: a well designed combination treatment is the key to obtaining good results. Many speakers brought attention to the fact that even some of the most famous stars neglect their hands – which is a clear reminder of one’s true age.
The décolleté and neck can be successfully treated with neuromodulators like Botox, Dysport, fillers and chemical peels. I enjoyed the presentation on lip rejuvenation, rather than augmentation. Proper use of fillers and technique can give a nice refreshed and natural look. Restylane, Juvederm, and Belotero are excellent for these areas.
There were many talks on complications due to poor placement and lack of knowledge of facial anatomy. Dr. Joel Pessa gave many interesting talks on the anatomy of the aging face using real time cadaver dissection. Botox remains the neuromodulator of choice for many, but others prefer Dysport. I was pleased to see that most doctors follow the same indications as I do when it comes to these treatments.
Cannulas (blunt injectors) are used by many, including myself, to avoid bruising.
The Gold Standard for pigmentations and capillaries remains to be IPL treatments. No benefit has been shown yet from the use of Fraxel for these indications. In expert hands, you will get the best results, without the added downtime and cost. Treatment of the tear trough duct (dark circles, hollowness around the eyes) was discussed in many sessions. The technique is similar to ours, using the best filler available on the market, Belotero, Restylane or Juvederm. The use of cannulas and deep placement are very important. This is a delicate area and if the physician is inexperienced or does not have a good knowledge of the local anatomy, disasters can occur.
The role of PRP (plasma rich platelets) in facial rejuvenation was also discussed at length. It is used extensively with microneedling or the Dermapen.
The talk I found to be of greatest interest was on a product called Silhouette Soft. These are re-absorbable sutures, which can be inserted under local anesthesia, very similar to the injection of any filler. The sutures are made here in the USA, in Michigan. The procedure will give volume augmentation and skin tightening. The sutures are made of Poly Lactic Acid and have resorbable cones, which anchor in the soft tissue and provide support. You can lift the face or neck just as a surgical procedure can but without the morbidity involved with a big surgery. We are expecting FDA approval by this summer. It is very safe because the product is bioresorbable and gives a natural look. It can be combined with any filler or Botox, Dysport and Xeomin.
We have videos available for those curious to watch the procedures.
Here at PAMS, there is great excitement over these new developments. We will continued to bring you the latest in new treatments to keep you looking your best. Please visit our website, Facebook page, and follow us on twitter for updates and promotions.
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