Day 1 :
Keynote Forum
Chandran Rajagopal
Academy of Family Physicians of Malaysia, Malaysia
Keynote: Introduction to electrosurgery in dermatologic and aesthetic medicine
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:
Electrosurgery refers to four different methods: Electrocoagulation, electrodesiccation, electrofulguration and electrosection using high frequency to perform various procedures in dermatology and aesthetic surgery. Aim of this study is to ascertain the mode of operation in performing several procedures safely and successfully involving high frequency alternating current, which converts to heat by resistance as it passes through the tissue. The result of heat buildup within the tissue which results in thermal tissue damage, thus enabling several procedures, these modalities are commonly used for hemostasis, debulking procedures such as rhinophyma excision and treatment of benign and malignant skin conditions ranging from acrochordons (skin tags) to Basal Cell Carcinoma (BCC). Electrosurgery is a surgical technique which involves sequential curettage (scraping) of a skin lesion followed by electrodesiccation (a form of electronic cautery). The sequence is generally repeated 3 or 4 times. It is an alternative to more invasive surgery. It is used to treat benign and superficial malignant skin lesions including but not limited to seborrheic keratosis, may include observation, excision and curettage of actinic keratosis, nodular and superficial basal cell carcinoma, squamous cell carcinoma in situ. Risks include discomfort, pain, bleeding, burns, electric shock, recurrence, conversion to excision, infection, changes in pigmentation and scarring. Adequate training and understanding of the electrosurgical unit is very essential to the physician using this equipment to perform safe and successful surgery
Keynote Forum
Kong Chee Kwan
University of Malaya, Malaysia
Keynote: Importance of recognizing aesthetic units when designing local flaps in facial lesions
Biography:
Kong Chee Kwan has double is a General and Plastic Surgeon. He started his career in general surgery in 2004. He served as a General Surgeon at the Ministry of Health Hospitals before underwent sub-specialist training and board certified as a Plastic and Reconstructive Surgeon. Consequently, University Malaya appointed him as a Senior Lecturer and Clinical Specialist in the Department of Surgery. He has trained many general surgeons as well as plastic surgeons. He has published numerous papers in reputed journals and has been serving as an Editorial Board Member of Malaysia Medical Journal.
Abstract:
The principle of facial aesthetic units is important in designing local flaps for facial reconstruction. Local flaps are routinely utilized for skin lesions that are too big to be closed primarily. The ideal local flap for reconstruction is the one that can be designed within the same aesthetic unit as that containing the lesion. Scars are best concealed by placing incisions along aesthetic margins. When a defect involves two or more aesthetic units, it is better to compartmentalize the reconstruction. Each skin flaps are planned to reconstruct the separate components of the defect that are located within separate aesthetic units. This may provide similarity of skin quality but, more essentially, places scars in the aesthetic margins. It is often beneficial to extend the primary defect by increasing the defect to an aesthetic margin or even to extend the defect to occupy an entire aesthetic unit. Reconstruction of the defect with a local flap will then position a border of the flap in an aesthetic unit for improved scar concealment.
- 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