Combined aesthetic interventions for prevention of facial ageing, and restoration and beautification of face and body

Abstract

The Merz Institute of Advanced Aesthetics Expert Summit was held in Prague, Czech Republic, from 19–20 November 2016. The meeting had a distinct advisory board character and invited aesthetic practitioners from all over the world to hear an international faculty present a range of keynote lectures and conduct live injection sessions with an emphasis on recent developments in combination aesthetic interventions for face and body rejuvenation and beautification. Aging is associated with changes in bones, muscles, ligaments, adipose tissue, and skin and, moreover, involves interactions among these tissue types. To achieve the most natural and harmonious rejuvenation of the face, all changes that result from the aging process should be corrected, which generally involves treatment with more than a single agent or technology. Presentations described innovative treatment algorithms for the face and body and focused on patients’ desires for natural-looking rejuvenation and how this requires a three-dimensional approach combining products that relax the musculature, volumize, and re-drape the skin. Besides treating the aging face, these procedures are increasingly used to enhance facial features as well as to delay facial aging in younger patients. The presentations covered patients from different ethnicities as well as the treatment of non-facial areas, with a particular focus on the use of Ultherapy® for skin lifting and tightening, and new aesthetic procedures such as Cellfina® and diluted Radiesse®. The current report provides a summary of key presentations from the meeting.

Aesthetic dermatology: What's new, what's true?

“…The treatment is used to improve contours and firmness in age‐associated upper arm and elbow skin changes. Injection can be realized by crosshatching technique with retrograde threads using a long 25‐G cannula or by vertical retrograde linear threads and multiple entry points (Fabi et al, ).…”

“…The optimum results are seen after 3–4 months and last between 1 year (upper arms) and 2 years (neck and décolleté) (Fabi et al, ).…”

“…To correct the flaccidity of thighs, the abdomen or CaHA (3 mL) was diluted with 0.6 ml of lidocaine (2% without epinephrine (Fabi et al, 2017).…”

Correction of involutional skin changes using microfocused ultrasound combined with PRP-therapy

“…Hardware methods in aesthetic medicine are represented by a broad range of physical factors used (1)(2)(3)(4)(5). State-ofthe-art technologies allow conducting procedures at the minimum injury rate, no need for rehabilitation, and a good tolerability (1,2,(5)(6)(7)(8)(9)(10)(11)(12)(13)(14).…”

“…State-ofthe-art technologies allow conducting procedures at the minimum injury rate, no need for rehabilitation, and a good tolerability (1,2,(5)(6)(7)(8)(9)(10)(11)(12)(13)(14). As new technologies are used, there arises the necessity to differentiate their administration and to combine them with other methods for enhancing clinical efficiency of the procedures (3,(14)(15)(16)(17). In particular, when microfocused ultrasound is used, precise areas of spatially-focused chromophore-independent thermal (60-70 °C) coagulative damage are created.…”