Non-Surgical Arena

Non-Surgical Arena 2019 programme

Headline Sponsor

Vivacy Symposium CCR 2019 Headline sponsor

Associate Sponsors

BTL Non-surgical Arena Associate sponsors CCR 2019
Cynosure Non-surgical Arena Associate Sponsor CCR 2019

Thursday 10th October

Chair – Dr Maria Kocisova MDDr (Czech Republic 2010), Facial Aesthetician & Cosmetic Dentist 

09:30 - 10:30

Professor Bob Khanna Non-surgical Live Demo CCR 2019

LIVE Injectables | Facial Artistry

Bob Khanna BDS, Dental Surgeon and Professor of Facial Aesthetics

Prof Bob Khanna will discuss the importance of achieving optimal dental and skeletal proportions, form and symmetry with current concepts in cosmetic dentistry. From single teeth to full mouth rehabilitation involving skeletal augmentation and implants, aesthetics and function must be equally respected. (1,2,3) 

 

Prof Khanna will discuss the importance of a three-dimensional approach in lip augmentation and also look at predictability in the stabilisation of lips using BTX for cases with excessive gingival display (gummy smiles) 

 

Achieving a good balance with upper and lower face is vital. Prof Khanna will explore new approaches in chin augmentation with dermal fillers with particular reference to retrognathic chins in moderate to severe class II skeletal based patients. He will discuss the assessment and execution of treatment for mild, moderate and severe cases. 

 

10:30 - 10 45

Networking & Exhibition visit

Chair - Dr Sarah Tonks BDS MFDS MSc MBBS Aesthetic Doctor 

10:45 - 11:00

Dr Souphiyeh Samizadeh Non-Surgical Arena CCR 2019

Facial Rejuvenation

Ideals of beauty for different ethnicities - treatment protocols for Asians vs Caucasians

Dr Souphiyeh Samizadeh BDS BSc MJDF RCS (Eng.) PGCert (Clin Edu)  MSc (Aesth. Med), Visiting Associate Professor-Jiao Tong University

The idea of a universal standard for facial beauty is a widely debated topic and is of interest to researchers, sociologists, and aesthetic professionals including plastic surgeons, orthodontists, dermatologists and aesthetic practitioners. Ideals of facial beauty, perception of attractiveness, and preferences for different shapes and forms of facial features were previously believed to vary greatly amongst different cultures and between historical times. There is evidence to suggest that although there is heterogeneity in the specific features, shapes, or characteristics that are considered beautiful in different parts of the world; the broader ideals of beauty and the goals of beautification are universal. Ideals of beauty vary among Caucasians and Asians. Different ideals of beauty and anatomical differences result in different treatment protocols for non-surgical enhancement and rejuvenation of Asians and Caucasians.  

 

11:00 - 11:15

Dr Anna Hemming Non-surgical arena CCr 2019

Facial Rejuvenation

The natural touch of dermal filler treatment

Dr Anna Hemming MBChB BSc DFFP MRCGP, Aesthetics Physician

With a quest to make facial aesthetic treatment results a subtle, natural improvement of the ageing process. Dr Anna Hemming focuses this presentation on how to deliver bespoke treatments to your unique patient. Targeting areas of volume loss and fat reabsorption to lift, sculpt and tighten where it is needed most.

Treatments target the upper, middle and lower face with a focus on the jaw and chin. Review how upper face treatments lift and tighten the lower face and how lower face treatments can give the impression of lip enhancement with no additional lip treatment.

 

Models reveal treatment following both needle and cannula techniques.

 

11:15 - 11:30

Dr Nestor Demosthenous Non-Surgical Arena CCR 2019

Facial Rejuvenation

Facial rejuvenation & restoration using threads and fillers

Dr Nestor Demosthenous MBChB BSc Hons Neuro Edin, Cosmetic Doctor

The ageing process is a dynamic sequence of events involves every facial plane and begins as early as our twenties. Understanding facial evolving anatomy is key to offering appropriate treatments. By restoring volume in key areas and then transposing sagging tissue we can address age related volumetric change and the resulting descent of skin. 

 

11:30 - 11:45

Dr Nimrod Friedman Non-surgical Arena CCR 2019

Facial Rejuvenation

Avoiding feminization of the male face with fillers

Dr Nimrod Friedman Plastic Surgeon

The following key points for in order to avoid feminization of the male face with fillers will be discussed in length: 

  1. The facial differences between genders 

  1. How to treat men 

  1. Common mistakes when treating males 

The goal of the lecture is the comprehension that treating the man face is completely different. 

The doctor should create:  

  • Flat surfaces and straight lines 

  • Sharp angles 

  • Shadows should be harsh with angular edges 

And avoid creating: 

  • Round contours 

  • Convex surfaces 

  • Soft shadows 

 

11:45 - 12:00

Mrs Sabrina Shah-Desai Non-srugical arena CCR 2019

Facial Rejuvenation

Safe, effective and natural-looking tear trough results with the EyeBoost™ technique

Mrs Sabrina Shah-Desai MS FRCS, Aesthetic & Reconstructive Oculoplastic Surgeon

Correction of a tear trough deformity remains challenging, especially in certain ethnicities as eyelid skin is thin and pigmented with tethering to underlying structures with or without associated orbital fat prolapse giving a sunken, hollow appearance to the lower lids. Hyaluronic acid fillers have been used deep in the tear trough with good results in patients with thick eyelid skin and negligible fat prolapse. However, in patients with thin skin, various authors have reported worsening outcomes with fillers used in this manner. I describe a biplanar microdroplet technique using a skin boosting dermal filler injected supraperiosteally and subcutaneously in the eyelid skin for gentle hydra-rejuvenation of the pre septal tear trough. My retrospective case series of 330 cases by a single surgeon shows good overall outcomes using the Global Aesthetic Improvement scale, with good longevity and a low risk of complications. 

12:00 - 12:30

Mr Ash Labib Non-surgical Arena CCR 2019

LIVE Non-Surgical Rhinoplasty with profile balancing

Non-surgical rhinoplasty with profile balancing - Anatomy, techniques & live demonstration

Mr Ash Labib FRCS DLO MBCHB, ENT Surgeon & Cosmetic Specialist

This session will illustrate the importance of carrying out a full facial assessment before treatment planning! It also includes full anatomical demonstration and blood supply of the nose and the entire face. 

The second part of the session will be a live demonstration of the treatment (non-surgical rhinoplasty +/- chin enhancement) using the newest technologies of dermal fillers. 

12:30 - 12:45

Dr Rita Rakus Non-surgical arena CCR 2019

Lip Rejuvenation Essentials

The art of lip rejuvenation

Dr Rita Rakus MBBS FBACD FBCAM, Cosmetic Doctor

Dr Rakus, known as "The London Lip Queen" will use this presentation to explore 20 years of treating the complex area of lips. Dr Rakus will share her experiences of successes and the pitfalls of treating lips. The importance of training for practitioners, the support networks required when treating patients and some of the complications that may occur. Dr Rakus will discuss her journey through listening to the market and the changes in products that she has witnessed over her career in aesthetic medicine. 

 

12:45 - 13:00

Dr Fiona Durban Non-surgical arena CCR 2019

Lip Rejuvenation Essentials

The pitfalls of lips

Dr Fiona Durban BSC MBBS MBCAM, Aesthetic Doctor

Lips are a complex area to treat and they are the often the area that cause practitioners the most problems. Dr Durban will use this presentation to discuss what it is about this area that causes the most complications as well as highlighting some of the adverse outcomes that can occur. She will then go on to offer advice on how to treat these complications and more importantly how to avoid them happening in the first place.  

With lips being the most popular aesthetic treatment, Dr Durban will go into the anatomy of the lips and explain why treating them is complex and why it is important for practitioners to get the necessary training before offering this service in their clinics. 

 

13:00 - 13:30

Networking and Exhibition

Chair – Mr Dalvi Humzah BSc(Hons) MBBS(Hons) AKC FRCS FRCS(Plast) MBA, Consultant Plastic Reconstructive & Aesthetic Surgeon 

13:30 - 13:45

Ms Sharon Bennett BACN Non-surgical arena CCR 2019

Complications

Solving lips complications

Ms Sharon Bennett RGN NIP, Cosmetic Nurse and Chair British Association of Cosmetic Nurses (BACN)

Sharon Bennett will look at the Vasculature of lip and peri oral area and danger zones and discuss the safest methods of injection into the lip. She will describe both cannula and needle methods of delivery and the advantages and disadvantages of the two methods.  

She will look at the types of lip complications which commonly occur, how to identify and diagnose and carry out an assessment. Each complication presented will show a pathway of treatment that is taken from a bank of evidence. And finally, Sharon Bennett will discuss the use of Hyalase, its relationship with individual HA gel fillers, recommended doses and dilutions and how to inject.

 

13:45 - 14:00

Dr Beatriz Molina Non-surgical arena CCR 2019

Complications

Latest advances in treating vascular occlusion

Dr Beatriz Molina, Aesthetic Practitioner

Dr Beatriz Molina will present the use of hyaluronidase both injected and transdermally deliver, by the application of non-ablative Plasma technology (with a plasma-potation handpiece) for the treatment of dermal fillers complications like Tindell effect, periocular oedema and also in vascular compression of the nose 48 hours post hyaluronic acid injection. 

 

14:00 - 14:15

Dr Benoit Hendrickx Non-surgical arena CCR 2019

Complications

Visualisation of individual patient’s facial arterial network through Augmented Reality

Professor Dr Benoit Hendrickx MD PhD FCCP FEBOPRAS, Plastic Surgeon

Intra-arterial injection of fillers leads to detrimental complications such as skin necrosis and blindness. Even a thorough knowledge of the arterial network of the face is insufficient to avoid these complications, since there is a myriad of anatomical variations in the arterial network of the face. New technologies start to emerge that visualise the patient’s own anatomy, but they often require specific expensive devices and are complicated to use. 

Here, we present a new technology that is able to repetitively bring a patient’s individual arterial anatomy to life through augmented reality, based on a single MRI without intravenous contrast. The technology can be used on any smartphone platform or Augmented Reality glasses, allowing the injector to see the patient’s individual arterial anatomy and hence inject more safely, avoiding the main arteries of the face and their inherent disastrous complications. 

 

14:15 - 15:00

Ms Sharon Bennett BACN Non-surgical arena CCR 2019
Dr Beatriz Molina Non-surgical arena CCR 2019
Dr Benoit Hendrickx Non-surgical arena CCR 2019
Non-surgical arena CCR 2019

Complications

Roundtable

Ms Sharon Bennett RGN NIP, Cosmetic Nurse and Chair British Association of Cosmetic Nurses (BACN)

Dr Beatriz Molina, Aesthetic Practitioner and Professor Dr Benoit Hendrickx MD PhD FCCP FEBOPRAS, Plastic Surgeon

Professor Dr Benoit Hendrickx MD PhD FCCP FEBOPRAS, Plastic Surgeon 

Mr Dalvi Humzah BSc(Hons) MBBS(Hons) AKC FRCS FRCS(Plast) MBA, Consultant Plastic Reconstructive & Aesthetic Surgeon 

 

 

 

15:00 - 15:15

Networking and Exhibition

Chair – Mr Andy Williams MBBS FRACS(Plast) EBOPRAS, Consultant Plastic and Reconstructive Surgeon 

15:15 - 15:30

Body Reshaping

Facial Rejuvenation & Skin Tightening, The Complete Head to Toe Solution 

Ms Gemma Halliday, Aesthetician 

The award-winning Exilis Ultra 360 ™ is a clinically proven device to help reduce fat, contour your body and tighten your skin from head to toe.  

The Exilis Ultra 360 is produced by BTL Aesthetics and uses a combination of Radio Frequency and Ultrasound to gently heat the dermis causing new Elastin and Collagen growth deep within the dermal layer. For the body it also uses both modalities to target unwanted fat cells, breaking them down with the heat generated causing apoptosis so that the body can safely expel the adoposites. It is the ideal face and body solution for any practice to reduce body fat and tighten your skin all without the need for surgery. 

 

15:30 - 15:45

Non-surgical arena CCR 2019

Body Reshaping

Non-surgical Lipolysis: State of the art

Mr J Arturo Almeida MD FACPh, Consultant Surgeon & Aesthetic Doctor

Injectable methods for non-surgical fat reduction, such as mesotherapy or Lipodissolve have been researched for over two decades. After initial enthusiasm, these fat-reduction therapies lost popularity due to lack of controlled studies and unwanted side effects.  Recently, however, the availability of new formulations, most of them based on deoxycholic acid, has produced an increase in their demand, particularly following the US Food and Drug Administration’s (FDA) approval of one of them in 2015, ATX-101, for reduction of submental fat. 

This lecture will review the scientific basis behind these treatments, their mechanism of action and the different techniques used to deliver them. But most importantly, it will deal with patient’s safety, and the key fact that fat-dissolving injectables to be delivered by medical and properly trained practitioners, with a deep knowledge of anatomy, lipids biology and awareness of possible serious side effects. 

 

15:45 - 16:00

Body Reshaping

A functional medicine approach to weight loss

Virginia Thomas, Aesthetic Nurse, Cosmex Clinic

Body contouring treatments are popular and growing in number but generally do not treat the underlying causes and can even be harmful. A Functional Medicine approach seeks to understand and treat the underlying causes of weight gain, including the impact of imbalance in the patient’s microbiome.  In this approach body contouring treatments are used as a support act to encourage and sustain the patient in their quest for a healthy long-term solution. 

 

16:00 - 17:30

Dr raj Acquilla Live Injectables Non-surgical arena CCR 2019
Live Injectables Non-surgical arena CCR 2019

LIVE Injectables

Latest techniques in modifying the perception of facial mood and health - Live demonstration   

Dr Raj Acquilla MBChB MRCGP MBCAM, Cosmetic Physician and Dr Liesel Holler MBBS MRCA, Aesthetic Doctor 

The beautiful face comes in many shapes, sizes and forms but geometric conformity tends to be a universal common factor. Application of facial assessment tools such as PHI, vertical fifths, horizontal thirds and facial lines and angles can help to identify specific endpoints for facial beautification. In particular, this detailed mathematical approach can help to optimize the aesthetic outcome of facial harmony in the following structures: 

1) Face shape (oval / heart) 

2) Forehead height and convexity 

3) Eyebrow height and shape 

4) Eye size and shape 

5) Nose shape and angulation 

6) Lip shape, height and projection 

7) Chin and jawline contour 

Optimising these parameters improves the perception of the patient’s health and mood which has a huge impact on their daily lives. 

Detailed assessment allows a focused and bespoke treatment plan for each patient. Injection techniques for each anatomical region are designed specifically to achieve aesthetically ideal results and optimise the appearance of health and emotional wellbeing. 

 

Friday 11th October

Chair – Lou Sommereux RNM NIP BACN PgCert PgDip Aesthetic Medicine, Aesthetic Nurse Practitioner  

09:15 - 09:30

Paul Banwell Non-surgical Live Demo CCR 2019

WOMEN'S HEALTH

A compelling analysis of growth within the female health sector using laser and light based technology 

Miss Tania Adib BSc MBBS MD MRCOG, Consultant Gynaecologist and Gynaecological Oncologist 

 

 

09:30 - 09:45

Paul Banwell Non-surgical Live Demo CCR 2019

WOMEN'S HEALTH

Applied anatomy and clinical considerations for female genital cosmetic treatments 

Mr Paul Banwell BSc(Hons) MBBS FRCS(Eng) FRCS(Plast), Consultant Plastic & Cosmetic Surgeon

Intimate knowledge and understanding of clinical anatomy is now an integral part of all aesthetic teaching programmes and whilst this is now 'de rigueur' for facial aesthetics, this has yet to be adopted routinely in the expanding field of surgical and non-surgical female genital cosmetic rejuvenation. 

 

Mr Paul Banwell, a consultant Plastic Surgeon with a specialist interest in this field and author of the Amazon best-selling book Female Cosmetic Genital Surgery - Concepts, Classification & Technique will explore the anatomy of female genitalia with specific reference to some of the emerging surgical and non-surgical cosmetic treatments. In particular, he will discuss the importance of the recognition of common anatomical variations and the need for clear concise documentation to help in the consultation process and treatment planning as well as tips and pitfalls to help avoid complications and manage patient expectations. 

 

09:45 - 10:00

Miss Mayoni Gooneratne Non-surgical arena speaker CCR 2019 conference

WOMEN'S HEALTH

Vaginal tightening using radio frequency

Miss Mayoni Gooneratne MBBS BSc MRCS, Surgeon

Post-partum vaginal laxity leads to significant loss of sexual function in a large proportion of women and is often under reported. However, a safe and effective treatment exists using patented cryogen cooling to deliver medically effective radio frequency to the vaginal tissue in the form of Viveve. This treatment has been clinically demonstrated to improve collagen synthesis resulting in objective improvement in FSFI scores with no reported side effects. We will present the current evidence to date about Viveve.  

 

10:00 - 10:15

Mr Virvek Nama Non-surgical arena speaker CCR 2019 conference

WOMEN'S HEALTH

Hyaluronic Acid treatments for vulvovaginal rejuvenation

Mr Vivek Nama MBBS MD DNB MRes MRCOG, Consultant Aesthetic Gynaecologist 

Vulvovaginal atrophy affects almost everyone at some point in their life. It not uncommon for patients to be affected with VVA in their early 40s, during breast feeding or during hormonal treatments. Studies have shown that Hyaluronic acid tablets are as efficient as vaginal estrogens. Genital symptoms vary from dryness, burning, itching and irritation. Lack of lubrication during sexual intercourse and in extreme forms, recurrent bleeding on physical activity. Despite replacing estrogen not all women find relief in symptoms and the introduction of Hyaluronic acid injectables have given a new dimension and a practical solution to vulvo vaginal atrophy.  

 

10:15 - 10:30

Non-surgical arena speaker CCR 2019 conference

WOMEN'S HEALTH

Using radio frequency for the treatment of vaginal and female health issues

Dr Shirin Lakhani MBBS MRCA MRCGP DRCOG ACCMA, Cosmetic Doctor 

Urinary incontinence (UI) represents one of the most prevalent female intimate health issues negatively affecting a patients’ quality of life (QoL). Current treatment options require a combination of pelvic floor muscle exercising and intravaginal treatments, surgery or drug treatments with side effects.  The pelvic floor has a major role to play in maintenance of continence and due to various factors, the position and strength of the pelvic floor becomes compromised.  

HIFEM technology uses high intensity focused electromagnetic fields, which are generated by a coil positioned inside a chair applicator. High intensity focused electromagnetic fields interact and depolarize the pelvic floor motoneurons.  

For its myostimulative effect, the method is used in pelvic floor muscles, strengthening to address the SUI by creating Supramaximal pelvic floor muscles contractions.  The involuntary muscle contractions completed in a 28-minute treatment are the calculated equivalent of 11000+ voluntary pelvic floor contractions. Clinical studies indicate 90% plus of patients report significant improvement. 

 

10:30 - 10:45

Dr Martin Kinsella Non-surgical arena speaker CCR 2019 conference

WOMEN'S HEALTH

The benefit of bioidentical hormones replacement for patients in an aesthetic practice

Dr Martin Kinsella MBChB BDS BACD), Anti-ageing Cosmetic Doctor

Bioidentical hormone therapy is an exciting and pioneering concept in the field of anti ageing medicine.  

This talk will highlight the need for aesthetic practices to implement new and cutting-edge medical treatments that are simple, safe and effective and allow practices to stand out in an increasing competitive and threatened market place.  

 

Many patients that visit aesthetic practices are looking for treatments that can help both rejuvenate them and also help with the underlying issues associated with ageing. The aim of the talk is to highlight the benefits of bioidentical hormones for aesthetic patients and the benefits of integrating the treatment within an existing aesthetic practice. 

 

10 45 - 11:00

Networking & Exhibition visit

11:00 - 11:45

Dr Nimrod Friedman Vivacy Symposium Non-surgical arena CCR 2019

Laboratoires VIVACY Symposium

Anatomical analysis and advanced volumising treatments of the face

Dr Nimrod Friedman, Plastic Surgeon

Every face is unique and every face needs its unique injecting point or area to improve it. There is no magic solution, a careful pre-treatment diagnosis of the face and the physicians artistic view are crucial, especially when working with high-viscosity hyaluronic acid gels for contouring and definition in both men and women. 

11:45 - 12:00

Networking & Exhibition visit

Chair – Dr Greg Williams MBBS FRCS(Plast) Hair Transplant Surgeon 

12:00 - 12:15

Non-surgical arena CCR 2019

PLATELET RICH INJECTIONS FOR HAIR LOSS

Demystifying platelet rich injections for hair loss – what are we actually talking about?

Mr Ansar Mahmood MBChB MRCSEd FRCS(Tr&Orth), Consultant Orthopaedic Surgeon

Over the many years that PRP has been used in Medicine and in particular within the Aesthetic arena it has been subject to many name changes and spin off products going by many names - PRGF, PRP, PRF, i-PRF, L-PRP, PRFM are some of them and this list is not exhaustive.  

I will explain some of the differences and try to elucidate what makes an ideal PRP and highlight the outstanding translational work that is going on but also the unknown issues that we still need answers to.  

I have experience of using PRP for over 15 years and have conducted research and analysis of many of the commercial and laboratory systems on the market. 

12:15 - 12:30

Non-surgical arena CCR 2019

PLATELET RICH INJECTIONS FOR HAIR LOSS

Which device to use for procuring platelet rich injections – pros and cons

Dr Ifeoma Ejikeme MD MBChB Bsc Msc(Aesthetic Medicine (Distinction)), Consultant and Aesthetic Medicine Doctor

The success of a Platelet rich plasma treatment is mostly due to the quality of the PRP extracted.  

In a sea of PRP devices how do you navigate the most important factors to gain the highest quality sample. Dr Ejikeme provides a no nonsense talk looking at the pro and cons of devices on the market and what to look out for to get the highest quality sample using an evidence based approach. 

12:30 - 12:45

Dr Martin Wade Non-surgical arena CCR 2019

PLATELET RICH INJECTIONS FOR HAIR LOSS

PRP for hair loss – my experience and how I do it

Dr Martin Wade BMed Sci MBBS FACD, Consultant Dermatologist

Dr Martin Wade will present how he incorporates platelet rich plasma injections (PRP) into the treatment program for patients suffering from hair loss. Dr Wade will explain how an accurate diagnosis of the underlying hair loss conditions is an important first step and discuss the forms of hair loss where PRP can deliver results. He will explain how PRP fits into a portfolio treatment approach in conjunction with topical and systemic treatments. Dr Wade will present the PRP treatment techniques he uses within his private hair loss clinic and the type of results that can be achieved by patients suffering from hair loss. 

12:45 - 13:00

Networking & Exhibition visit

Chair –Mr Paul Banwell BSc(Hons) MBBS FRCS(Eng) FRCS(Plast), Consultant Plastic & Cosmetic Surgeon 

13:00 - 13:15

Paul Banwell Non-surgical Live Demo CCR 2019

THE SKIN AGENDA

Innovations in nutraceuticals

Mr Paul Banwell BSc(Hons) MBBS FRCS(Eng) FRCS(Plast), Consultant Plastic & Cosmetic Surgeon

In recent years, we have seen the rise of nutraceuticals in aesthetic practice. They have become a key part to treating the skin, combined with topical treatments, ensuring optimal results.  

Recent developments in ingredients and accumulated know-how, has allowed for significant and ground-breaking innovations in this field. Looking to support multi-factorial aetiologies when treating different skin concerns has led to the launch of exiting new products.  

Dr Paul Banwell skin health expert and established consultant plastic and cosmetic surgeon talks about how he perceived these innovations, how they work and why they are key to successfully treating various concerns. He further explores the importance of offering pre and post care to patients for improved results and reduced downtime. 

13:15 - 13:30

Miss Sherina Balaratnam Non-surgical Arena CCR 2019

THE SKIN AGENDA

The Picosecond Alexandrite 755nm laser for pigmentary disorders and skin revitalization

Miss Sherina Balaratnam MBBS MRCS(Edin) MSc(UCL), Surgeon and Cosmetic Doctor

Since the concept of selective photothermolysis was introduced in 1983 by Anderson and Parrish, picosecond laser would appear to have the potential for effective selective targeting of excessive cutaneous pigmentation with lower fluences and reduced collateral damage to non-targeted areas as compared to previous pigment specific quality-switched devices allowing for fewer adverse effects such as scarring and/or hypopigmentation.  The 755nm Alexandrite picosecond laser has demonstrated good clinical efficacy in the treatment of endogenous pigmentary disorders such as nevus of Ota, solar lentigines or café-au-lait macules, as well as Melasma.  This laser combined with a novel fractional optic has also demonstrated excellent efficacy in photo rejuvenation, with histology revealing unique intra-epidermal cavities that result from areas of laser-induced optical breakdown and that are dependent on the melanin index of the tissue.  These injuries are considered consistent with a localized plasma formation in the epidermis initiated by the melanin absorption of the picosecond light directly stimulate an epidermal repair mechanism.  Case studies using the 755nm diffractive lens array alone and in combination with a flat optic will be presented for facial revitalization, pigmentation and atrophic acne scarring. The benefit of supporting laser treatment outcomes and post-operative recovery with professional cosmeceutical products will also be discussed in detail and with examples.

13:30 - 13:45

Mr Amer Durrani  Non-surgical Arena CCR 2019

THE SKIN AGENDA

Skin cancer vigilance - Tips on suspicion and referral

Mr Amer Durrani BSc(Hons) MBBS FRCS MSc(Dist) FRCS(Plast), Consultant Plastic & Reconstructive Surgeon

Chronic exposure to solar UV irradiation is the major factor influencing extrinsic skin ageing and the primary cause of skin cancer.  Medical professionals frequently examining patients’ skin for aesthetic and rejuvenation purposes are duty bound to be competent in the recognition of skin cancers and their precursor lesions.  Skin cancers including melanoma, basal cell carcinoma and squamous cell carcinoma usually start off as minor changes to the skin.  Early diagnosis and management of suspicious skin lesions significantly improve the prognosis. This talk will provide an overview to the commonly presenting skin lesions and the necessary pathways of referral. 

13:45 - 14:00

Dr Natalia Spierings Non-Surgical Arena CCR

THE SKIN AGENDA

What’s new in the treatment of Melasma: an update

Dr Natalia MK Spierings BSc(Hons) MBBS MRCP(UK) (Derm) MBA, Consultant Dermatologist, Dermatological Surgeon and Mohs Micrographic Surgeon

Melasma is a common and distressing facial skin condition that primarily affects millennial females. There is as yet no truly effective ‘cure’ but there are constantly new treatment modalities and combinations of treatment modalities being actively studied. In this 15-minute talk, I will summarise via a systematic review of the literature the clinical trials published in the past ten years covering the latest oral, injectable, physical and topical treatments for Melasma. I will emphasise the treatments with the strongest evidence base which you can incorporate into your treatment protocols to help your patients who are suffering from this skin condition.  

14:00 - 14:15

Emma Coleman Non-surgical Arena CCR 2019

THE SKIN AGENDA

Evidence-based approaches to managing specific skin conditions through a combination of lifestyle advice & traditional therapies

Emma Coleman RGN, Aesthetic and Dermatology Nurse

A review of the evidence supporting how diet, supplements, weight loss, skincare choices, smoking cessation, exercise, sleep patterns, sunlight and pollution exposure may help us to manage certain dermatological conditions more effectively for our clients. 

Introduction - Historically, combination treatments in Dermatology have been shown to yield more profound responses when compared with isolated therapies. Additionally, triggers to certain skin diseases can be difficult to identify and there is increasing evidence to support the benefits of altering lifestyle and habits as a way of improving skin conditions alongside traditional treatments. 

Discussion - Psoriasis and obesity, dietary / supplementary vitamin D, selenium & omega 3,6 & 9; Acne Vulgaris - probiotic skincare and supplements, lipid intake, sleep patterns; Hair loss - evidence to support effects of dietary protein and fats on hair loss cessation; Eczema - stress and skin barrier function impairment; Rosacea - benefits of using omega-rich skincare, sun and pollution exposure, stress; Accelerated Ageing - anxiety, pollution exposure.  

Conclusion - taking a more holistic approach to our Dermatology consultations will give us a rounded picture of clients and thereby, the tools to manage them more effectively 

14:15 - 14:30

Dr Stefanie Williams Non-Surgical Arena CCR 2019

THE SKIN AGENDA

Retinoids - new and old

Dr Stefanie Williams MD, Dermatologist

Various topical vitamin A derivatives (retinoids) have been used for the treatment of both intrinsic and extrinsic skin ageing. Topical retinoids are a very well-established ingredient group with proven histological and clinical improvements, including acceleration of epidermal cell turnover, repair of sun damage such as elastosis, stimulation of collagen biosynthesis and slowing down of collagen breakdown via inhibition of MMPs (matrix-metallo-proteinases).  

Prescription tretinoin (retinoic acid) is still seen as the gold standard topical agent to improve skin ageing as well as chronic sun damage. Other prescription variants include Adapalene and Tazarotene. Trifarotene is a new, fourth generation retinoid, more selective for the gamma retionoic acid receptor type.  

With regards to over-the-counter options, retinol is seen as an effective non-prescription alternative. Both act via the same nuclear receptor in the cell, only retinol has to go through a multi-step conversion into retinoic acid first, in order to fit that receptor.  

In addition to retinol, there are various other over-the-counter vitamin A derivatives used in skincare, including retinaldehyde (retinal), retinyl esters (eg retinyl palmitate) and retinyl retinoate, (a hybrid of retinol and retinoic acid) amongst others.  

The lecture will discuss the latest scientific evidence, exploring whether one ingredient has better evidence behind it than others, also comparing their irritation potential, thus making it a contender for an over-the-counter retinoid gold standard. 

14:30 - 14:45

Dr Benoit Hendrickx Non-surgical arena CCR 2019

THE SKIN AGENDA

Using chitosan based filler for skin rejuvenation

Professor Dr Benoit Hendrickx MD PhD FCCP FEBOPRAS, Plastic Surgeon

The skin is a key protective barrier for the body and is in a continuous state of renewal and repair. Yet, disorders of skin structure are very common, mainly due to ageing and dry skin. More specifically, the decreased content in extracellular matrix (ECM) components and altered organization of the structural network lead to water loss [1] and impairment of ECM mechanics which results in reduced functionality of dermal tissue [2]. 

Injectable hyaluronan-based formulations are today the Gold Standard to treat these skin disorders. This presentation highlights that a new natural and animal-free chitosan-based formulation is also a candidate of choice for this indication. Thanks to its physicochemical properties and especially its unique antioxidant properties, this easy-to-inject formulation offers tissue protection and stimulation, for a well-balanced and supple skin. 

[1] Papakonstantinou E. et al., Dermatoendocrinol. 2012; 4(3):253-258. 

[2] Humphrey J.D. et al., Nat Rev Mol Cell Biol. 2014; 15(12): 802-812. 

14:45 - 15:00

Non-surgical arena CCR 2019

THE SKIN AGENDA

Q-switched Mixed technology for pigmented lesions and tattoo removal

Paolo Sbano, MD MSc PhD, University of Siena, Section of Dermatology - Italy

In this study, we discuss new clinical approaches to pigmentated lesions and tattoo removal. We report our experience treating Fitzpatrick skin types from I to V using three different native wavelengths simultaneously or sequentially. This technology allows lowering the fluences on patient skin increasing the safety on darker skin types. At the same time, it permits to be more efficient on dermal and epidermal pigmented lesions and multiple shades of colours. 

15:00 - 15:15

Dr Anna Hemming Non Surgical Arena

THE SKIN AGENDA

Skin tightening - which devices should you use in clinic?

Dr Anna Hemming MBChB BSc DFFP MRCGP, Aesthetic Physician

Dr Hemming enhances her injectable and skin treatments with skin tightening procedures. With many devices available which offer the best treatments to your patients and revenue to your clinic? Dr Hemming discusses some of the skin tightening treatments available. 

15:15 - 15:30

Mr Joaquim Escudero Non surgical arena speaker CCR 2019

THE SKIN AGENDA

Enhanced skin regeneration post ablative laser treatments

Mr Joaquim Escudero, Endor Technologies

Exploring current benefits of ablative laser treatments for acne scarring and how offering the right aftercare for your clients can enhance results. An introduction to Lasergen and clinical trials to show how gold nano technology in skincare can improve not only acne scarring, redness and irritation post ablative laser treatments, but also reduce risk of hyperpigmentation. 

Chair - Anna Baker BN RGN INP PGCert(Appl. Clin. Ed.) PGCert(Clin. Ed), Aesthetic Nurse, Trainer & Qualified Educator 

15:30 - 16:15

Dr Rupert Critchley Non-surgical arena CCr 2019

LIVE INJECTABLES

The 3D face refresh LIVE

Dr Rupert Critchley BM MRCGP, Aesthetics Specialist 

This session is a live demonstration of the 3D Face Refresh, a non-surgical treatment devised by Dr Rupert Critchley, formulated from the needs of a vastly expanding younger client demographic. The 3D face-refresh marries ‘patient want’ with ‘patient need’, applying a safe and methodical treatment approach to dermal fillers for the next generation. It addresses both subtle ‘Photoshop’ imperfections and early signs of ageing for contribution to overall aesthetics. A holistic approach is the basis for the treatment, dividing the face into upper, mid and lower face. Using small quantities of a volumising hyaluronic acid based dermal filler, improvements can be made in these regions to tweak and improve minor imperfections. The Three Triangles of Beautification provides the practitioner with a template of safe points to address these using both syringe and cannula technique.  The treatment is intended for the younger age category who want to tweak, touch up and correct minor imperfections which are commonly addressed using Photoshop and filters. The procedure involves small injections of a volumising dermal filler to create lift, volumisation and enhancement of most upper, mid and lower face. Using safe injection zones guided by facial anatomy, downtime and complication risk is minimal.