Scientific Program

Conference Series Ltd invites all the participants across the globe to attend 14th World Conference on Cosmetic Dermatology & Skin Allergies Athens, Greece.

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Scientific Program Day 1

Day :

  • Cosmetic Dermatology | Cosmetic Skin Allergies | Psoriasis | Advancements in Cosmetology and Dermatology
Location: Attica AB

Chair

Konstantina Mamali

Cosmetic Derma Medicine, Greece

Session Introduction

Konstantina Mamali

Cosmetic Derma Medicine, Greece

Title: 1064 nm Nd: YAG laser liposuction with local anesthesia in outpatient basis. Five years of experience with 751 patients
Biography:

Konstantina Mamali is Dermatologist – Venereologist, with valuable experience in Phlebology and Allergology and member, among others, of the European Academy of Dermatology and Venereology and the German Society of Dermatosurgery. She studied at the School of Medicine of the Aristotle University in Thessaloniki and received her Diploma in 2009. She finished the last year of her studies at the University Heinrich-Heine in Dusseldorf, Germany. As a Dermatologist she has a vast experience in Allergology, Dermatosurgery and Occupational Medicine. Furthermore, she has specialised in Dermatologic Oncology, whereas she is an active participant in workshops of medical training in the scientific area of skin cancer and moles. Today, she is Deputy Scientific Director of the Department of Dermatology & Laser of Cosmetic Derma Medicine.

Abstract:

Introduction: Laser liposuction is a modern, less aggressive than traditional liposuction technique to remove localized fat deposits. Laser energy is used to liquefy excess fat from the areas treated, followed by aspiration, additionally providing the advantage of collagenesis and skin tightening. In this case series, we evaluated the efficacy and safety of the use of 1064 nm Nd: YAG laser in the treatment of local fat.
Research Methodology: Seven hundred fifty one (751) different patients, 549 women and 202 men, were involved in our study between the years 2011-2016. The first stage included the infusion of tumescent anesthesia with Klein solution, followed by the lipolysis stage performed with a Nd: YAG laser at 1064 nm. Finally, the liquefied fat was removed through aspiration as in traditional liposuction. The mean energy delivered in the subcutaneous tissue per area was 3650 Joules, with a maximum of 10000 Joules per
session. The areas treated varied between men and women, with the most common among
them being outer thighs, abdomen, waistline and inner thighs. All patients were advised to
wear a special corset for 30 days after the procedure.
Findings: Evaluation of the results was performed at one month, three months and six months post treatment. One-month follow-up revealed objective clinical improvement in both unwanted fat and skin appearance in 72% of the patients.
Results: The results at three months showed an average reduction between 2-5 centimeters in the circumference of each area treated. Finally, six months later, satisfaction rates were quite high as the results were more visible for the majority of the patients. The only treatment-induced complications mentioned were a mild discomfort and small hematomas afterwards that subsided in a few days.
Conclusion: Nd: YAG laser liposuction constitutes a safe and effective treatment choice for resistant local fat, providing comparable results to those of traditional liposuction with the additional positive effect of skin tightening.

Zeenat Meraj

Centre for Specialized Care and Research, Bangladesh

Title: Psoriasis in pregnancy
Biography:

Zeenat Meraj completed MBBS from the most premier medical school of Bangladesh in 1983 Dhaka medical college (DMCH). She was awarded JICA scholarship and completed her Diploma from Institute of Dermatology, Bangkok in 1997. She then successfully passed her membership (MCPS) from Bangladesh College of Physicians & Surgeons (BCPS) and went on to get her Fellowship (FCPS) from the same institution. She has 15 publications in national and international journals. At present she is holding following positions: Senior Consultant of Centre for Specialized Care and Research, Chittagong, Bangladesh. Examiner of Dermatology at BCPS. Member of EADV and American Academy of Dermatology. Fellow Royal College of Physicians of Glasgow. The country Co-coordinator of SAARC Association of aesthetic Dermatology. President of Aesthetic Dermatology Society of Bangladesh (ADSB). Gearing up for first international conference of ABSB “Aesthetic Bangladesh: Breaking Boundaries” on 22nd November with 16 International faculty.

Abstract:

Despite the high frequency of disease in general population, as well as women in reproductive years, available information about the effects of ‘Psoriasis on Pregnancy’ and ‘Pregnancy on Psoriasis’ is limited. Most of the changes are more likely to be reported as an improvement. This assumption can be applied more convincingly to plaque type Psoriasis. While exception is represented by generalised Pustular Psoriasis which has been somehow linked to Impetigo Herpetiformis & psoriatic Arthritis. Recent observations show some association between Psoriasis and Pregnancy complications like pregnancy induced hypertension and trends towards early rupture of membranes, caesarean deliveries, low birth weight babies and preterm delivery. Safety profiles of various drugs are incompletely understood. Moisturizers and low to moderate topical steroids or Ultraviolet B phototherapy as the first line. For those women diagnosed with pregnancy discontinuation of Methotrexate three months before conception for both partners is mandatory. Patients receiving agents like Biologics for Psoriatic arthritis can continue till end of second trimester as they do not cross placental barrier. Lipophilic steroids may also be continued as they too don’t cross placental barrier. For those women whose Psoriasis improves during pregnancy the interruption of therapy can be a reasonable strategy. The objective of this presentation is to give practical information about clinical, prognostic aspects as well as counselling the couples contemplating pregnancy and management once the patient becomes pregnant.

Disha Jaggi

Dermatologist, India

Title: Chemical peeling
Biography:

Dr. Disha Jaggi is an Aesthetic Physician and Hair transplant surgeon. She has done her fellowship in Aesthetic medicine from the Institute of Laser and Aesthetic, University of Greifswald, Germany. Also she has done her post graduate diploma in Clinical Cosmetology along with certification in Hair transplantation from New Delhi.  She keeps her knowledge updated by attending various International Conferences and has been a part of IMCAS Asia – 2015(BALI), IMCAS Paris in 2016, GAIN MERITA 2018 in Dubai. She has been in the field of aesthetics for past 7 years. She has her own clinic and is also associated with other celebrity chain of clinics in Lucknow, India.

 

Abstract:

Chemical peeling is a widely used procedure in the management of acne and acne scars. Acne vulgaris is the most common skin disorder in adolescents and young adults. It carries a significant psychological and economic burden to patients and society. Salicylic acid has been used to treat various skin disorders for more than 2,000 years. The ability of salicylic acid to exfoliate the stratum corneum makes it a good agent for peeling. This report entitles the young adult female with acne and was treated with salicylic acid and glycolic acid peel and the desired outcome was assessed.
 

Introduction

Acne is a common chronic inflammatory skin disease experienced by most adolescents and young adults and the pathogenesis of acne vulgaris is a multifactorial. The major identified factors that are involved in pathogenesis of active acne lesion formation and scarring are: excess sebum production, follicular epidermal hyper keratinization, the proinflammatory effects of Propionibacterium acnes and other normal skin flora, and immunological reactions.

 The estimated life-time prevalence is ~80%. Patients experience high levels of anxiety, depression, and low self-esteem which lead to impaired quality of life. Therefore, treatment should focus on early intervention & prevention to decrease the physical and esthetic burden of the disease. The treatment of acne is based on a combination of topical therapies, systemic treatments, chemical peels, dermabrasion, laser & oral medication.

 Chemical peeling is one of the most common cosmetic procedures in medical practice and has been used for decades. It is defined as the application of chemical agents, of variable strength, on the skin that results in controlled destruction of the epidermis and dermis. The induced exfoliation is followed by dermal and epidermal regeneration from adjacent epithelium and skin adnexa, which results in improved surface texture and appearance of the skin.

Technique

Superficial peel i.e. salicylic acid peel 30% with combination of oral antibiotics has been started for the patient. Patient was prepared by cleansing and degreasing the whole face by using acetone or 70% alcohol soaked-gauze. Peak results are visible after a series of 3–6 chemical peels depending on the severity of the condition being treated and skin type. Then the whole face was coated with salicylic acid 30% by using cotton-tipped applicator and number of coating ranged from 2-3 application in one sitting, until fine frosting occurred.

At every 2-4 weeks interval, session of peel was done to the patient for around 5 months with 2 sessions of glycolic acid peel are also given in combination for resurfacing of the skin and maintain good texture of skin.

Result

 Salicylic acid peeling used 8 times 2 weeks apart in patient with acne vulgaris and in combination with 2 times 2 weeks apart session of glycolic acid peeling used for resurfacing of skin. Active acne vulgaris included papules and pustules showed significant reduction within 1 month of therapy. After 5 months, remarkable reduction in acne vulgaris and acne scar seen with tightening and whitening of the skin of whole face. Patient was fully satisfied regarding response to therapy. Follow up for three months after peeling showed no relapse in active acne vulgaris and the reduction in scarring was permanent. For maintenance therapy patient was allowed to visit at least once in every 6 months.

Conclusion

SA peel is a safe peeling agent and can be used in different cases of cosmetology procedure e.g. acne vulgaris, melasma, photodamage, freckles, and lentigines. It can be safely used on dark skin type. Equally glycolic acid has also shown to be safe in the treatment of acne even in darker skin types as well as adjunctive therapy for the treatment of acne scars. With this SA also has the added advantage of having a whitening effect, which is favourable darker skin types, as well as those with co-existing hyper pigmentation. Compared to newer technologies for acne and acne scars removal, chemical peeling is affordable and with minimal downtime, and can be performed easily.

 

Siomou P

Consultant at the Dermatology Department of Larissa’s University Hospital, Greece

Title: Increased frequency of parasomnial reports of atopic dermatitis diseases
Biography:

Siomou P
Consultant at the Dermatology Department of Larissa’s University Hospital, Greece

Abstract:

PURPOSE: The purpose of the present study is to study the relationship between the clinical severity of the atopic dermatitis and vitiligo in people with sleep disorders, in particular parasomnia. Atopic dermatitis is a chronic, inflammatory skin disease of unknown etiology, characterized by itching, dryness and eczematoid lesions. Vitiligo is a complex de-pigmenting disorder, frequently associated with cosmetic disfigurement and
considerable psychological distress.
METHOD: We studied 45 people with atopic dermatitis, 40 with vitiligo and 45 healthy subjects selected from the derma-surgical department as placebo group. Everyone responded to a special questionnaire in order to provide information’s on sleepwalking, night time enuresis, night illusions, sleep tremors and nightmares.
RESULTS: The percentages of these phenomena were statistically higher in AD patients, clearly higher than expected compared to other dermatoses with psychogenic involvement (vitiligo).
CONCLUSIONS: Patients with AD appear to experience intense stress from a younger age, which may imply Some degree of dependence on the etiopathogenicity of the disease with the highest levels of emotional load. Our study also provides evidence supporting the need for further research into the possible necessity of pharmacological management of any sleep disorders in patients with AD.

Zeenat Meraj

BGCT Medical College, Bangladesh

Title: Aging in asian skin
Biography:

Dr. Zeenat Meraj completed MBBS from the most premier medical school of Bangladesh in 1983 – Dhaka medical college (DMCH) She was awarded JICA scholarship and completed her Diploma from Institute of Dermatology, Bangkok in 1997. She then successfully passed her membership (MCPS) from Bangladesh College of Physicians & Surgeons (BCPS) and went on to get her Fellowship (FCPS) from the same institution. She has fifteen publications in national and international journals.

 

Abstract:

Abstract: Aging is relentless process that affects all cells, tissues, organs & organisms, diminishing homeostasis and increasing organism vulnerability.

Aging at molecular levels results from increasing entropy that exceeds repair and turnover capacity - a process called ‘Molecular Fidelity’

Aging is a dynamic, biological process of tissue involution and evaluation.

Aging results from both extrinsic and intrinsic factors and may related to ethnic ,variation given innate difference in skin composition due to racial and ethnic background .

We reviewed publications through PubMed search and textbook chapters.

Aging is a multidimensional process including volumetric change, migration of fat pads, absorption of bone, changes in SMAS and extrinsic reflections of environmental factors on skin.

Whatever skin type, signs of aging maybe dark spots, loss of elasticity, loss of volume and rhytides.

Skin of colour has many characteristics that make its aging process unique.

Aging consists of changes of facial rheology eg Volume deflation, Jowl that appears with aging, has been thought in past to represent descent of that part of the jaw line, in reality entire jawline recedes superiorly to expose the jowl. Its volumetric deflation rather than a descent.

Asian skin manifest differently to aging than Caucasians. Increased concentration of melanin in skin of colour makes them more prone to depigmentation – on a positive note more compact dermis makes facial lines and wrinkle less visible.

We need to be aware of differences of biology of Asian skin and clinical approach to aesthetic management of Asian Skin.

Recognizing the unique characteristics of Asian skin allows physicians to optimize cosmetic results and ultimately to a successful rejuvenation of Asian Skin. Aesthetic doctors and Lasers practitioners must be aware of photo damage in Asians and understand the risk of post- inflammatory hyperpigmentation associated with various therapeutic modalities.

Rahul Ranpariya

Dermatologist, India

Title: To compare the effect of intralesional triamcinolone acetonide vs. intralesional platelet rich plasma in scalp alopecia areata
Biography:

Rahul Ranpariya, Dermatologist, India

Abstract:

Introduction: Alopecia areata (AA) is a chronic non-scarring alopecia that involves the scalp and/or body and is characterized by patchy areas of hair loss without any signs of clinical inflammation. Corticosteroids are the most popular drugs for the treatment, but localized atrophy is a common complication, particularly if triamcinolone is used. Platelet-rich plasma (PRP) is an autologous preparation of platelets in concentrated plasma, is a simple, yet effective procedure in the treatment of AA.
Aim & Objective: The aim of the study was to evaluate the comparative efficacy of intralesional injection of triamcinolone acetonide with intralesional injection of autologous platelet rich plasma in the treatment of AA.
Materials & Methods: This is an interventional study with pre and post comparison in which each individual acted as his/her own control. Ethical clearance was obtained. Each patient was subjected to detail history taking and clinical examination. Thirty patients with ≥2 patches of AA were chosen. One patch was selected, each for intralesional injection of PRP and triamcinolone acetonide. A total of five such sittings were given at the interval of three weeks. SALT (severity of alopecia tool) score of each patient before initiating as well as after completion of treatment were taken with photographs and Macdonald Hull and Norris grading score during each follow-up after consent on which results were assessed.
Results: SALT score, Macdonald Hull and Norris grading system and photographs showed significant improvement up to three months with triamcinolone acetonide with some atrophy while PRP showed significant linear improvement with no complication. 
Conclusion: Triamcinolone acetonide showed better outcome in short term with some complication while PRP shows better outcome in long term follow-up with no complication but it is a painful procedure.

Maria Chatzimarkaki

University of West Attica, Campus 1, Greece

Title: Development of safe baby gums gel for the pain relief
Biography:

Maria Chatzimarkaki an enthusiastic and highly motivated individual who has a clear understanding of the role and responsibilities associated with being an aesthetician-cosmetologist. Having the ability to provide support for multiple concurrent priorities, she is able to establish, maintain and develop effective working relationships with clients, patients and individuals. At the age of 14 she wanted to be an Aesthetician. She was a top student so she ended up at the National Technical University of Athens, studding Civil Engineering. Years passed by, she got married and I gave birth to two wonderful children. Exactly at that time, full of stress and anxiety she realized how much she wanted to be an Aesthetician in her life. So she looked for private institution and had one year lessons in all the fields. This wasn't enough for her, so she gave examinations in order to maintain a place at the University of Athens, starting from scratch, exactly as it had to be done. Now she is in 4th (and last) year of her studies in West Attica University. 

Abstract:

First teeth of babies, when it comes out, cause an intense pain since the gums are swelled and burst. Most products developed for this pain relief are medicines and contain pharmaceutical active ingredients, such as lidocaine etc., with a topical anesthetic action. We have developed a gel which is considered as a medical device product with natural actives such as Arnica extract, Sage, and Myrrh and Licorice extracts with anti-irritant, anti-inflammatory, hydrating and soothing properties. The main natural pain-relieving activity is attributed to Clove essential oil (Syzygium aromaticum) at concentration of 0.12% w/w. Clove oil contains eugenol and is considered safe at low concentrations, but when it is used at higher concentrations, it may cause adverse events, such as irritations and allergies. Sodium benzoate and potassium sorbate were used for the gel preservation and tasteless and odorless cellulose gum was used for the formulation. Toxicological study was carried out in order to evaluate the possible irritating effects of this case-sensitive product. A specific oral mucosa irritation test was performed according to ISO 10993-10:2010 for five consecutive days on six male hamsters. Three (treated group) treated with test product and three (control group) treated with sodium chloride injection. The test product was inserted directly on the right oral cavity of every animal. Twenty-four (24) hours after the last treatment, all the animals were sacrificed; then the oral cavity mucosa was taken to perform the histological examination. The results obtained during the study proved that the above natural baby gums gel for the pain relief is non-irritant and can be considered safe for the use by babies.

  • Video Presentation
Location: Attica AB

Session Introduction

Akbar Mohammadrezaei

Dermatologist, Iran

Title: A Permanent Cure for Vitiligo: Immigration of Healthy Skin Cells to Unhealthy Sides of the Skin in Vitiligo Through a New Treatment
Biography:

Akbar Mohammadrezaei is a Dermatologist from Iran

Abstract:

This article is about a skin disorder which manifests itself as white patches (pigment destruction) in different locations of the body. There are many classifications for this disorder such as segmented, focal, generalized and universal vitiligo. In my article, I have mentioned some of the current methods used in the treatment such as UV rooms. However, there are many risks and long term side effects to this treatment. Besides at the end of the treatment, the patient leaves the clinic in disappointment and without being treated. I was suffering from the same disorder for 14 years, so I can feel how deep is the depression and suffering of those vitiligo patients. My motivation behind the discovery of this treatment was me, myself. I was suffering from the same disorder. It was so painful to be out in the society where everybody gazed at me and some were even afraid to talk to me. Because of my economic issues, I did not have access to labs and research centesrs. Consequently, my only opportunity was to do self-study and broadened my understanding and knowledge about human body and biology. Thanks to those studies, I cured myself in 5months and then many more patients from England, Iran, Turkey and Azerbaijan. In my article, I have written about some blood tests the patients have to take. I have also mentioned the vitamins, pills and the creams they should use(different for kids and adults). My only intention for writing this article is to let all my dermatologist colleagues know about the new treatment. Moreover, the whole treatment takes 5 months or so and is affordable by everybody. If the patients follow the simple advice mentioned in the article, the disorder will not come back. I would kindly ask you to go through my article and read it deep. I have treated myself and many others, so I can replicate the treatment on the cases given by you. The treatment and progress is visible from the first month.