20^th World Dermatology and Aesthetic Congress July 23-24, 2018 Kuala Lumpur, Malaysia

Biography:

Ummer Yaseen has completed his MD in Dermatology from Government Medical College, Srinagar in the year 2010. After completing his MD he did Fellowship in Dermatosurgery from Rajiv Gandhi University of Health Sciences, Bangalore. Since 2011, he is actively doing all dermatosurgery procedures and has a special interest in hair transplant. He has joined International Society of Hair Restoration Surgery in 2011. Currently he is an Associate Member of ISHRS and has been nominated as a Member of Communications and Public Relations Committee for the year 2020. He has 15 publications to his credit both national and international. He has presented his work in annual meeting of ISHRS Chicago and has published his work on beard transplantation in the hair transplant forum international. Presently he is the Life Member of Association of Cutaneous Surgeons (ACSI), Indian Association of Dermatologists, Venereologists and Leprologists (IADVL), Cosmetic Society of India (CSI) and Contact Dermatitis Forum of India (CODFI).

Abstract:

Background: Hair transplantation has undergone enormous changes since the 1950’s when Norman Orentreich transplanted 2-4 mm grafts. These grafts produced unnatural doll like hair in the hairline. This was not acceptable to the patients and as the concept of follicular unit transplantation came into vogue, the hairline designing improved considerably and mimicked the natural hairline as much as possible.

Method: We studied the hairline designing of 100 consecutive male patients one year post hair transplantations. The parameters that were studied included cobble stoning, pitting, frontal point, F-T recession, temporal points (if any) micro and macro irregularities, patient satisfaction and physician assessment. We harvested the grafts using FUE technique. The punch used was 0.9 mm serrated punch. The grafts were placed by using 19 G and 20 G needle. The hairline was designed using the standard techniques and placement of hairline was as per donor recipient ratio.

Result: This study was a retrospective study on 100 male patients. The only cosmetic concern in 2% of the study group was the cobble stoning. Piting was absent in the study group. More than 90% patients were highly satisfied with their hairline. The physician assessment also rated the quality of hairline as excellent in >90% of the study group.

Conclusion: The standard technique of hairline design should be followed while designing a hairline in hair restoration surgery. 19 G and 20 G needles are excellent and low cost instruments that can be used to produce a natural hair line.

Biography:

Goh Ming Chun has obtained his Medical degree from University Putra Malaysia. He has then pursued his Aesthetic training in Medical Aesthetic Certification Program (MAC) and American Academy of Aesthetic Medicine (AAAM). He is highly experienced in conducting wide range of minor surgical procedures, wound care and scar management. Prior to joining Clique Clinic, he has worked at the Penang General Hospital in the Plastic and Reconstructive Surgery Department

Abstract:

Permanent scar resulted from overwhelming acne or varicella-zoster infection is a challenging condition affecting many men and women in our Malaysian population, linking to poor self-esteem, embarrassment, depression and altered social interactions. Current treatments involve improving appearance of scars via topical preparations, chemical peel, micro-needling, laser resurfacing, subcutaneous incision and fillers. Many of these modalities are used alone or in combination and deemed to be safe with transient adverse reaction. The results vary for each individual as it depends on type of scars and the person’s skin type and lifestyle. Recently, the use of a picosecond laser with a Micro Lens Array (MLA) was introduced in the treatment of scars. Picosecond ND:YAG laser allows powerful energies to bypass the epidermal layer to target the deeper structures, creating the so called LIOB (Laser Induced Optical Breakdown) which works like subcision of the scar tissues. This will then stimulate a healing response, causing skin rejuvenation, collagen generation and reconstruction of cell tissues. We explored the role of picosecond laser in management of scar tissues.

Biography:

Chandran Rajagopal has completed his Graduation from the Madras Medical College, University of Madras in 1972. After his Graduation from MMC, he served in the Malaysian Health Service in the fields of Psychiatry and General Surgery. He continued his training in Dermatological Surgery in US with the American Academy of Aesthetic and Restorative Surgery in New Orleans, Louisiana under Professor George Farber and became a Fellow of the Academy and later as an International Fellow of the American Academy of Dermatologists.

Abstract:

This study aimed to understand the anatomy of facial muscles which is intricate and vital for the aesthetic medical practitioner in the practice of cosmetic dermatology. Such study can be performed through cadaveric dissection or through study of virtual anatomy. These muscles of facial expression are located in the subcutaneous tissue and originate from bone or fascia, where they are inserted onto the skin. The muscles of facial expression are found to be broadly being split into three groups: Orbital, nasal and oral. Orbital group of muscles is associated with 2 muscles arising from the eye socket; they are orbicularis oculi and corrugator supercilii located posterior to the orbicularis supercilii. The nasal group of facial muscles is associated with movements of the nose and the skin around it. They are the nasalis, the largest of the nasal muscles. Procerus is the most superior part of the nasal muscles. Depressor septi nasi assists the alar part of the nasalis. Next is the oral group of muscles which play an important role in facial expression and are responsible for the movements of the mouth and lips. They are the orbicularis oris and the buccinator. There are also other oral muscles acting on the lips and mouth, they are the lower group comprising of the depressor anguli oris, depressor labii inferioris. The upper group contains the risorius, zygomaticus major, zygomaticus minor, levator labii superioris, levator labii superioris alaeque nasi and levator anguli oris. Profound knowledge of the facial anatomy and their action will enhance the proficiency of the aesthetic physician in their application of aesthetic procedures.

Biography:

Abstract:

Biography:

Yeow Hui Qian has obtained her Medical degree in Volgograd State Medical University, Russia. She has completed her training in Hospital Sultan Abdul Halim, Kedah before becoming a Medical Officer in Surgery and Psychiatry Department. Prior to joining Clique Clinic, she secured a Master of Science (MSc) degree in Medical Aesthetics, Anti-aging and Regenerative Medicine at UCSI University. With her creditable interpersonal skills, she is good at connecting with patients to understand their needs and delivering her best advice and treatments to her patients. Her interests include laser medicine, facial and body aesthetics.

Abstract:

Non-invasive fat reduction therapy has been well accepted due to its efficacy, lesser complication and downtime as compared to surgical method of fat reduction. The 1060 nm diode laser delivers heat at 42-47 ^oC which destroy the cell membrane integrity of the adipocyte, causing an inflammatory process. 1064 nm is highly absorbable by the subcutaneous fatty layer but minimally absorbed by the dermis, thus the surrounding tissues are not damaged. Visible results of fat reduction and skin tightening are seen as early as 2 months after one treatment and unwanted side effects are minimal. It is also highly acceptable by patients taking into account on the comfort level and treatment duration.

Biography:

Prasetyadi Mawardi is an Active Staff and Lecturer in Department of Dermatology and Venereology in Dr. Moewardi General Hospital/Medical Faculty of Sebelas Maret University in Surakarta, Indonesia. He has completed his Graduation as a Dermatovenereologist from Diponegoro University in Semarang, Indonesia. His major interests include cosmetic medic, skin tumor, skin surgery, acne, aging, laser and light modality and tropical dermatology also dermatopathology. His has achieved his Doctoral (PhD) studies from Brawijaya University in Malang, Indonesia. He not only often acts as a Speaker and Lecturer in national and international dermatology forum, but also actively publishes his research and reviews in some international journals.

Abstract:

Leprosy can be caused by an infection of Mycobacterium leprae commonly acquired through contact with an infected person. M. leprae multiplies slowly and the incubation period of the disease, on average, is 5 years. In some cases, symptoms may occur within 1 year but can also take as long as 20 years to occur. Clinical presentation depends on the patients’ immune status at the time of infection and during the course of disease. Leprosy is spread by person to person contact. Although the most important route is unclear, it is believed that M. leprae is spread either thought the inhalation of infectious aerosols or through skin contact with respiratory secretions and wound exudates. Numerous M. leprae are found in the nasal secretions of patients with lepromatous leprosy. Lucio phenomenon is a special type of reactions observed in uniformly diffuse shinny infiltrative non nodular form of LL. The etiopathogenesis is less well understood. M. leprae are found unusually in large numbers in the endothelial cells of superficial blood vessels and this finding may be responsible for the serious vascular complications seen during the reactive phase. Leprosy patients tend to have leprosy reactions based on immune response patterns that occur and depend on these mechanisms further subcategorized. There is marked vasculitis and thrombosis of the superficial and deep vessel resulting in hemorrhage and infarctions of the skin.

Biography:

Sarah Flynn has completed her Doctor of Medicine (MD) at the University of Notre Dame, Sydney, Australia. She has also completed her Masters in Podiatric Practice and completed Bachelor of Exercise Science. She has gained a high distinction for her MD wart research. She is currently a Medical Intern in Australia and undertaking multiple research projects in dermatology.

Abstract:

Background & Aim: Non-anogenital warts are a frequent dermatological problem with spontaneous regression taking place in immune-competent adults and children within two years. However, individuals are unwilling to wait for natural resolution, therefore seek treatment to reduce social stigma. It is known conventional wart treatments are uniformly unsuccessful and carry concerns regarding safety; whereas immunotherapy drugs are seen to be non-destructive and effective in reducing the duration of symptoms. The aim of this literature review is to identify the most effective treatment for wart resolution to guide clinical practice while identifying areas for further research.

Method: An extensive systematic literature review was performed to determine the current treatment modalities for non-anogenital cutaneous warts in immune-competent individuals and their effectiveness. Articles were categorized into one of eight groups depending on anatomical location, population age or recalcitrant status with ranked levels of evidence.

Results: This review highlights the clear discrepancy between the literature and medical practice. Clinically, the use of conventional treatments continues even though they are deemed ineffective. The majority of immunotherapy research is still in the experimental phase however positive evidence is demonstrating their effectiveness.

Conclusion: For practitioners, the difficulty changing from publicly well-known treatments to experimental options is troublesome with the absence of evidence-based guidelines. Further reproducible immunotherapy research on wart resolution is required to enable clear comparisons of these treatment modalities. The prediction is that future clinical practice will require the wart HPV type to target the treatment accordingly; however further research is required to determine these correlations.

Biography:

Shehnaz Arsiwala is the Founder and Director of Renewderm Skin Hair Lasers Aesthetics Center. She is the Honorary Consultant at the Saifee Hospital and Prince Aly Khan Hospital Mumbai, India. She was awarded the Outstanding Dermatologist Award by Giants Group in 2000. She is also an Associate Editor of Journal of Cutaneous and Aesthetic Surgery. She is the past Coordinator of IADVL-SIG-LASERS and aesthetics. She is also the Coordinator of Focus Group Aesthetics-ACSI. She is the Co-Editor for case book of dermatology and psoriasis. She has about 25 articles, papers and book chapter publications in national and international journals.

Abstract:

Impact of low volume and multiple levels filling for volumetric rejuvenation in Indian skin facial subcutaneous fat is partitioned into multiple, independent anatomical compartments, which may age independently, resulting in abrupt contour changes between them. Separate fat compartments suggest the face does not age as a confluent mass. Indian face has a small bony framework. Width of the malar prominences and mandibular angles along with height are smaller. Indian’s face tends to get fuller and tissue descends downwards and medially. Lower 1/3^rd of the face is much shorter in comparison to the upper 1/3^rd and the mid 1/3^rd of the face. Deep supra-periosteal fat is lost first followed by loss of fat in superficial compartments. Thus volumetric repletion must roughly follow restoration in same pattern. Deep restoration first followed by superficial placements. Depth of injection placement is thus relocated from superficial to deeper planes. This creates a foundation for deep structural support and achieves volume repletion of subcutaneous fat compartments. The techniques described here in respect to Indian faces and their aging reflections highlights a pattern of repletion with fillers using less volume, high G prime, strategic placements of lateral to medial, superior to inferior and deep to superficial to create liquid lift. Each single compartment should be injected separately and major grooves of the face are treated indirectly by filling the anatomical compartments with moderate placements to prevent bulkiness of lower face. Injecting along the superficial compartments boundaries carries more risk of vascular damage, deep placements less vascular risks. The presentation also highlights impact of filling in an area on its effect in the adjacent fold, groove or feature with less volume of material thus economizing the entire filler experience for the patient. This is invaluable for patients who wish for volumetric rejuvenation but are restrained by economic constrains. Indian experience is elaborated with clinical examples of aging changes and volumetric outcomes post therapy.

Biography:

Maryati Maharon is a season Medical Aesthetic Doctor in Malaysia who is involved in hands on training of filler techniques. She is a licensed Practitioner holding a valid Ministry of Health Letter of Proficiency (LCP) which allows her not only to practice but to teach aesthetics and supervise juniors. She also spends time lecturing and writing her medical aesthetic blog in between handling her own patients.

Abstract:

Dermal fillers are one the highest indications for non-surgical medical aesthetic procedures in the world. With more and more doctors deciding to jump into the medical aesthetics field, there are a lot of considerations that need to be addressed prior to injecting patients. It may appear easy as even non-medical doctors have been injecting people with various types of fillers. In this presentation, we will be discussing the different type of fillers over the years and the difference in techniques. The safety precautions and complications that have arisen and whether is there really a difference in terms of filler properties. We would also discuss the newer fillers and past fillers which have been taken off the market. And finally we would discuss charges on how to set the price of the filler service as the idea is not just to sell the product but also to include the service charge of the doctor.

Biography:

Prasetyadi Mawardi is an Active Staff and Lecturer in Department of Dermatology and Venereology in Dr. Moewardi General Hospital/Medical Faculty of Sebelas Maret University in Surakarta, Indonesia. He has completed his Graduation as a Dermatovenereologist from Diponegoro University in Semarang, Indonesia. His major interests include cosmetic medic, skin tumor, skin surgery, acne, aging, laser and light modality and tropical dermatology also dermatopathology. His has achieved his Doctoral (PhD) studies from Brawijaya University in Malang, Indonesia. He not only often acts as a Speaker and Lecturer in national and international dermatology forum, but also actively publishes his research and reviews in some international journals.

Abstract:

Acne Vulgaris (AV) is one of the most common dermatologic diseases, as a result of chronic inflammation of sebaceous follicles characterized by mild-severe papule inflammation, nodules and pustules. The conventional pathogenesis of AV expresses acne lesions initiated subclinically as follicular hyperkeratosis, which has a role for the formation of microcomedones, proliferation and colonization of microbes: Propionibacterium acnes, some Coccus and Pityrosporum ovale yeast, glandular hyperplasia and obstruction of sebaceous glands. Traditional modality treatment for acne vulgaris includes a variety of topical and systemic therapy. The use of laser and light devices has increased dramatically in recent decade due to the overall ease of treatment, predictable clinically improvement and minimal side effects. The devices are thought to target underlying trigger factor such as bacteria Propionibacterium acnes colonization, increased sebaceous gland activity and the cutaneous inflammatory response.

Biography:

Yeow Hui Qian has obtained her Medical degree in Volgograd State Medical University, Russia. She has completed her training in Hospital Sultan Abdul Halim, Kedah before becoming a Medical Officer in Surgery and Psychiatry Department. Prior to joining Clique Clinic, she secured a postgraduate Master of Science degree (MSc) in Medical Aesthetics, Anti-aging and Regenerative Medicine at UCSI University. With her creditable interpersonal skills, she is good at connecting with patients to understand their needs and delivering her best advice and treatments to her patients. Her interests include laser medicine, facial and body aesthetics.

Abstract:

The prolonged use of the over-the-counter whitening agent, e.g. hydroquinone, could lead to blue-black discoloration of the skin, also known as ochronosis. Other causes include use of phenol, quinine injection, resorcinol application and oral antimalarial. The pathophysiology of this cutaneous condition is unknown and treatment for exogenous ochronosis can be challenging. Combination of microneedle pulsed radiofrequency on top of Q-switched Nd:YAG laser followed by Copper-Bromide laser therapy seems to be an effective modality to treat patients with External Ochronosis (EO). We reported 2 cases of EO resulting from prolonged use of hydroquinone showing satisfying results with the above treatment. We propose that using the above combination as an effective and safe treatment for future exogenous ochronosis cases to come.

Biography:

Mithali Jage has completed her MBBS and has obtained Masters (MD) in Dermatology, Venereology and Leprosy from King Edward Memorial Hospital and Seth Gordhandas Sunderdas Medical College under Maharashtra University of Health Sciences Nashik, India. She is currently working as an Assistant Professor at Lokmanya Tilak Municipal Medical College, India. She has two publications and presented papers in various international and national conferences.

Abstract:

Introduction: Periorbital hyperpigmentation is a routinely encountered condition in dermatology practice. Studying the clinical features and its correlation with dermoscopy will help in better understanding of the patterns of periorbital pigmentation and its evolution.

Method: 50 patients attending dermatology OPD with periorbital hyperpigmentation as presenting complaint were included in the study. A detailed history and proper clinical examination was done. Laboratory tests were advised whenever necessary. Dermoscopy of pigmentation over both lower eyelids was done and 200x magnification of Oitez escope [DP-M17 filter escope pro (optical 200x)]. Clinical photographs of all patients were taken.

Result: The most common etiology of periorbital hyperpigmentation was multifactorial. The most common clinical type is post-inflammatory type. Other associated clinical findings included pigmentation at other anatomical sites (20%), visible bulging (10%); tear trough (8%) and visible superficial vessels in periorbital region (6%). On dermoscopy, majority of patient had multicomponent pattern (64%) which included more than one pattern of pigmentation, vasculature and skin changes. The different pattern of pigmentation were blotches (30%), exaggerated pigment network (28%), coarse speckled (24%), fine speckled (20%) and globules (16%). Pattern of vasculature included telangiectasia (18%) and superficial dilated vessels (20%). Patterns of skin changes included atrophy (18%) and exaggerated skin markings (22%). Dermoscopic features can correlate with its etiology.

Conclusion: Periorbital hyperpigmentation is a multifactorial entity. Dermoscopic features can correlate with its etiology.