Day 2 :
Keynote Forum
Chandran Rajagopal
Academy of Family Physicians of Malaysia, Malaysia
Keynote: 30 year perspective of chemical peels
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:
Introduction: The art and science of chemical peelings represent accelerated exfoliation or skin damage induced by caustic agents that cause controlled damage, followed by the release of cytokines and proinflammatory mediators, resulting in thickening of the epidermis, deposition of collagen, reorganization of structural elements and increases in dermal volume. This process decreases solar elastosis caused by sun damage and results in reorientation of the skin with formation new dermal connective tissue, thus providing an improved clinical appearance of the skin, with fewer fine lines and decreased pigmentary dyschromia.
Aim: To provide the science and art of chemical peeling from the breath of my 30 year of experience in using this treatment modality.
Methods: Discussion of the science and theory behind chemical peels. In addition, the practical and systematic view of the indication, contraindications, clinical evaluation, techniques and pitfalls in skin peeling.
Results: Chemical peels are divided into 3 categories depending on the depth of the wound created by the peel. Superficial peels penetrate the epidermis only, medium-depth peels damage the entire epidermis and papillary dermis and deep peels create a wound to the level of the mid reticular dermis. Cover the use of superficial and medium peels in detail to enable its use in day to day aesthetic practice.
Conclusion: The use of chemical peels is limited by the lack of understanding of the basic science of this treatment modality which has shown itself to be an effective and safe treatment in well trained hands. Chemical peeling is a simple yet effective way to rejuvenate the skin. It is here to stay and evolve to various customized peels in years to come.
Keynote Forum
Ramamurthy Subramaniam
Aesthetic Academy Asia, Malaysia
Keynote: Management of impending skin necrosis following soft tissue filler procedure
Biography:
Ramamurthy Subramaniam has been practicing aesthetic medicine since year 2000. He has been conducting training program for doctors since 2010 when he was appointed as a Lecturer and later as the Head of Department of a Medical University in Malaysia. He currently chairs Aesthetic Academy Asia. He was awarded the Letter of Credentialing & Privileging (Aesthetic Medicine) on an honorary basis by the Malaysian Ministry of Health in 2013. The esteemed Socrates Almanac Society, Oxford also awarded him for his contributions for the intellectual progress of modern society. He is a Trainer and key opinion Leader for Algeness Dermal Filler, Decoria Dermal Filler, Xeomin Neurotoxin and N-Finders PDO thread lift. He has published papers related to pain management in aesthetic medicine, botulinium toxin, dermal fillers and lasers.
Abstract:
Facial fillers are becoming increasingly popular aesthetic procedures to temporarily reduce facial lines and folds, augment facial features or volumize facial compartments. However, even in the hands of very experienced injectors, there is always the possibility of dangerous complications like vascular injury, vascular occlusion by surrounding filler substance and intravascular injection of filler substance, which may lead to necrosis, blindness or even death. A prudent practitioner should be aware of the steps to minimize the risk of vascular complications, be able to identify the features of such complications promptly and to take the necessary steps to address those complications. It is useful if practitioners can group the steps to minimize the risk as patient factors, product factors and procedure factors. It is also prudent for the injecting physician to understand not only the facial anatomy but also the anatomy of an aging face as well. A detailed cosmetic or surgical history or history of trauma to the injecting site, as well as knowledge of the different concentrations, viscosity, G-prime and indication of the chosen filler is equally important. Though there are so-called claimed danger zones which are more dangerous than other areas, it is safer to adapt a “There is no safe zone” approach. Early detection and interference in the progression of a comprised vessel cannot be underestimated. Several journals claim that early intervention may reverse the complication and prevent necrosis or even blindness. Treatment modality differs for necrosis resulting from obstruction by surrounding fillers and necrosis due to intravascular cannulation. Thus the treatment options and drugs should base on the causative factor. Having an emergency “Filler Rescue Kit” is as important as having the contact details of a plastic surgeon, ophthalmologist and neurologist for referral.
- Aesthetic Medicine | Clinical Dermatology | Anti-Aging Strategies | Nutrition and Healthy Aging | Antioxidants and Aging
Location: Seri Pacific Hotel Kuala Lumpur, Malaysia
Chair
Kong Chee Kwan
University of Malaya, Malaysia
Co-Chair
Jacqueline Jacques
BioQuantique SARL, Switzerland
Session Introduction
Kelvin Tan Chee Ling
Elegant Clinic, Malaysia
Title: First autologous human stem cells and hair restoration
Biography:
Kelvin Tan Chee Ling has obtained his Medical Degree (MBBS) from Kasturba Medical College in 2007. He is specialized in hair restoration and hair line reconstruction. Then he pursued further in Fellowship and Board Certification of Anti-Aging & Regenerative Medicine in USA and other Aesthetic Medicine Qualifications in USA & South Korea. He is currently the Founder and Medical Director of Elegant Clinic Malaysia and he has been practicing medicine since 2008. He is the PRP (Regen Lab) Key Leader Opinion (KOLs) and Certified Trainer in Asia Pacific (Regen Lab) in hair loss treatment and skin rejuvenation. He is also the KOL and Trainer for Neauvia biostimulate fillers. He is also the Future Leader for Juvederm, Allergan Medical Institute (AMI).
Abstract:
Involving using of human stem cells in Androgenetic Alopecia (AGA) holds a great promise. There are numerous sources of autologous human stem cells being used for the treatment for AGA. A recent new discovery source of autologous human stem cells is harvested from human hair follicles. Hair follicles are known to contain a well-characterized niche for adult stem cells: Mesenchymal stem cells in the dermal sheath and the bulge, which contains epithelial and melanocytic stem cells. Stem cells in the hair bulge, a clearly demarcated structure within the lower permanent portion of hair follicles, can generate the interfollicular epidermis, hair follicle structures and sebaceous glands. A new method to isolate human adult stem cells is by mechanical centrifugation of punch biopsy from human hair follicles without culture condition. Area of punch biopsy at the mastoid process along the hair line demarcation bilaterally. Human Follicle Stem Cells (HFSCs) is used to improve the hair density in patients affected by Androgenetic Alopecia in stage 2-5 as determined by the Norwood-Hamilton classification scale and few cases of alopecia areata. It has shown that the isolated cells are capable to improve the hair density in patients affected by androgenetic alopecia and in some cases of alopecia areata.
David Ling Sien Ngan
Kuala Lumpur Academy of Social Sciences (KLASS), Malaysia
Title: Ageing population challenges and its stress on the patient & society: How the medic, society, government & advanced country can resolve?
Biography:
Ling has his expertise and passion in improving healthcare delivery and health security of the individual, community & national economic wellbeing, especially through financial planning. He analyse not just as a doctor but through the lens of social scientist from the security perspective as a strategist and policy planner, where much work is done through qualitative analysis via very extensive literature review, augmented by clinical interview and physical assessment. Ageing challenges face more security dimension than just medical and socialist constructivist society has better security provision than the realist, liberal democracy
Abstract:
Statement of the Problem: People who are retired early at 58-65 year old depending on country brings more harm than good the patient, society and nation. They are difficult to get re-employment, couldn't meet the rising living expenses in the inflationary world, also doubled up with many illnesses that require more budget for the hospital visit and medication. This is compounded with higher longevity with expected life expectancy of around 80+ years. These 20 over extra years of living post-retirement incurred a lot of financial burden challenges personally, on the society and national economic level with inadequate worker leaving the workforce or skill mismatch. This problem faces mankind for the first time never seen before. Methodology & Theoretical Orientation: Utilizing a subjective analysis reviewing books, articles, clinical history taking, charity function observation & interview, and focus group to gather data. Using the security framework of the social sciences to understand the interaction between the ageing patient and the socioeconomic factor relationship and context. Findings: The post-retirement patient group were actively seeking new employment despite skill mismatch to find their personal worth, meeting financial obligation, relieving physical, social, mental and spiritual boredom. Those left unemployed faces mental stress, judgment and memory deterioration faster, physical body regression, withdrawn and ages faster. One interesting finding is that more would like to do charity work & attend religious prayer. Society tends to face GDP decline without government policy interventional help. Conclusion & Significance: Retired patient faces tremendous burden on financial, stress and ages faster with less priority given to health consequently. Therefore, they end up with severe medical complication. Timely and adequate support from the medical, socio and government intervention will improve their employment, health and economic security. Recommendation: All need to start early with financial planning to allow adequate buffer zone cushioning the impact after retirement. They need to be health savvy to maintain healthy body, or comply with medication to avoid complication insuring higher cost. Social welfare and geriatric support and peer group support are essential.
Muntoh Fong
Autumn Aged Care Training and Consultant, Malaysia
Title: The business of aging in Malaysia
Biography:
Muntoh has over 18 years of experience in managing and consulting elderly care centres. He is among PEMANDU'S expert panel on elderly care. He works closely with Kementerian Kebajikan and Jabatan Pembangunan Kemahiran (JPK) or Department of Skills Development Malaysia to develop a training module for care-givers. Certified at level of JPK Vocational Diploma, he is also holder of 3 Masters Degrees in Business, Religious Study and Philosophy
Abstract:
- Aging and Gerontology | Aging Care Management | Frailty/Sarcopenia| Geriatrics | Life Extension Science
Location: Seri Pacific Hotel Kuala Lumpur, Malaysia
Chair
Ramamurthy Subramaniam
Aesthetic Academy Asia, Malaysia
Co-Chair
Jacqueline Jacques
BioQuantique SARL, Switzerland
Session Introduction
Jacqueline Jacques
BioQuantique SARL, Switzerland
Title: Quantum technologies and therapies SCIO/EDUCTOR, a new approach to prevention, healing & anti-aging: Stimulate the patient’s own stem cells with SCIO/EDUCTOR
Biography:
Jacqueline Jacques has more than 30 years of experience as a Manager, Management Consultant and Coach mainly in Canada, USA, France Hong Kong and UK. She trained from experts and teachers in personal development and alternative medicine in Europe, America and Asia becoming a Doctor of Sciences specializing in Quantum Energy Medicine. She is a Lecturer, Seminar Leader, Coach and Quantum Biofeedback and Bioresonance Expert promoting Quantum Technologies and Therapies and training and coaching practitioners in their understanding and practice of this new approach to health and wellness. She is the Founder and Chairperson of BioQuantique SARL (Geneva) and BioQuantum (Canada).
Abstract:
Many researchers believe that over the next two decades, stem cells will change medicine forever, extend life and potentially save our life! Yes, stem cells have tremendous promise to help us understand and treat a range of diseases, injuries and other health-related conditions. However, very few stem cell treatments have been proven safe and effective. By stimulating the capacity of the patient to produce his/her own stem cells, Quantum Technologies SCIO/EDUCTOR, based on Quantum Physics, Biofeedback and Bioresonance provide a safe and effective alternative to stem cells complexes and costly medicalized treatments and procedures that still need to be validated. The main premises of Quantum Biofeedback and Bioresonance therapies are: (1) The energetic body is the matrix of the physical body. Stimulate and heal the energetic body and the biochemistry of the body will change. (2) The body is electrical in nature; therefore reactivity to stressors in the body can be measured electrically. Health can be measured! (3) The body is innately intelligent and it has the ability to heal itself if the right conditions or stimuli (frequencies) are provided. (4) Electromagnetic frequencies (micro-currents) can be used to re-establish the electrical and biochemical functions of the body to restore the integrity of the tissue and promote healing. We are beyond just chemistry! Life is Photonic! Cells communicate with electro-magnetic radiation. We can use electro-magnetic radiation to modulate stem cells and stabilize the energy in the body. The SCIO/EDUCTOR Quantum Technology integrate +500 focused energetic therapies including balancing and stimulating stem cells, stimulating cell communication, regeneration therapies, DNA harmonization, etc. Stem cells as well as the organs producing stem cells, (bone marrow, adipose tissue, etc.) can be stimulated and modulated through electromagnetic radiation (micro-currents). The SCIO/EDUCTOR Quantum Technologies and Therapies work with photons, electrons and electromagnetism (micro-currents) to improve the electrical vitality of the body’s cells and organs and to re-establish homeostasis in the body. Quantum Technologies and Therapies thus are the most appropriate therapies when considering stem cells!
Ritika Shanmugam
Dr Dixit Clinics, India
Title: Comparison of fractional carbon dioxide laser and fractional microneedle radiofrequency in the treatment of atrophic acne scars in skin of color
Biography:
Abstract:
Introduction & Objectives: Scarring is one of the most common and difficult to treat sequelae of acne. Acne scars have a negative impact on the quality of life of those affected. The objective of this study was to compare the effects, number of treatments required and side effects of fractional CO2 laser and fractional Microneedle Radiofrequency (MnRF) in treatment of acne scars. Materials & Methods: Twenty (20) patients with acne scars and were included in the study, 10 in each group. Patients in each group underwent 4 sessions of either CO2 laser or MnRF one month apart. The therapeutic response to treatment was assessed at each follow up visit and then finally 4 months after the last treatment. Response to treatment was labelled as ‘excellent’ if there was >50% improvement in scar appearance and texture, while 25-50% response and <25% improvement were labelled as ‘good’ and ‘poor’ respectively. Overall satisfaction of the patients and any adverse reactions to the treatment were noted. Results: A significant improvement is acne scars was seen in all the patients, with 90% reporting excellent results in both cohorts. The downtime of MnRF treatment was negligible (<24 hours) whereas it was an average of 4 days with CO2 laser. Post-inflammatory hyperpigmentation and persistent erythema were the most common complication, both observed in one patient from the CO2 group. Conclusion: Both Mnrf and CO2 lasers are equally effective in treatment of acne scars, however, patients prefer MnRF due less downtime. Cost of MnRF may be higher to patient due to the consumables involved.
Kimberly Tan Yuen Ling
National University of Singapore, Singapore
Title: Effects of essential amino acid supplementation on frailty in older persons
Biography:
Kimberly Tan Yuen Ling is currently an undergraduate medical student from the Yong Loo Lin School of Medicine, Singapore. She has a budding interest in research on aging, frailty and nutrition.
Abstract:
Frailty is an increasingly prevalent healthcare problem in today’s aging population. Inadequate nutrition, particularly a low protein intake reduces muscle mass and has been identified as one of the main causes of sarcopenia, further contributing to frailty. Our daily protein intake required is made up of Essential Amino Acids (EAA) that has been shown to be primarily responsible for stimulating muscle protein synthesis. This study aims to investigate the effects of EAA supplementation on frailty in older persons. A systematic electronic database search was performed using PubMed, identifying 10 randomized controlled trials and studies. The results were analyzed and compared to ascertain the effectiveness of the EAA supplementations on improving physical frailty status in terms of lean muscle mass and physical performance indices. Across these studies, EAA consumption were found to increase basal muscle protein synthesis, whole-body lean muscle mass and even other benefits of decreasing insulin resistance and reducing serum TNF-∂ (an inflammatory marker). Interestingly, Leucine (one of the nine EAAs) has been shown to have the greatest anabolic potential for protein synthesis. Overall, these results explain that EAA supplementation has been effective in improving physical frailty status in older adults and that there is the potential for this response to EAA not to remain as an acute anabolic one, but to be sustained over time. Future research into the ideal dosage, composition and mode of consumption of EAA supplementation can have implications and be incorporated into the treatment of frailty in the elderly.