Agenda

Date

October 16-17, 2019

Location

Singapore City, Singapore

Conference Agenda

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Keynote Session:

Meetings International -  Conference Keynote Speaker Lara el Hayderi photo

Lara el Hayderi

CHU Liege, Belgium

Title: Treatment of recalcitrant non genital warts with Candida Antigen

Biography:

Lara el Hayderi has completed her PhD at the age of 31 years from Liege University and is currently clinical chief at University of Liege in Belgium. She has published more than 20 papers in reputed journals and has given numerous national and international conferences. She has done clinical research in the field of viral infectious diseases on herpes simplex and varicella zoster virus. She actively gives lectures on cosmetic and dermatology at the University and develops the field.

 

Abstract:

Recurrent resistant non genital warts is a common and disfiguring problem in dermatology. The number of sessions of cryotherapy and CO2 laser may be consequent and are often very painful for our patients during and after the session. The treatment of periungueal warts often results in ungueal dystrophy, sometimes irreversible. Intralesional injection of Candida antigen is a therapeutic alternative and shows good results in term of healing in most cases of non-genital warts resistant to conventional therapies. We followed up a serie of patients treated with Intralesional Candida antigen after unsuccessful treatments by cryotherapy or CO2 laser from January 2018 to June 2019. Up to 80% of patients positively responded to the treatment and healed completely after an average of 4 sessions (3-5 sessions) every 3 weeks at a dose of 0,01 cc/wart. Most patients did not experience any discomfort during the injection or pain after the treatment. Only one patient had a mild case of pain and swell the day of the injection with immediate resolution after NSAI. Few side effects have been described with no serious adverse effects. The compartment syndrome, a painful swell of the treated zone has been described, but no explanation was found regarding this uncommon transitory side effect. Based on the literature, in all cases it resolves within 24-72 hours.

Most of our patients were satisfied with the treatment, however 20% patients did not respond to the Candida antigen treatment after 3 sessions and the treatment was discontinued.

Intralesional injection of Candida antigen to treat non genital warts is an interesting therapeutic option in case of failure of first line therapies such as cryotherapy or CO2 laser. The main advantages of this technique reside in the comfort during and after the treatment with no downtime or scarring.

Meetings International -  Conference Keynote Speaker Harrison H Lee photo

Harrison H Lee

Lasky Clinic, USA

Title: Current trends in Facial Feminization Surgery (FFS)

Biography:

Harrison H Lee is a triple board certified surgeon specializing in Facial Feminization Surgery. His board certifications include: The American Board of Facial Plastic and Reconstructive Surgery, The American Board of Otolaryngology-Head and Neck Surgery and The American Board of Oral and Maxillofacial Surgery. Harrison H Lee earned his undergraduate degree with honors in 1980 from Tufts University and his dental degree from Tufts University School of Dental Medicine in 1983. He then went on to complete a residency in oral and maxillofacial surgery. Harrison H Lee continued his studies receiving a medical degree from New York Medical College in 1992 and went on to serve a residency in Otolaryngology-Head and Neck Surgery at Mount Sinai Medical Center in New York City. He completed a fellowship in facial plastic and reconstructive surgery at the Lasky Clinic in Beverly Hills, CA under  Frank Kamer. Harrison H Lee is a Fellow of the American College of Surgeons and a member of numerous national and international medical societies. He has a number of national and international presentations, as well as publications to his credit. Physicians from around the world are constantly contacting him to observe his techniques in FFS.

Abstract:

FFS is medically necessary to treat gender dysphoria in many transgender women. For some it can even be more important than Sexual Reassignment Surgery (SRS) to allow for societal integration. Mental health quality of life for transgender women who have had FFS is significantly higher than for transgender women who have not had FFS. As a result of social changes in the current environment, many women who are married with children and/or established in their careers are now feeling it possible to move forward with FFS and enjoy life as the women they always knew they were. And younger women are now moving forward with FFS to also portray their true identity. In the past many had turned to hormone therapy which provided some softening of facial features but that only went so far. Today, many are not only doing hormone therapy but undergoing surgical intervention in the form of FFS to portray the facial image they have seen in themselves for so many years. FFS has been evolving and continues to evolve in the type of procedures and the way they are performed to change male dominant facial characteristics to a more feminine facial structure. Congenita.

Oral Session 1:

  • Cosmetology and Cosmetic Surgery | Medical Dermatology & Aesthetic Medicine | Cosmetology & Trichology
Speaker

Chair

Venessa Lincy Lim

Neulife Paramedical Aesthetic, Malaysia

Speaker

Co-Chair

Patience Johnson

Derma Contour Aesthetic & Beauty Clinic Abuja, Nigeria

Meetings International - Cosmetology and Beauty 2019 Conference Keynote Speaker Iftikhar Sheikh Mohammad photo

Iftikhar Sheikh Mohammad

Al-Hamd Skin Clinic, Pakistan

Title: A new combination treatment of scalp alopecia areata

Biography:

Iftikhar Sheikh Mohammad is currently working as consultant dermatologist at Alhamd skin clinic. He received his Doctoral degree from the University of Punjab, Lahore. He completed his Diploma from the University of Wales, Cardiff. He then worked at Alhamd skin clinic, Lahore, served as Consultant Dermatologist. He has authored several publications in various journals. His publications reflect his research interests in dermatology. He is also an Associate Editor of the Journal of Cosmetology, medwin publishers. He is serving as a member of Pakistan Association of Dermatology (PAD). He is awarded many times in national and international conferences for presentation of his research papers, including Best Poster Bronze Award during world congress of dermatology, 2011- Seoul Korea.

Abstract:

Background: As no. of new patients of Alopecia Areata (AA) is on an increase during last few years. Different regimens in practice are: local irritants like capsicum lotion & others, topical steroids, oral immuno suppressants, oral & injectable steroids. Hairregrowth results are variable, either uniform or likebushes. Recurrence is very common. My paper aims to present a study of a relatively new combination procedure to treat AA. In our study we combined Microdermabrasion (MD) with intra lesional steroids (ILST) and compared it with (ILST) alone. A side study of MD alone also done in young children and diabetics with good regrowth in AA.

Methods: This is a study of 50 patients (25 patients with combination of MD+ILST & 25 patients with alone ILST. The study period started 4 years before and continued to-date. Each patient had 6 sessions with an interval of 15 days. Pre and post treatment photos taken. 0.02cc ILST given to about 2 inch square area of AA on scalp. Double layer MD (horizontal + vertical) done with high negative pressure crystal abrasion. This removed sebum plugs from  mouth of follicular openings, stimulated hair growth by strong irritation, pulling hair roots vertical, and helped for uniform distribution of ILST.Criteria: Patients of 5-50 years of age, both sexes, with only non-scarring alopecia included. Patients with unhealthy skin of scalp due to eczema, fungus or other infections and scarring alopecia excluded.

Results: With this combination treatment (MD+ILST), the regrowth of hair is fast, full and very uniform. With alone ILST, The growth is slower, less uniform and like bushes distributed with areas of no-grow. MD alone also effective but the hair growth is less uniform, slower than the combination treatment but can be useful for young children and diabetics. Hair growth usually obvious after third session. Usually enough growth in 4-5 sessions. Recurrence rate is approximately 30%. 40% of these patients had recurrence after 4-6 months of stopping treatment. Another 40% of these had recurrence after 6-12 months. About 10% of these had some recurrence every 1-2 years during last 4 years and another 10% of them recovered partially and did not recover on all patches.

Meetings International - Cosmetology and Beauty 2019 Conference Keynote Speaker Patience Johnson photo

Patience Johnson

Derma Contour Aesthetic & Beauty Clinic Abuja, Nigeria

Title: Fat reduction using laserlipo

Biography:

Patience Johnson German trained and world renowned Cosmetologist with so much experience in Laser Technology. A cosmetic specialist, manageress and professional Lsndlady; the first African woman to possess such title in Germany. A beauty Industry Entrepreneur, an author, an instructor on micropigmentation and other related subjects in Cosmetology, motivational and inspirational Speaker and CEO of Derma Contour Germany, currently consult at Derma Contour Aesthetic and Beauty Clinic Abuja Nigeria.

 

Abstract:

Lipolysis is a noninvasive fat reduction and slimming Laser lipolysis procedure, which uses 4 in 1 Laser technology machine namely lipo laser, ultrasonic, radio-frequency and vacuum. The Laser light penetrates safely into the fat tissues and releases the fat from the adipose cells by bio stimulation of fat cell membrane. Clinically proven; 30% reduction in the fat layer depth after just the procedure, which results in a much slimmer, tighter and smoother looking skin. The procedure takes 3-4 hours and three times in a week. We start by placing the diode pads for 1hour. After melting, the Patient/Client is required to excercise for 20mins, these helps eliminate the fat cells through sweating. Shower – helps close the pores. Skin tightening using radiofrequency device.

Advantages: Painless weight loss, no scar or saggy skin, non-surgical and noninvasive, No injectables, no downtime, immediate result after 3 sessions, reduces high blood pressure, stabilises insulin production (From my experience of treating a hypertensive and diabetic Patient), could be used as pain therapy, reduces blockages

Contraindications: Pregnancy, Anemic, Diabetics, Hypertensive, Epileptic, Thyroid Gland, Children, Cancer

Cool Sculpting is a one-time treatment with no immediate result while Laser lipo requires at least 18 sessions to achieve the required result and had wonderful result with some little redness on the skin after the diode pad placement and the first testimony from the Patients is always that their appetite reduced immediately after the first session and they experience no craving for food.

Meetings International - Cosmetology and Beauty 2019 Conference Keynote Speaker Azza GA Farag photo

Azza GA Farag

Menoufia University, Egypt

Title: Methimazole in treatment of patients with melasma: a clinical and dermascopic study

Biography:

Azza Gaber Antar Farag has completed her PhD at the age of 24 years from Menoufia University and Postdoctoral Studies from Menoufia University, Egypt. She is professor, Dermatology, Andrology & STDs department, Faculty of Medicine, Menoufia University. She has published more than 20 papers in reputed journals and has been serving as an editorial board member of repute.

 

Abstract:

Melasma is a chronic challenging hypermelanotic disorder. Till now, there is no single effective therapeutic agent for it. Methimazole, an oral antithyroid drug, has skin depigmenting effect when used topically through inhibition of peroxidase enzyme.

Aims and Objectives: To evaluate the efficacy and safety of methimazole in treatment of melasma through its dermapen delivered microneedling sessions plus its topical use in between sessions.

Patients and methods: This study was carried out on 30 Egyptian female patients who had melasma. Each patient received dermapen microneedling sessions followed by topical methimazole on the right side of face and placebo on the left side, once per week for 12 weeks. In between the sessions, the patients were instructed to use topical methimazole twice per day on the right side and placebo on the left side. Assessment was done clinically using Melasma Area and Severity Index (MASI) improvement percent, patient satisfaction and dermoscopical study. T4 serum level was measured before and at the end of the study. .

Results: There was a significant clinical improvement and a significant improvement in dermoscopic findings (p<0.001 for both). MASI scores mean values showed significant decrease after 8 sessions of methimazole treatment in the right treated side (P<0.001). The percent of MASI score improvement was significantly associated with the malar pattern (P=0.031) and epidermal type (P=0.04) of melasma. About 70% of our studied patients were satisfied with treatment response (7% excellent, 33% good, 30% fair satisfaction). No significant local or systemic side effects were observed. Per and post-treatment T4 serum levels were in normal range in all treated cases.

Conclusion: Methimazole could be considered a new safe promising therapeutic agent for treatment of melasma through its dermapen delivered microneedling sessions plus its topical use in between sessions.

Oral Session 2:

  • Cosmetic/ Plastic Surgeries | Cosmetics, Cosmeceuticals and Skin Care | Dermatology and Dermatologic Diagnosis
Speaker

Chair

Patience Johnson

Derma Contour Aesthetic & Beauty Clinic Abuja, Nigeria

Speaker

Co-Chair

Venessa Lincy Lim

Neulife Paramedical Aesthetic, Malaysia

Meetings International - Cosmetology and Beauty 2019 Conference Keynote Speaker Avneet Singh Kalsi photo

Avneet Singh Kalsi

Muzaffarnagar Medical College, India

Title: A young child ofAfrican origin with tinea capitis and multiple kerions

Biography:

Avneet Singh Kalsi graduated from Chaudhary Charan Singh University, Meerut. Presently, he is working as a research scholar. His research fields mainly focus on dermatophytic infections, its epidemiology and diagnostic challenges associated with them. He has published several research papers in peer-reviewed international journals such as tinea genitalis in males and females, clinical manifestations and diagnostic challenges of tinea faciei, extensive tinea corporis and tinea cruris et corporis due to Trichophyton interdigitale.

 

Abstract:

Tinea capitis (TC) is a common dermatophyte infection of the scalp that can also involve the eyebrows and eyelashes. Tinea capitis especially due to Trichophyton violaceum (TV) is common in children of African descent in sub-Saharan Africa. TC is the most common dermatophyte infection in children, with the highest incidence in children aged 3–7 years old. This age predilection may partly result from the fungi static properties of fatty acids in post pubertal sebum. We present a 12-year old child from southern Africa, who was borne HIV positive. Antiretroviral Therapy (ART) was started at the age of one month. He presented to the dermatology clinic with history of itching, scaling, patches of baldness and multiple boggy swellings over the scalp. He was investigated for tinea capitis by taking scalp scrapings using sterile toothbrush and the scalp was rubbed with a gauze piece to collect infected hairs. All these samples were collected after instructing the child to come after head wash with an ordinary shampoo. Potassium hydroxide (KOH) mounts were prepared for the scalp scales and scalp hairs. KOH mount showed endothrix invasion of the hair shaft with long chains of arthrospores. The culture was set up on Derm agar, which grew multiple waxy violet colonies after two weeks of incubation at 370C. Lactophenol cotton blue mounts were prepared from the culture plate. Isolates were identified based on macroscopic and microscopic features (Figure). Patient was prescribed higher doses of oral griseofulvin, which adequately penetrate the shaft of the hair to eliminate the infection. Adjunct therapy was also given by advising the patient to use Selenium Sulfide shampoo 2.5% twice weekly. After two weeks of treatment with griseofulvin, patient developed vesiculo-papular rashes on forehead and right pinna. After 8 weeks of treatment, few colonies grew in the culture. The treatment was extended for four weeks, after which the mycological cure was achieved.

 

Meetings International - Cosmetology and Beauty 2019 Conference Keynote Speaker Lara el Hayderi photo

Lara el Hayderi

CHU Liege, Belgium

Title: Photodynamic therapy for skin rejuvenation

Biography:

Lara el Hayderi has completed her PhD at the age of 31 years from Liège University and is currently clinical chief at University of Liege in Belgium. She has published more than 20 papers in reputed journals and has given numerous national and international conferences. She has done clinical research in the field of viral infectious diseases on herpes simplex and varicella zoster virus. She actively gives lectures on cosmetic and dermatology at the University and develops the field.

 

Abstract:

Therapeutic benefits of Photodynamic therapy (PDT) are known to treat actinic keratosis, basal cell carcinoma, and Bowen disease. More scientific studies now show the benefits on skin rejuvenation. The limit of conventional Photodynamic therapy is the pain associated. Since a few years, the alternative of Day light Photodynamic therapy has been recommended. It is an efficacious alternative to traditional PDT, it is simple to perform and it is not a painful treatment. All skin types may be treated with day light PDT in case of actinic photodamage of the skin. The treatment scheduling may be performed in most weather conditions except in case of rain or extreme temperature conditions. Depending on the geographical localization, it will be performed all year long in Australia, Latin America and South Europe, but only from March/April to September/ October in Northern Europe. This technique may also be coupled with other esthetic treatments for better outcomes. Chemical peels, mechanical peels, curetage, Ablative lasers and microneedling may be associated before or after the day light PDT treatment. The overall benefits of day light PDT will show on overall skin rejuvenation and quality, fines wrinkles, pigmentation or telangiectasia.

 

Meetings International - Cosmetology and Beauty 2019 Conference Keynote Speaker Iftikhar Sheikh Mohammad photo

Iftikhar Sheikh Mohammad

Al-Hamd Skin Hospital, Pakistan

Title: Chemabrasion sheikhing treatment of difficult acne and acne scarring

Biography:

Iftikhar Sheikh Mohammad is currently working as consultant dermatologist at Alhamd skin clinic. He received his Doctoral degree from the University of Punjab, Lahore. He completed his Diploma from the University of Wales, Cardiff. He then worked at Alhamd skin clinic, Lahore, served as Consultant Dermatologist. He has authored several publications in various journals. His publications reflect his research interests in dermatology. He is also an Associate Editor of the Journal of Cosmetology, medwin publishers. He is serving as a member of Pakistan Association of Dermatology (PAD). He is awarded many times in national and international conferences for presentation of his research papers, including Best Poster Bronze Award during world congress of dermatology, 2011- Seoul Korea.

Abstract:

Background: Acne affects more than 70% of adolescents with variable severity,having increased sebum excretion rate (SER),Obstructive horny plugs, inflammation, cysts, pigmentation and scarring. This study is to treat acne and scarring with a new idea where

microdermabrasion is combined with immediate chemical peeling called CHEMABRASION.

Object: Severity of acne is directly proportional to SER. Raised SER is often due to end organ hypersensitivity i.e sebaceous glands, mostly at normal levels of circulating androgens. Our hypothesis is that the end organ is attacked directly and selectively in this procedure to cause partial destruction or shrinkage of sebaceous glands. So chemabrasion causes a decrease in no. and size of sebaceous glands.

Methods: A study of chemabrasion was done over 100 patients, 13 males, 87 females, from July 2005 to July 2009. Inclusion and exclusion criteria, result criteria and study Performa with follow-up details was formed. Before and after photos taken. All patients had 4-5 chemabrasion sessions with interval of 10-14 days. Before each session skin of face dried

intensely for better abrading. During each session microdermabrasion done with aluminum oxide crystals followed by immediate chemical peeling. Topical antibiotic prescribed. Most pts healed in 2-3 days.

Results: All Patients had remarkable improvement. Number of new lesions and greasiness of skin (SER) decreased (measured by casual level method). Open Pores and scars improved much. Proposed result criteria: Complete response (80-100%): rare new lesions in 12 months, obvious decrease in SER. Partial response (50-80%): few small lesions 4-5 per month healed fast without pigm SER same. Our results were: Complete response in 77%, Partial response in 23%, No response in 0%.

Conclusion: Chemabrasion proved safe and effective treatment for acne and acne scarring. The main point is that the microdermabrasion produces controlled removal of skin layers in successive sessions and chemical peeler (Jessner’s solution) absorbed selectively through abraded follicular openings causes partial destruction of sebaceous glands.

 

 

Meetings International - Cosmetology and Beauty 2019 Conference Keynote Speaker Iftikhar Sheikh Mohammad photo

Iftikhar Sheikh Mohammad

Al-Hamd Skin Hospital, Pakistan

Title: Needle sheikhing treatment of vitiligo

Biography:

Iftikhar Sheikh Mohammad is currently working as consultant dermatologist at Alhamd skin clinic. He received his Doctoral degree from the University of Punjab, Lahore. He completed his Diploma from the University of Wales, Cardiff. He then worked at Alhamd skin clinic, Lahore, served as Consultant Dermatologist. He has authored several publications in various journals. His publications reflect his research interests in dermatology. He is also an Associate Editor of the Journal of Cosmetology, medwin publishers. He is serving as a member of Pakistan Association of Dermatology (PAD). He is awarded many times in national and international conferences for presentation of his research papers, including Best Poster Bronze Award during world congress of dermatology, 2011- Seoul Korea.

Abstract:

Introduction: Vitiligo is an ever increasing problem in all age groups. Different regimens in practice are sun exposure, UVR and psoralens. My paper presents an original study where NEEDLING is combined with narrow band UVB.

Our hypothesis is that epidermal cells in the skin around the vitiligo patch can be pushed from normal skin into the vitiligo patch and subsequent UVB induced melanogenesis treats vitiligo.

Methods: A 31G needle is softly pushed through the normal skin in to the vitiligo patch at level of dermo-epidermal junction parallel to skin. This needle push called NEEDLING pushes epidermal cells including melanocytes into the vitiligo patch as micro inoculation to produce multiple small populations of melanocytes, which is then exposed to increasing doses of UVB to cause melanogenesis and hence repigmentation of the area.

Multiple needle pushes are made through the edge one centimeter apart. All patients having needling once weekly and UVB 3 times a week.

This study was done over 170 patients in both sexes in different age groups from July 2009 to July 2013.A comparison was also done with UVB alone. Photos of all patients taken at the start and then after every 3 weeks. Biopsy of few patients performed to observe the effects of needling.

Results: This combination treatment has proved very safe and effective against vitiligo as compared to UVB alone in all age groups. All patients had fast repigmentation. The best results are on face with more than 90% repigmentation. Repigmentation is good but slower towards peripheral parts. Repigmentation specially noted to start from edge of vitiligo patch (where needling is done) as tiny black dots and further needling through these dots gradually repigmented the central areas. Repigmentation is also good over areas with grey hair with this technique as needling uses melanocytes of the surrounding skin rather than the follicular cells. This further strengthened the idea of needling.