Asia Forum for Aesthetic Surgery & Medicine

Transcription

1 2013 International Meeting of Asia Forum for Aesthetic Surgery & Medicine The 1st Congress of Asia Anti-Aging & Regenerative Medicine Korea Academy of Aesthetic Surgery & Medicine Sponsorship : kotra 2013 아시아국제미용의학 포럼 제1회 아시아 안티에이징 재생의학 학술대회 한국미용외과의학회 춘계학술대회 주관 / 한국미용외과의학회 협찬 / 코트라 April 6-7, 2013, COEX Grand Ballroom(1F), Seoul, Korea Sponsored by 한국미용외과의학회 Korea Academy of Aesthetic Surgery & Medicine(KAAS) 일본미용외과학회 Japan Society of Aesthetic Surgery(JSAS) 중국미용성형의사회 Chinese Society of Aesthetic and Plastic Surgeons 이탈리아미용의학회 Italian Academy of Beauty 일본임상항노화의학회 Japanese Society of Clinical Anti-Aging Medicine(JSCAM) 국제혈액생물재료학회 The International Society of Blood Biomaterials(ISBB) 태국미용외과의학회 The Thai Association and Academy of Cosmetic Surgery and Medicine(TACS) 호치민시미용성형외과학회 Ho Chi Minh City Society of Plastic and Aesthetic Surgery 대만안면성형재건외과학회 Taiwan Academy of Facial Plastic and Reconstructive Surgery 일본임상모발학회 Japan Society of Clinical Hair Restoration(JSCHR) 일본항노화외과&미용재생연구회 Japanese AntiAging Surgery & Regenerative Medicine for Rejuvenation(JAAS) 국제미용성형외과학회 World Academy of Aesthetic and Plastic Surgery(WAAPS) 아시아태평양두개악안면협회 The Asian Pacific Craniofacial Association 국제항노화재생의료학회 World Academy of Anti-Aging & Regenerative Medicine (WAARM) 한국미용성형의학원 Korean College of Cosmetic Surgery 대한여성회음성형연구회 Korean Academy of Gynecoplastic Surgery 189

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7 MEDICAL ASIA th KGMSA &Asia Medical Service Awards To uncover medical service in Asia and promote development by complex advertising campaigns, Ceremony of MEDICAL ASIA 2013 will be held in Seoul on May 3rd in Seoul Plaza Hotel. Started at 2008, the extent of 6th <Korea Global Medical Service Awards> spreading to the whole Asia area. For medical service s cosmopolitanism, <MEDICAL ASIA 2013> ceremony has constructed a complex network. We believe that publicity through Chinese and Korean media will enhance positions of our winners in Asia area. The following is details of this ceremony Outline Event Name: MEDICAL ASIA 2013( ) Subtitle: 6th KGMSA & Asia Medical Service Awards Schedule: ~ Held by: Money Today Organized by: Medical Asia Steering Committee Government Sponsors: Ministry of Health & Welfare, Ministry of Knowledge Economy, Korea Tourism Organization ministry of health welfare ministry of knowledge Institutional Sponsors: Korea Group of the Global Chinese Association, China and Korea Medicine and Medical treatment exchange Association Media Sponsors: Daily Sports, Northeast Asia Satellite Broadcasting, News China, Korean & Japanese Culture Economic News Schedule (Thu): Winners Welcoming Reception (Fri): MEDICAL ASIA 2013 ceremony 10:30~13:00 Asia Healthcare Industry Forum and Medical Asia Designated Agency Appointment Ceremony 14:00~17: (Sat): Tour of recipient Korean hospitals ~2014.4: Consolidated Marketing for Winner MEDICAL ASIA 2013, Consolidated Marketing and Privilege of Winners 1) Award Ceremony and Asia Healthcare Industry seminar (Seoul Plaza Hotel) to improve foreign patients invitation. 2)Public Brochure of <MEDICAL ASIA 2013> winners in Korean, English, Japanese and Chinese. (Distribute overseas) 3)Make e-book to improve foreign patients invitation for <MEDICAL ASIA 2013> winners. 4) Make videos of Interview of Awards winners and the ceremony which can be searched on Google and sina.com. 5) Public news about Winner list and Ceremony on the media. 6) Public contents and pictures about medical services of winners on donga.com 7) Multilanguage PR page on home page to introduce medical services of winners. 8) <Winner>banner on donga.com s foreign language site, link to Multilanguage PR page on our home page <Cost> 2 round trip air tickets, Accommodation for two days and three nights (2 people), cost of consolidated marketing (10,000,000KRW) 5

8 한국미용외과의학회 안면미용수술카데바워크숍 한국미용외과의학회가이번워크숍은안면미용수술에필요한해부학에서부터 Blepharoplasty, Rhinoplasty, face lifting의이론과테크닉을연마할수있도록짜임새있게구성했습니다. 해당분야의경험많은강사들이강의하는세미나와카데바시연에이어참가자들이직접카데바실습을하게됩니다. 포르말린처리를하지않은 fresh cadaver를 2인 1구로실습합니다. 또한이번워크숍은만리장성또는자금성등중국제일의관광지를돌아볼수있는기회이기도합니다. 많은참가부탁드립니다. 감사합니다. 날짜 : 2013년 5월 17일 ( 금요일, 석가탄신일 ) ~19일 ( 일 ) 2박 3일 장소 : 중국북경 등록안내 구분 1차등록 4월 25일 최종등록 5월3일 정회원 160만원 170만원 비회원 180만원 190만원 특기사항 1. 호텔 1인 1실인경우 18만원추가하셔야합니다. 2. 단체비자피는 25,000원추가 입금계좌 국민은행 ( 한국미용외과의학회 ) 1. 등록비포함 : 항공료, 숙박 2 인 1 실, 식비등현지체류비. 불포함 : 비자피, 현지관광지입장료 2. 취소 / 환불규정 : 참가신청후취소의경우항공료발권취소에따른페널티등수수료를제하고환불해드립니다. 단 5 월 4 일이후취소시에는 50% 만환불됩니다. 참가모집인원 : 선착순 20 명 Topic 과강사 Lid Surgery 이론강의, 시연, 지도 최웅철 ( 밝을명안과 ) Rhinoplasty 이론강의, 시연, 지도 정동학 ( 심미안의원 ) Face Lift 이론강의, 시연, 지도임종학 ( 카이로스의원 ), 정광섭 ( 보니따의원 ) 일정 5 월 17 일 ( 금 ) 11:00 인천공항집결,13:00 공항출발 (OZ333) 14:00-17:00 도착후시내관광, 19:00-21:30 이론강의 5월18일 ( 토 ) 09:00-11:00 시연 11:00-16:30 실습 5월19일 07:00-14:00 만리장성또는자금성코스중택1 관광 17:10-20:10 북경공항출발 (OZ336) 인천도착 * 이번워크숍은진행사정상강사와일정및요금이변경될수있습니다. 6

9 Facial Cosmetic Surgery A Beginning to Advanced Cadaver Dissection Workshop 韩国美容外科医学会面部美容手术尸体解剖研讨会 Dear Colleagues, It is my honor and pleasure to inform you that Korea Academy of Aesthetic Surgery & Medicine(KAAS) will hold Cadaver Dissection Workshop for facial cosmetic surgery such as lid surgery, rhinoplasty, face lift in Beijing, China, on May 17-19, This course combines didactic and hands-on cadaver education that will serve not only as a refresher for experienced surgeons, but allow a simulation of new and more advanced techniques. Lim Jonghak, MD President, Korea Academy of Aesthetic Surgery & Medicine Venue : Beijing, China Sunworld Hotel Tel: HYPERLINK Address: 88 Dong Shikou Dongcheng District, Beijing, China Date : May 17(Friday)-19(Sunday), 2013 Topics Lid Surgery Choi Woongchul, MD 崔雄哲 Rhinoplasty Jung Donghak,MD 郑东学 Face Lift Lim Jonghak, MD 林钟学, Jung Kwangseup, MD 郑光燮 Schedule May 17 (Friday) 17:00-18:30 Dinner at Chinese Restaurant 19:00-21:30 Seminar at the hotel 1. Lid Surgery(50 min. including discussion) 2 Rhinoplasty(50 min. including discussion) 3. Face lift(50 min. including discussion) May 18 (Saturday) 09:00-11:00 Instructor s Demonstration at the hospital cadaver practice room 1. Lid Surgery(40 min.) 2. Rhinoplasty(40 min.)3. Face Lift (40 min.) 11:00-17:00 Practice May 19 (Sunday) Sightseeing of The Forbidden City in Beijing Registration 1. Registration Fee: Doctor: 1,350,000KRW Accompanying Person: 600,000KRW *For doctor, registration fee includes tuition, accommodation, meals, local transportation, guide tips, etc. *For accompanying person, fee does not includes tuition. 2. The Registration Deadline is April 25 Notice 1. One cadaver will be provided two doctors during the practice. 2. For participants you should bring your gown and instruments for the practice. We, KAAS will offer blades, suture threads, masks, gloves, caps. 3. Cancellation Policy: 50% refund if cancelled before April 25, No refund if cancelled on/ after April 25, The schedul and lecturers can be changed, KAAS Office Tel: , Fax: HYPERLINK mailto:kaaskorea@daum.net kaaskorea@daum.net 7

10 [ 참가모집 ] 제 101 회일본미용외과학회 The 101st Congress of Japan Society of Aesthetic Surgery 일본미용외과학회는일본에서미용외과를진료과목으로정하는데결정적인역할을한 40년전통을자랑하는학회입니다. 지난해 5월 100회학술대회를한데이어이번에 101회대회를 6월 15일 ( 토 )-16일( 일 ) 일본도쿄의 Big Sight에서개최합니다. 미용외과및미용의학의세계적인전문가들을초빙한이번학술대회는저희한국미용외과의학에서는임종학, 정광섭원장이초빙되었습니다. 저희한국미용외과의학회에서는연제모집과참가자신청을받고있습니다. 저희학회에서는항공권, 숙박등일정을전문업체에의뢰했습니다. 많은참가를부탁드립니다. 장소 : 일본도쿄 Big sight 날짜 : 2013 년 6 월 15 일 ( 토 )~6 월 16 일 ( 일 ) 초록모집안내 1미용외과및미용의학전분야에걸쳐주제를선정하여발표할수있습니다. 2초록신청서는영어로작성해우리학회이메일 (kaaskorea@daum.net) 로보내주십시오. 3초록신청서에는 Title, Author s name, Institution, Mailing address, , Tel, Fax, text( 영어단어 300자이내 ) 가기재되어야합니다. 4발표시간 : 10분 ( 발표 7분, 질의및응답 3분 ) 5초록마감 : 2013년 3월 31일 ( 일 ) 6발표언어 : 영어 등록안내 ( 사전등록마감 5 월 15 일 ) 1 등록비 : 의사 20,000엔, 동행인 10,000엔 (6월 15일저녁웰컴파티참가비포함 ) 2 참가신청서를 5월 15일까지접수한뒤등록비는 6월 15일현장에서본인이지불합니다. 여행일정 6월14일 ( 금 ) 17:30 김포공항집결, 19:00 공항출발 (KE2711), 21:05 하네다공항도착, 워싱턴호텔숙박 6월 15일 ( 토 ) 09:00-18:00 학술대회참석, 6월 16일 ( 일 ) 17:00 학술대회참석 6월 16일 ( 일 ) 17:30 Big Sight에서하네다공항으로향발, 19:55 하네다공항출발 22:10 김포공항도착 여행경비 : 1,087,000원 ( 포함 : 항공권, 숙박비 ( 조식포함, 1인1실 ), 차량, 팁등 ) 여행경비는 5월 15일까지한국미용외과의학회계좌로입금해주십시오. 입금계좌국민은행 ( 한국미용외과의학회 ) 8

11 [ 국제학술대회안내 ] 제 2 회아시아안티에이징 재생의학학술대회한국미용외과의학회추계학술대회 The 2nd Congress of Asia Anti-Aging & Regenerative Medicine The 2nd Congress of Korea Academy of Aesthetic Surgery & Medicine Organizer by 한국미용외과의학회 (Korea Academy of Aesthetic Surgery & Medicine: KAAS) 국제항노화재생의료학회 (World Academy of Anti-Aging & Regenerative Medicine) Venue : COEX Conference(South), Seoul, Korea Date : September 29, 2013 Call for abstracts 1) The presentation topics should be related to anti-aging and regenerative medicine, aesthetic surgery, aesthetic cosmetic medicine and etc. 2) an abstract in English to KAAS secretariat [kaaskorea@daum.net]. 3) The abstract includes title of presentation, author, institution, address, address, telephone & fax number, mobile phone number, abstract text(limited to 500 words), attaching the presenter s photo. 4) Presentation time: 20 minutes including questions & answers. 5) submission deadline is July 26 Registration 1) the registration form including your name, institution, address, phone & fax number, address, name of your accompanying persons if you have ones. 2) Registration fee: KRW100,000 (Early bird, before September 6, 2013) KRW100,000(On/After September 6 and on site in cash) For more information: 9

12 Tourism information on the vicinity of COEX COEX Mall A great way to entertain whole family; COEX Mall features a multi-screen movie theatre, major bookstore, Aquarium, all kind of restaurants, and entertainment galore. COEX Mall is a must see part of any visit to Korea. COEX Aquariaum Escape to the undersea world at COEX Aquarium, featuring all kind od sea creatures. Wathc cute otters frolicking, and observe sharks and manta rays from a 72meter long underwater tunnel. It s exciting and educated. Bongwonsa Temple Bongwonsa, a noted temple with a history of more than 1,000 years, is the head temple of the Taego Order of Korean Buddhism which has a long history and tradition. It is located at the north end of COEX. Seven Luck Casino Seoul Gangnam Seven Luck Casino Seoul Gangnam is located near COEX. You will be able to enjoy the thrills of playing roulette, baccarat, Tai-Sai, Caribbean stud poker, slot machines and more in a comfortable environment. 10

13 Contents 目次 Welcome Message...12 Presidents of the Meeting Committee Special Congratulatory Message...14 President & CEO, Korea Trade-Investment Promotion Agency (KOTRA) Congratulatory Message...15 Chairman, Japan Society of Aesthetic Surgery(JSAS) President, Italian Academy of Beauty President, World Academy of Anti-Aging & Regenerative Medicine (WAARM) International Faculty...18 General Information...20 Congress Site...21 Program at a Glance...22 Program 月 6 日 _ April 6_ Room103 Session 1. Face Lift ⅠNon Invasive 面部提升术 Ⅰ 非微创...34 Session 2. Rhinoplasty Ⅰ 鼻整形 Ⅰ...40 Session 3. Eyelid І 眼部整形术 Ⅰ...48 Session 4. RejuvenationⅠ 返老还童 Ⅰ...52 Session 5. Anti-aging Medicine by WAARM 抗衰老医学 4 月 6 日 _ April 6_Room Session 1. Hair Restoration Ⅰ Surgical 毛发移植 Ⅰ 手术...63 Session 2. Hair Restoration Ⅱ Non Surgical 毛发移植 Ⅱ 非手术...72 Session 3. Facial Contouring 脸部轮廓术...77 Session 4. Skin & Laser Ⅰ 皮肤及激光 Ⅰ...81 Session 5. Live Demonstration 现场演示 月 7 日 _ April 6_Room 103 Session 1 Breast Ⅰ 乳房手术 Ⅰ...89 Session 2. Breast Ⅱ 乳房手术 Ⅱ...94 Session 3. Rhinoplasty Ⅱ 鼻整形 Ⅱ...98 Session 4. Rhinoplasty Ⅲ 鼻整形 Ⅲ Luncheon Seminar Session 5. Special Lecture 专题讲座 Session 6. Eyelid Ⅱ 眼部整形术 Ⅱ Session 7. Eyelid Ⅲ 眼部整形术 Ⅲ 月 7 日 _ April 6_Room 104 Session 1. Rejuvenation Ⅱ 返老还童 Ⅱ Session 2. Face Lift Ⅱ Minimal Invasive 面部提升术 Ⅱ 微创 Session 3. Face Lift Ⅲ Invasive 面部提升术 Ⅲ 创 Session 4. Body Contouring Ⅰ Extremities 轮廓身 Ⅰ 四肢 Luncheon Seminar Session 5. Body Contouring Ⅱ Face & Body 轮廓身 Ⅱ 身和面 Session 6. Body Sculpture 雕塑身 月 7 日 _ April 6_Room 105 Session 1 Anti-aging & Stem Cell Ⅰ 抗衰老和肝细胞 Ⅰ Session 2. Anti-aging & Stem Cell Ⅱ 抗衰老及肝细胞 Ⅱ Session 3. Filler & Toxin 填料及毒素 Session 4. Maxilla of Facial Aesthetic & ISBB Session 颚骨面部美容 Clinical application of biomaterial blood / stem cell therapy of soft tissue & bone Session 5. Maxilla of Facial Aesthetic & ISBB Session 颚骨面部美容 Maxill Oral Facial Aesthetic Session Maxilla of Facial Aesthetic & ISBB Session Ⅲ Poster Session 颚骨面部美容海报会议 Session 6. Skin & Laser Ⅱ 皮肤及激光 Ⅱ Booth company list 11

14 Welcome Message We would like to welcome you all to attend our 2013 International Meeting of Asia forum for Aesthetic Surgery & Medicine[AFAS], The 1st of Asia Anti-Aging and Regenerative Medicine and Korea Academy of Aesthetic Surgery & Medicine[KAAS] in Seoul, Korea on April 6-7, All Asian countries have achieved remarkable growth in the field of aesthetic surgery and medicine even though there is a difference to the growth in various countries. We would like to further raise the level of aesthetic surgery and medicine and ultimately contribute to establishing its position as a general medicine putting a priority on happiness of patients through active exchanges implemented by surgeons and medical societies from all Asian countries at this conference. In addition, we would make efforts to get this event to be a place of communication to lead to the generation of synergy effects through mutually respecting and supplementing professionalism by division and field under the category of aesthetic surgery and medicine. This conference is an academic festival to give all of participants an opportunity to share new technology, knowledge and information in the field of aesthetic surgery and medicine as well as to enhance friendship. We invite you to the festival where you can feel to the fullest the spring of Seoul in harmony of antique ancient palaces and parks, and nice buildings. Thank you. 안녕하십니까? 우리한국미용외과의학회 (KAAS) 가주관하는 2013 아시아국제미용의학포럼은각국의 16개학회가참여하는학회로서국내외많은의료인들이모여미용외과와미용의학전분야에걸쳐발표하고토론하는국제학술행사입니다. 해외사전참가자 450여명, 국내참가자 450여명이한자리에모이는대규모학술출제가되었습니다. 최신의료기술과지식과정보를공유하는아시아최대의학술대회가되었습니다. 우리학회는아시아포럼을아시아는물론세계의대표적인학술대회로만들어나갈계획입니다. 많은성원과참여를부탁드립니다. 大家好! 亚洲各国的美容外科 美容医学组织以及诸多医疗界人士参加的亚洲国际美容医学论坛是亚洲最大规模的学术大会 该论坛是各国专家发表有关美容医学的论文, 并进行讨论, 不仅如此还与很多人分享多种多样的技术与知识的具有重要意义的平台 希望能够对全体与会人士起到一些帮助 亚洲国际美容医学论坛预计每年春季举办 我们学会是汇集亚洲各国的最新医疗技术与知识的国际学会 望各位明年再次莅临我们大会, 非常感谢! 12

15 임종학한국미용외과의학회회장 LIM Jong Hak, MD President, KAAS 정광섭 2013 아시아국제미용의학포럼회장 JUNG Kwang Seup, MD President, AFAS 정동학대회명예학술위원장 JUNG Dong Hak, MD Honorary Chairman, Scientific Committee Congress Honorary Presidents Fumihiko UMEZAWA, MD Chairman, Japan Society of Aesthetic Surgery Li Shirong, MD Past President, Chinese Society of Aesthetic and Plastic Surgeons Pier Antonio Bacci, MD President, Italian Academy of Beauty Congress Scientific Committee CHOI Woong Chul, MD Chairman of Scientific Committee, KAAS Nobuyuki Masaki, MD President, the 101st Congress of JSAS Hao Lijun, MD Vice President, Chinese Society of Aesthetic and Plastic Surgeons Dong Fan, MD Member of the Standing Committee, Chinese Society of Aesthetic and Plastic Surgeons Hiromi Yokoyama, MD President, Japanese Society of Clinical Anti-Aging Medicine Hajime Okudera, DDS,PhD Chairman, the International Society of Blood Biomaterials Attapan Pornmontarut, MD President, the Thai Association and Academy of Cosmetic Surgery and Medicine Le Hanh, MD President, Ho Chi Minh City Society of Plastic and Aesthetic Surgery Wang Zhijun, MD President, World Academy of Aesthetic Plastic Surgery Akio Sato, MD President, Japan Society of Clinical Hair Restoration Chuan-hsiang Kao, MD President, Taiwan Academy of Facial Plastic and Reconstructive Surgery Yamamoto Yutaka, MD Chairperson, Japanese AntiAging Surgery & Regenerative Medicine for Rejuvenation Xiongzheng Mu, MD Chairman, the Asian Pacific Craniofacial Association Matsuyama Jun, MD(Japan) World Academy of Anti-Aging & Regenerative Medicine Chen Yao Su, DDS, PhD President, the 1st Taiwan Society of Blood Biomaterials CHANG Doo Yeoul, MD Korean Academy of Aesthetic Medicine KANG Kyoung Jin, MD President, Korean College of Cosmetic Surgery WON Chul, MD Honorary President, Korean Academy Of Gynecoplastic Surgery 13

16 Congratulatory Message 祝词 한국미용외과의학회의창립과 2013 아시아국제미용의학포럼의개최를진심으로축하드립니다. 한국미용외과의학회의탄생을계기로국내미용의학 (cosmetic medicine) 분야의발전이가속화될것으로기대하며, 향후국제적인학회로발돋움하길기원합니다. 아울러학회창립과동시에개최되는 2013 아시아국제미용의학포럼이한국미용의학의우수성을국내외에널리알리고, 미용분야의비즈니스를활성화하는데기여하길바랍니다. 나아가활발한국제학술교류의장으로발전하길기대합니다. 이를계기로국내미용의학이문화한류를넘어경제한류로전세계에확산되어고부가가치신성장산업으로자리매김하길기원합니다. Congratulations on the establishment of the Korea Academy of Aesthetic Surgery & Medicine (KAAS) and the opening of the Asia Forum for Aesthetic Surgery & Medicine(AFAS) in Seoul. With KAAS, I am confident the Korean cosmetic medicine industry will make rapid progress and I hope that KAAS will become a major international academy in the future. It is also my hope that AFAS will contribute to international academic interchange and help promote Korea s exceptional cosmetic medicine industry to international visitors. I look forward to seeing Korea s cosmetic medicine industry advance not only the cultural Korean Wave, but also an economic wave as a new value-added industry. 首先, 衷心祝贺韩国美容外科医学会的成立和亚洲国际美容医学论坛的召开 我深信, 韩国美容外科医学会的成立将成为美容医学发展的良好契机, 并希望此次论坛将具有国际领先水平的韩国美容医学传播到海内外, 为美容市场创造更多的商机 与此同时, 祝愿贵学会早日发展成为具有影响力的国际性学术交流平台 最后, 衷心希望国内美容医学界借此机会从文化韩流模式跨越到经济韩流模式, 使之成为具有高附价值的新的经济增长点 KOTRA 사장오영호 ( 吴永鎬 ) Young-Ho Oh President & CEO Korea Trade-Investment Promotion Agency (KOTRA) 14

17 Congratulatory Message I am delighted to participate in the meeting of Korea Academy of Aesthetic Surgery & Medicine(KAAS), and Asia Forum for Aesthetic Surgery & Medicine(AFAS) held by efforts of Lim Jonghak, MD, Jung Kwangseup,MD and Jung Donghak, MD, and support of doctors from Asian countries. I am confident that many excellent cosmetic medicine doctors who have various latest medical technology attend this meeting. I am very pleased to have a great opportunity to build friendship exchanges through this conference. I d like to say like this: doctors must focus on commitment(sense of mission) and sympathy(caring for people), not pursue their own interests. I hope all of you become a doctor who cherish the spirit of service and charity as the origin of the doctors, and think of patient s thinking from the standpoint of patients. The 100th Congress of Japan Society of Aesthetic Surgery was held successfully in Tokyo, on May of the last year thanks to you here and Korean doctors. JSAS will hold the conference supported by all of you without leaning fraction in the future. I sincerely expect all of you achieve greater development in the future. Thank you. Fumihiko Umezawa, MD Chairman of Japan Society of Aesthetic Surgery アニョハセヨ 皆様 こんにちは このたび イム ジョハック先生 (Lim Jong-Hak, M.D.) ジョン ガンサップ先生(Jung Kwang-Seup, M.D.) ジョン ドンハック先生(Jung Dong-Hak, M.D.) の御努力と各国の諸先生方の御支援により開催される第 1 回韓国美容外科医学会 (Internationak Meeting of Asia forum for Aestheitc Surgery & Medisine [AFAS] and Korea Academy of Aesthetic Surgery & Medicine [KAAS]) に参加できますことを大変喜ばしく思います 今回も美容医学の医師として最新医療技術に優れた諸先生方が同席されております この学会を通じ 各国の諸先生との友情の交流をこの機会に築き上げる事が出来ます事を大変喜ばしく思います 医師は みずからの利益を追求することではなく コミットメント ( 使命感 ) と シンパシー ( 人々への思いやり ) を重視するようにしましょう 諸先生方には医師の原点である奉仕 仁愛の精神を大切に患者様の立場に立った物の考えの出来る医師となられることを希望します 昨年開催致しました第 100 回日本美容外科学会は皆様の御協力 御助力のお陰で 5 月 26 日 27 日の両日 ホテルオークラ東京にて盛大に開催するができました 皆様方 韓国の先生方の御協力を賜り 一つの派閥に偏る事無く 美容医療の発展の為に貢献できる学術集会を開催したい所存です ここに皆様の更なるご発展を期待し簡単でありますが 御挨拶とさせて頂きます 財団法人日本美容医学研究会会頭梅澤文彦 Fumihiko Umezawa, MD Chairman of Japan Society of Aesthetic Surgery 15

18 Congratulatory Message All during history, men and women have always had the desire to improve their own appearance, so we could say that Aesthetic surgery of the skin is as old as humankind. Beauty has been extolled and made an object of cult in all cultures and civilizations, whatever their geographic distribution, their ethnic origin or religion. In ancient Egypt, beauty was associated to the sacred nature of queen Nefertiti, as holiness, the greek aesthetic ideal was characterized by perfect proportions of Aphrodite, and among the Etruscans, Venus represented beauty and harmony. After French Revolution, the standard representation of the european woman suffered a devolution, the feminine body started to express activity, job, functionality, precision and harmony, losing some traits of Renaissance womanhood. Nowadays another trend is on the way. The old myth of the beauty is being replaced by a body care. All initial alterations of the basal activities of the cells and vital systems constitute signals that doctors may comprise, because they are aesthetic pathologies and process of aging. To conclude, aesthetic medicine may means preventive medicine too. From 15 years we have had a continuous evolution in the concept of the beauty, particularly the aesthetic surgery becomes more and more soft. Our patients ask to improve the youth of the face without change own expression with the skin stretched to the excess and with the face without mimicry, as a robot. Today the ruling question is: Doctor, would like to improve my face, but without changing, even in more times. Mini invasive aesthetic surgery may have an important role as an official weapon for the physicians and the aesthetic surgeons. Korea is expression of that part of the world with oriental culture, crib of sweet and harmonic beauty. In this part of the world, beauty means harmony, sweetness, womanhood and silence, like an wonderful wedding between light of the eyes and sound of the country. I am honored to give the salutation of my Italy to all participants at the 2013 International Meeting of Asia Forum for Aesthetic Surgery & Medicine[AFAS] and 1st Congress of Asia Anti-Aging & Regenerative Medicine. I am sure that this congress will be an important moment of international knowledges, friendships and culture. My compliments to Dr. Jonghak Lim, President of Korea Academy of Aesthetic Surgery & Medicine, and all Organising Committee, welcome to all partecipants. Prof. Pier Antonio Bacci Honorary President of the Congress Prof. on Aesthetic Surgery in Surgery School in Siena University (93-11) Teacher on Aesthetic Medecine in University of Siena, Parma and Barcelona President of Italian Academy of Beauty and Beauty Medical School of Tuscany 16

19 Congratulatory Message Congratulations on the announcement of the 2013 International Meeting of Asia Forum for Aesthetic Surgery & Medicine[AFAS],The 1st Congress of Asia Anti-Aging & Regenerative Medicine. All across the medical field, the practice of medicine has begun to change, not simply in terms of technology in medical treatment, but also in the shape of acceptance of preventive medicine as well as active preventive medicine. In this changing environment, the field of medicine is led by not those who specialize in single field, but it is led by those who integrate knowledge from every specialization in the field of medicine. This is also true in the field of cosmetic medicine. Cosmetic science today requires combined expertise in active preventive medicine, or anti-aging, which requires understanding in the fields of internal medicine, preventive medicine, nutrition, Supplements, sports medicine and cosmetic therapy, and not only specialization in cosmetic surgery and cosmetic dermatology for superficial treatment. I m looking forward to this upcoming academic conference as it is a reflection of our changing society and on excellent opportunity to experience live events and listen to lecture of various specialists from all over the world. I will be looking forward to meeting you all in the conference. Jun Matsuyama,MD,PhD Chairman, World Academy of Anti-Aging & Regenerative Medicine(WAARM) Board of Scientific Advisor,Asia Pacific, American Academy of Anti-Aging Medicine(A4M) 17

20 International Faculty Blepharoplasty Choi,Woong Chul (Korea) Baek, Se Hyun (Korea) Lee, Ji Hyeong (Korea) Kim, Byoung Jin (Korea) Kim, Sang Seop (Korea) Kim, Young Kyoon (Korea) Jin Guangshan (China) Qin Liangzhong (China) Shang Zhongming (China) Tstomu Mizuno (Japan) Yoshio Ikeda (Japan) Rhinoplasty Jung, Dong Hak (Korea) Ahn, Tae Hwan (Korea) Attapan Pornmontarut (Thailand) Chuan-Hsiang (Steve) Kao (Taiwan) Diep The Dung (Vietnam) Ian Loh (Singapore) Jinlong Huang (China) Jang, Dong Woo (Korea) Jeon, Jeong Hwan (Korea) Le Hanh (Vietnam) Levi John Lansangan (The Philippine) Face Lift Park, Hyo Jin (Korea) Yi-Sheng Kao (Taiwan) Zhang Chen (China) Jung, Kwang Seup (Korea) Kim, Dong Il (Korea) Lee, Hansen (Korea) Lee, Won Seok (Korea) Lee, Woo Seok (Korea) Li Hua (China) Lim, Jong Hak (Korea) Ma Wenxi (China) Anti-aging and Stem Cell Park, Joon Han (Korea) Park, Sam Gohn (Korea) Wang Zhijun (China) Zhang Jie (China) Hiromi Yokoyama (Japan) Huang Jinlong (China) Han, Gong Chang (Korea) Ken Nakama (Japan) Kwon, Oh Sook (Korea) Kim, Eun Hwa (Korea) Yoon, Jung Hyun (Korea) Anti-aging_by WAARM Rejuvenation Jun Matsuyama (Japan) Robert Peterson (America) Atsushi Imaizumi (Japan) Kenichi Nebuka (Japan) Makoto Mera (Japan) Eiji Yamashita (Japan) Jo, Dong Hyeon (Korea) Kwon, Han Jin (Korea) Mu Baoan (China) Nguyen Xuan Cuong (Vietnam) Lee, Chang Hwan (Korea) Skin & Laser Takayuki Kubo (Japan) Wang Jieqing (China) Wu Yi (China) David Sudarto Oeiria (Indonesia) Hu Yalan (China) Jeon, Cheol Woo (Korea) Justin Hao (Taiwan) Lee, Hwang Heui (Korea) Ratna Maitri Dewi Gondowardojo (Indonessia) Seo, Kyung Hee (Korea) We, Soo Young (Korea) 18

21 Maxilla of Facial Aesthetic & ISBB Session Filler & Toxin Hajime Okudera (Japan) Han, Sung Ik (Korea) Chen-Yao Su (Taiwan) Jietsu Ryu (Japan) Kinugasa Tetsuo (Japan) Pin-Chi Chiu (Taiwan) Toshimitsu Okudera (Japan) Yutaka Kitamura (Japan) Choi, Mi Sook (Korea) Seo, Jeong Ho (Korea) Song, Tae Heon (Korea) Breast Special Lecture Surin Plasen (Thailand) HAO Lijun (China) Park, Kyung Won (Korea) Cho, Young Shin (Korea) Sung, Ki Su (Korea) Xiaobang Ding (China) Pier Antonio Bacci (Italy) Akiyoshi Takada (Japan) Yutaka Yamamoto (Japan) Body Contouring & Liposuction Bone Surgery Ahn, Kyung Chun (Korea) Cho, Jae Ho (Korea) Joe Shigemoto (Japan) Kang, Kyoung Jin (Korea) Kim, Hyeong Seok (Korea) Kim, Tae Kyeom (Korea) Kwon, Han Jin (Korea) Xiongzheng Mu (China) Guo Zong Ke (China) Hair Restoration Akio Sato (Japan) Choi, Jung Keun (Korea) Im, Eunjin (Korea) Kim, Eun Young (Korea) Kim, Hye Ran (Korea) Kim, Jin Young (Korea) Michael Beck Hyunwook (Korea) Minoru Arakaki (Japan) Sotaro Kurata (Japan) Yu Min (China) Body Sculpture by Korean Academy of Aesthetic Medicine Viroj Vong (Thailand) Chang, Doo Yeoul (Korea) Cho, In Bae (Korea) Lee, Sun Ho (Korea) Jung, Rea Jun (Korea) Son, Bo Deu Rii (Korea) Eo, Kyung Nam (Korea) 19

22 General Information 1.Date: April 6-7, Venue: COEX Grand Ballroom(1F), Seoul, Korea Address: 159 Samseong dong, Gangnam-gu, Seoul Korea Tel: Website: 3. Schedule Room Room 103 Room Room104 Room105 April 6th, Sat :00-18:00 Exhibition 09:00-17:30 Lectures 18:40-20:40 Welcome Party 09:00-18:40 Lectures & Live Demonstration April 7th, Sun :00-17:30 Exhibition 08:30-17:00 Lectures 08:30-17:15 Lectures 08:30-16:00 Lectures 4. Registration 1) the registration form including your name, institution, address, phone & fax number, address, name of your accompanying persons if you have ones. 2) Registration fee Early bird, before March 15, 2013 On/After March 15 and on site in cash Doctor KRW150,000 KRW200,000 Accompanying person KRW100,000 KRW120,000 3) Registration fee includes participation in the scientific sessions, Exhibition, lunch, coffee break and welcome party. 4) If you completed registration by or fax before March 15, you can pay early-bird registration fee on site. 5. Official Languages Korean, English, Chinese 6. Simultaneous Translation Korean-> English, Chinese ->Korean and English simultaneous translation *You can lent a receiver for 10,000 KRW(5USD) in cash for one day at the front desk. 5,000KRW(5USD) in cash will be returned to you as soon as you hand back the receiver. 20

23 Congress Site COEX COEX Convention & Exhibition Center is one of the most prominent landmarks in Seoul. With a world class convention and exhibition center, Asia s largest underground shopping mall, restaurant and entertainment facilities, COEX is a great place in Seoul. Exhibition 21

24 Program at a Glance 4 月 6 日, April 6 Time Room 103 Time Room :30-09:00 Registration 07:30-09:00 Registration Session 1. Session 1. 09:00-10:30 Face Lift ⅠNon Invasive 09:00-10:45 Hair Restoration Ⅰ 面部提升术 Ⅰ 非微创 Surgical 毛发移植 Ⅰ 手术 10:30-10:50 Coffee Break 茶歇和展览 10:45-11:05 Coffee Break 茶歇和展览 10:50-12:30 Session 2. Rhinoplasty Ⅰ 鼻整形 Ⅰ 11:05-12:30 Session 2. Hair restoration Ⅱ Non Surgical 毛发移植 Ⅱ 非手术 12:40-13:30 Lunch & Exhibition View 午餐和展览 12:30-13:00 Lunch & Exhibition View 午餐和展览 Session 3. Session 3. 13:30-15:30 Eyelid І 眼部整形术 І Session 4. 13:00-15:10 Facial Contouring 脸部轮廓术 Session 4. RejuvenationⅠ 返老还童 Ⅰ Skin & Laser Ⅰ 皮肤及激光 Ⅰ 15:30-15:50 Coffee Break 茶歇和展览 15:10-15:30 Coffee Break 茶歇和展览 15:50-17:25 Session 5. Anti-aging Medicine by WAARM 抗衰老医学 15:30-18:30 Session 5. Live Demonstration 现场演示 18:40-20:40 Welcome Reception 欢迎晚宴 22

25 4 月 7 日, April 7 Time Room 103 Time Room 104 Time Room :30-08:30 Registration 07:30-08:30 Registration 07:30-08:30 Registration Session 1. Session 1 Session 1 RejuvenationⅡ Anti-aging & Stem Cell Ⅰ 08:30-10:10 Breast Ⅰ 乳房手术 Ⅰ Session 2. 09:30-10:35 返老还童 Ⅱ Session 2. 08:30-10:35 抗衰老和肝细胞 Ⅰ Session 2. Breast Ⅱ 乳房手术 Ⅱ Face Lift Ⅱ Minimal Anti-aging & Stem Cell Ⅱ Invasive 面部提升术 Ⅱ 微创 抗衰老及肝细胞 Ⅱ 10:10-10:30 Coffee Break 茶歇和展览 10:35-11:00 Coffee Break 茶歇和展览 10:35-10:55 Coffee Break 茶歇和展览 10:30-12:40 Session 3. Rhinoplasty Ⅱ 鼻整形 Ⅱ Session 4. RhinoplastyⅢ 鼻整形 Ⅲ 11:00-12:35 Session 3. Face Lift Ⅲ Invasive 面部提升术 Ⅲ 创 Session 4. Body ContouringⅠ Extremities 轮廓身 Ⅰ 四肢 10:55-12:40 Session 3. Filler & Toxin 填料及毒素 Session 4. Maxilla of Facial Aesthetic & ISBB Session 颚骨面部美容 12:40-13:30 Luncheon Seminar 12:35-13:30 Luncheon Seminar 12:40-13:30 Lunch 13:30-14:40 Session 5. Special Lecture 13:30-15:20 Session 5. Body Contouring Ⅱ Face & Body 轮廓身 Ⅱ 身和面 13:30- Session 5. Maxilla of Facial Aesthetic & ISBB Session 颚骨面部美容 14:40-15:00 Coffee Break 茶歇和展览 15:20-15:40 Coffee Break 茶歇和展览 14:40-15:00 Coffee Break 茶歇和展览 15:00-17:00 Session 6. Eyelid 眼部整形术 Ⅱ Session 7. Eyelid Ⅲ 眼部整形术 Ⅲ 15:40-17:10 Session 6. Body Sculpture 雕塑身 15:00-16:10 Session 6. Skin & Laser Ⅱ 皮肤及激光 Ⅱ 23

26 Room 103_4 月 6 日 April 6 Session 1. Face Lift ⅠNon Invasive 面部提升术 Ⅰ 非微创 Chairs: Park, Sam Gohn(Korea), Kim Dong-il(Korea) 09:00-09:15 Face balancing act- nonsurgical injection shaping Zhang Jie(China) 얼굴균형잡기 - 비침습주입방법 / 面部平衡术 - 面部衰老年轻化整形方案 09:15-09:30 Nonsurgical facial lifting Lee, Hansen(Korea) 비수술적안면거상술 / 非手术面部提升术 09:30-9:45 Face lift using barbed PDO threads and adipose derived stem cell Lee, Won Seok(Korea) PDO 가시실과지방유래줄기세포를사용한얼굴당김술 / 带刺的 PDO 线与利用脂肪由来干细胞的面部提升术 09:45-10:00 Ultra PDO triple thread lifting(cog, Screw, Flat PDO Thread) Lee, Woo Seok(Korea) 최신 PDO 삼중리프팅 (Cog,Screw,Flat PDO Thread) / 最新 PDO 三重提升术 (Cog,Screw,Flat PDO Thread) 10:00-10:15 Brow fixation in non- endoscopic forehead lift: Nylon percutaneous sutures Kim, Dong il(korea) 내시경을사용하지않는이마거상술 : 나일론경피봉합을통한이마고정술 / 非内镜前额拉皮术 : 通过尼龙经皮缝合的前额固定术 10:15-10:30 Study for skin rejuvenation & lifting using needle RF Lim, Jong Hak(Korea) Needle RF 를이용한피부재생과리프팅 / 利用针射频皮肤返老还童和提升术 10:30-10:50 Coffee Break & Exhibition View 茶歇和展览 Session 2. Rhinoplasty Ⅰ 鼻整形 Ⅰ Chairs: Han, Seong Yik(Korea), Attapan Pornmontarut(Thailand) 10:50-11:05 Clinical application of L Silicone implant in augmentation rhinoplasty for the Asian(18 years of experience) Diep The Dung(Vietnam) L- 실리콘보형물을임상적용한아시아인을위한융비술 (18 년의경험 ) / L- 为临床适用硅胶假体的亚洲人隆鼻术 (18 年的经验 ) 11:05-11:20 Three pieces augmentation rhinoplasty Yi-Sheng Kao(Taiwan) 세가지의융비술 / 三种隆鼻术方法 11:20-11:35 Autologous fascia lata rhinoplasty Ian Loh(Singapore) 대퇴근막자가이식융비술 / 阔筋膜自体移植隆鼻术 11:35-11:50 Synergic procedure with rhinoplasty Park, Hyo Jin(Korea) 코성형과함께하면더욱좋은수술 / 与鼻整形一起做更好的手术 11:50-12:20 1 Refinement of the nasal tip in Asian patients: creating the natural tip 2 Asian rhinoplasty with costal cartilage graft: my personal experience Chuan-Hsiang Kao(Taiwan) 1 아시아환자들의코끝개선 : 자연스런코끝만들기 / 亚洲患者的鼻尖改善 : 塑造自然鼻尖 2 늑골연골이식을이용한아시아인의융비술 / 利用肋软骨移植的亚洲人隆鼻术 12:20-12:30 12:30-12:40 Discussion 讨论 Invitation to the 101st Congress of Japan Society of Aesthetic Surgery (Venue:Tokyo Big Sight, Tokyo, Japan Date: June 15-16) Nobuyuki Masaki, President, 2013 JSAS Meeting 12:30-13:30 Lunch & Exhibition View 午餐和展览 Session 3. Eyelid І 眼部整形术 І Chairs: Baek Sehyun (Korea), Tstomu Mizuno (Japan) 13:30-13:45 Overall design of younger ocular region Shang Zhongming (China) 눈부위의전체디자인 / 眼部美容整形的整体设计思路 13:45-14:00 Advantages of continuous suture method in double eyelid operation Lee, Ji Hyeong (Korea) 연속봉합매몰법 / 双眼皮手术时连续缝合法的优点 14:00-14:15 Minimum invasive blepharoplasty Yoshio Ikeda (Japan) 최소침습눈성형술 / 微创眼部整形术 14:15-14:30 Finesse in upper blepharoplasty Choi, Woong Chul (Korea) 쌍꺼풀수술에서의기교 / 双眼皮手术技巧 24

27 Session 4. RejuvenationⅠ 返老还童 Ⅰ C h a i r s : K i m, Y o u n g G o n ( K o r e a ), T a k a y u k i K u b o ( J a p a n ) 14:30-15:00 1 Absorbable Thread Rejuvenation(ULTRA V LIFT) and post care system Kwon, Han Jin(Korea) 2 RF cannula dissector technique(forehead glabellar, indian, nasolabial fold and eyebag treatment) 1 흡수사를이용한회춘술 (ULTRA V LIFT) 과사후관리利用可吸收线的返老还童术 (ULTRA V LIFT) 和术后管理 2 RF cannula dissector 테크닉 ( 이마, 미간, 인디안주름, 팔자주름, 눈밑지방주머니치료 ) RF cannula dissector 技巧 ( 额头 眉间 眼周皱纹 法令纹和眼袋治疗 ) 15:00-15:15 Adipose tissue A New material for facial rejuvenation Wang Jieqing(China) 지방조직 - 안면회춘을위한새로운물질 脂肪组织 - 为达到面部返老还童效果的新物质 15:15-15:30 Strategy for mid face wrinkles removal Wu Yi(China) 중안면주름제거전략 中面部除皱策略 15:30-15:50 Coffee Break & Exhibition View 茶歇和展览 Session 5. Anti-aging Medicine by WAARM 抗衰老医学 Chairs: : Kwon, Oh Sook (Korea), Jun Matsuyama(Japan) 15:50-16:10 Overview of anti-aging medicine and current state of Japanese anti-aging medicine Jun Matsuyama(Japan) 항노화의학에대한개관과일본항노화의학의현주소 有关抗衰老医学的概况和日本抗衰老医学的现状 16:10-16:25 Telementoring, a new paradigm for surgical education Robert Peterson(USA) 원격조언, 수술교육의새로운패러다임 有关远程启导 手术教育的新模式 16:25-16:40 Highly bioavailable curcumin (theracurmin ): its clinical potential in common diseases and anti-aging Atsushi Imaizumi (Japan) 고생물학적인 Curcumin: 일반질병과항노화에있어서그임상적잠재성 高生物学方面具有高效率的姜黄素 : 在一般疾病和抗衰老方面的临床潜在效果 16:40-16:55 The importance of tooth and oral cavity in anti-aging and pertaining to beauty-shifting from symptomatic treatment to a fundamental treatment with the use of new sterilizing water Kenichi Nebuka (Japan) 항노화와아름다움에있어서치아와구강의중요성 为达到抗衰老和美丽牙齿和口腔的重要性 16:55-17:10 Change in an occlusal position and anti-aging Makoto Mera (Japan) 교합위치변화와항노화 咬合位置变化和抗衰老 17:10-17:15 Anti-photoaging for skin by astaxanthin Eiji Yamashita (Japan) astaxanthin 의피부항광노화 虾青素的皮肤抗光老化 17:15-17:25 17:25-18:40 18:40-20:40 Discussion 讨论 Preparing Welcome Part 欢迎晚宴准备 Welcome Party 欢迎晚宴 ( 举办地点 : 教室第 103 号 ) 25

28 Room _4 月 6 日, April 6 Session 1. Hair RestorationⅠSurgical 毛发移植 Ⅰ 手术 C h a i r s : C h o i, J u n g K e u n ( K o r e a ), S o t a r o K u r a t a ( J a p a n ) 09:00-09:15 09:15-09:30 09:30-09:50 09:50-10:05 10:05-10:20 10:20-10:35 10:35-10:45 10:45-11:05 Cosmetic density of hair transplantation in Korea Choi, Jung Keun (Korea) 한국인의모발이식에서미용학적밀도韩国人毛发移植的美容学密度 Follicular unit extraction as a future of hair restoration surgery Michael Beck Hyunwook (Korea) 미래의모발이식을주도할모낭단위적출술将主导未来毛发移植的毛囊单位提取术 1Applying New Hair Extraction Tool in Hair Transplantation Surgeries Yu Min (China) 2Jack s Artistry Eyebrow Transplantation1모발이식수술에서새로운모발추출기구의적용在毛发移植手术中适用新毛发萃取器械 2예술적눈썹이식술艺术植眉与眉毛移植技术 Tip of making natural Asian female hairline transplantation Kim, Eun Young (Korea) 자연스러운아시아여성헤어라인이식을위한팁亚洲女性自然移植发线的技巧 Hair transplant in Transgender Viroj Vong (Thailand) 트렌스젠더의모발이식变性人的毛发移植 The Recovery method of donor scar in Hair Transplantation Kim, Jin Young(Korea) 모발이식의공여부흉터복원술毛发萃取供区的伤痕复原术 Discussion 讨论 Coffee Break & Exhibition View 茶歇和展览 Session 2. Hair Restoration ⅡNon Surgical 毛发移植 Ⅱ 非手术 Chairs: Kim, Jin Young(Korea), Akio Sato(Japan) 11:05-11:20 11:20-11:35 11:35-11:50 11:50-12:05 12:05-12:20 12:20-12:30 12:30-13:30 Hair aging in Asian Sotaro Kurata(Japan) 아시아인의모발노화亚洲人的毛发衰老 Clinical experience of Minoxidil with Amino acids oral medication for women hair loss Minoru Arakaki(Japan) 여성모발손실에대한아미노산경구약물치료와함께하는미녹시딜임상경험用氨基酸口服药物和米诺地尔治疗女性毛发损失的临床经验 Finasteride in the long run for Japanese male Akio Sato(Japan) 장기적으로일본남성에맞는 Finasteride 长期适合日本女性的 Finasteride( 防止脱毛剂 ) Comparison of mineral contents in hair between alopecia and non-alopecia Im, Eunjin(Korea) 탈모인과비탈모인의모발에함유된미네랄함량비교比较脱毛者与非脱毛者毛发的矿物质含量 A Study on effects of scalp massage on stress responses Kim, Hyeran(Korea) 두피마사지가스트레스의해소에주는효과연구有关头皮按摩有助于缓解压力的研究 - 临床 Discussion 讨论 Lunch & Exhibition View 午餐和展览 Session 3. Facial Contouring 脸部轮廓术 Chairs: Han, Seong Yik(Korea), Xiongzheng Mu(China) 13:30-13:50 Facial contouring surgery in China Xiongzheng Mu(China) 중국에서의얼굴윤곽수술在中国的脸部轮廓术 26

29 13:50-14:10 14:10-14:25 Skin expansion surgery for ear reconstruction Guo Zong Ke(China) 귀재건수술을위한피부확장술全扩张法耳再造术 Aesthetic parotidectomy : surgical options Ian Loh(Singapore) 미용적이하선절제술 : 외과적선택美容腮腺切除术 : 外科性选择 Session 4. Skin & LaserⅠ 皮肤及激光 Ⅰ Chairs: Lim, Kye Hwa (Korea), Dong Fan(China) 14:25-14:40 14:40-14:55 14:55-15:10 15:10-15:30 Golgeun-therapy having an impact upon the facial reduction We, Soo Young(Korea) 골근테라피가얼굴축소에미치는영향 Golgeun 疗法对缩脸起到的影响 Face lipolysis & face lift using fiber laser Wu Chunhua (China) Fiber laser를이용한안면지방흡입과리프트激光吸脂和面部提升术 Triple jet: new advances in hydroporation delivery system to the skin Lee Hwang Heui(Korea) Triple Jet: 피부에전달하는 Hydroporation 전달체계의새로운발전 Triple Jet: 传达给皮肤的 Hydroporation 传达体系的新发展 Coffee Break & Exhibition View 茶歇和展览 Session 5. Live Demonstration 现场演示 C h a i r s : J u n g, K w a n g S e u p ( K o r e a ), L i m, K y e H w a ( K o r e a ) 15:30-15:55 15:55-16:25 16:25-17:05 17:05-17:25 17:25-17:45 17:45-18:30 18:40-20:40 Filler & PPC Choi, Mi Sook (Korea) Filler & PPC 얼굴주입시연面部填充演示 Continuous buried suture double-eyelid surgery Lee, Ji Hyeong (Korea) 쌍꺼풀연속봉합매몰법시연双眼皮手术时连续缝合法的优点 Ultra V lift upgrade tech combination of Ultra V tornado & V Ultra double twist for facial lifting Kwon, Han Jin(Korea) 안면거상을위한 Ultra V tornado와 V Ultra double twist를결합한진전된 Ultra V 안면거상기술 Ultra V tornado 线和 Ultra V 双纽线结合的 Ultra V 面部提升技术 Face lipolysis & face lift using fiber laser Wu Chunhua (China) Fiber laser를이용한안면지방흡입과리프트激光吸脂和面部提升术 Non incisional rhinoplasty: HAi Hana-KO Lim, Jong Hak (Korea) 비절개법코성형술시연 HAi Hana-KO 非切开法隆鼻术演示 Minimal invasive face lift: Hai lift & Dual lift Lim, Jong Hak (Korea) Hai lift & Dual lift를통한얼굴주름제거시연通过 Hai lift & Dual lift 的去除面部皱纹演示 Welcome Reception 欢迎晚宴 ( 举办地点 :Room No.103) 27

30 Room 103_4 月 7 日, April 7 Session 1 Breast Ⅰ 乳房手术 Ⅰ Chairs: Jung, Kwang Seup(Korea), Hao Lijun(China) 08:45-09:00 08:45-09:00 09:00-09:15 09:15-09:30 Cosmetic breast surgery pearls in Asian patients Surin Plasen(Thailand) 아시아환자들의미용적유방수술의전형泰国及亚洲患者的美容乳房手术典型 Mastopexy with Mesh Park, Kyung Won(Korea) Mesh를이용한처진가슴교정술 / 使用 Mesh 的乳房下垂矫正术 Endoscopic Transaxillary dual-plane Breast Augmentation Using Silicone Gel Implants: 58 cases report Hao Lijun(China) 실리콘겔보형물을이용한겨드랑이절개내시경이중평면유방확대술 : 58 증례보고利用硅凝胶的经腋切口内镜双重平面隆胸术 :58 案例报告 Correction of displacement complication in augmentation mammaplasty of silicone implants Xiaobang Ding(China) 실리콘보형물을이용한유방확대술에있어서변위합병증의교정 / 在利用硅胶假体的隆胸术, 变位并发症的矫正 Session 2. Breast Ⅱ 乳房手术 Ⅱ Chairs: Sung, Kisu(Korea), Xiaobang Ding(China) 09:30-09:40 09:40-10:55 10:55-10:10 10:10-10:30 The fifth generation Gummy bear Gel Breast implant(silimed) Jung, Kwang Seup(Korea) 제 5 세대거미베어젤브레스트임플란트 / 第五代橡胶熊隆胸术 My experience of breast augmentation with autologous fat graft and ADSC, adipose tissue-derived stem cell and harvest technique Cho, Youngshin(Korea) 지방유래줄기세포와하베스트방식을이용한자가지방유방확대술 / 利用脂肪由来干细胞和 Harvest 方式的自体脂肪隆胸术 Issues about autologous fat graft for breasts Sung, Kisu(Korea) 자가지방가슴이식에대한고찰 / 有关自体脂肪隆胸术的内容 Coffee Break & Exhibition View / 茶歇和展览 Session 3. Rhinoplasty Ⅱ 鼻整形 Ⅱ Chairs: Jung, Dong Hak(Korea), Le Hanh(Vietnam) 10:30-10:45 10:45-11:00 11:00-11:15 11:15-11:25 11:25-11:40 Nasal tip contouring for natural nasal shape in Asian Jeon, Jeong Hwan(Korea) 아시아인의자연스런코모양을위한코끝윤곽만들기 / 为亚洲人自然鼻形的鼻尖轮廓塑造 A modified technique of septal extension with septal cartilage graft for short nose rhinoplasty in Asian Jinlong Huang(China) 아시아인의짧은코성형술을위한비중격연골이식, 비중격연장의수정돤기술为亚洲人短鼻整形术的鼻中隔软骨移植 鼻中隔延长的修改技术 Nasal tip surgery using s-c complex(nasal septum-cavum conchae complex) Ahn,Tae Hwan(Korea) s-c complex( 비중격-이갑개연골복합체 ) 를이용한코끝성형수술 / 利用 s-c complex( 鼻柱 - 耳甲腔复合体 ) 的鼻尖整形术 Nasal Measurements in Asians and Porous Polyethylene Implants in Rhinoplasty Jang, Dongwoo(Korea) 아시아인의코길이와코성형술에있어서다공성폴리에틸렌보형물 / 在亚洲人鼻长和鼻整形方面的多孔性聚乙烯假体 Techniques for alar modifications Jung, Dong Hak(Korea) 콧방울수정기술 / 鼻尖修改技巧 Session 4. Rhinoplasty Ⅲ 鼻整形 Ⅲ Chairs: Ahn,Tae Hwan(Korea), Chuan-Hsiang Kao(Taiwan) 11:40-11:55 11:55-12:10 12:10-12:25 12:25-12:40 12:40-13:30 12:40-12:55 Revision rhinoplasty and the complications of different materials used for rhinoplasty Levi John Lansangan(Philippines) 코성형교정과코성형에사용되는다른물질의합병증 / 鼻整形矫正和鼻整形所用的其它物质并发症 Secondary Rhinoplasty for the Repair of the Late Complications of Silicone Implant Augmentation Rhinoplasty Chen Zhang(China) 실리콘임플란트융비술의늦은합병증치료를위한추가코성형술 / 为硅胶假体隆鼻术的晚期并发症治疗的追加鼻整形术 Modern restructural rhinoplasty for management of complicated and difficult nose Le Hanh(Vietnam) 합병증많고, 까다로운코관리를위한새로운코재건술 / 为有效管理容易出现并发症的鼻子的新隆鼻修复手术 Surgical correction of the injected nose in Thailand Attapan Pornmontarut(Thailand) 태국에서이물질주사를맞은코의외과적교정 / 在泰国外科矫正异物注射的鼻子 Luncheon Seminar & Exhibition View 午餐和展览 The effect of CD34+ cell containing PRP injection on Male vertex hair loss and FPHL Kim, Jin Young(Korea) 남성정수리탈모와여성형탈모에의 CD34+cell containing of PRP injection의효과 CD34+cell containing of PRP injection 在男性头顶脱发和女性型脱发起到的影响 28

31 Session 5. Special Lecture 专题讲座 Chairs: Jung, Kwang Seup(Korea), Park, Man Yong(Korea), Fumihiko Umezawa(Japan) 13:30-14:00 1OXY-VAR: Biorivitalisation - Endo Light Lift and oxygen propulsion Pier Antonio Bacci (Italy) 2FILL-TRACTION a mini invasive way for youth of face 3VARTAM-Therapy: a new treatment for cellulitis 1OXY-VAR: 생물성재활성화-Endo light lift와 oxygen propulsion / OXY-VAR: 生物性再激活化 -Endo light lift 与 oxygen propulsion 2FILL-TRACTION-동안을위한최소침습 FILL-TRACTION- 为达到返老还童的微创法 33VARTAM - 치료 : 봉와직염 ( 蜂窩織炎, cellulitis) 에대한새로운치료법 3VARTAM - 治疗 : 有关蜂窝织炎的新疗法 14:00-14:20 The basis of Beauty Akiyoshi Takada(Japan) 미의기본根本之美 14:20-14:40 Tendency of the failure cases and cases from other hopitals-surgery fixes formation Japanese Plastic Surgery Yutaka Yamamoto(Japan) 일본에서성형수술의실패사례의경향日本的整形手术失败案例 14:40-15:00 Coffee Break & Exhibition View 茶歇和展览 Session 6. Eyelid Ⅱ 眼部整形术 Ⅱ Chairs: Choi, Woong Chul (Korea), Jin Guangshan (China) 15:00-15:15 15:15-15:30 15:30-15:45 15:45-16:00 Philosophy of the Waikiki Technique in creation of double eyelid with over 20 years experience Kim, Young Kyoon (Korea) 20년넘은경험에서쌓은쌍꺼풀수술에서의 Waikiki Technique의철학 20 多年经验积累的双眼皮手术 Waikiki 技术之哲学 Two modified techniques to decrease complications of buried suture double-eyelid blepharoplasty Tstomu Mizuno (Japan) 쌍꺼풀매몰법의합병증감소를위한두가지의변형기술为减少双眼皮埋线法并发症的两种变形技术 How to evaluate and manage ptosis Choi, Woong Chul (Korea) 안검하수의평가및치료眼睑下垂的评价及治疗 Eye bags surgery without scarring Qin Liangzhong (China) 흉터없는 아이백수술 无痕 眼袋整容术 Session 7. Eyelid Ⅲ 眼部整形术 Ⅲ Chairs: Kim, Young Kyoon (Korea), Yoshio Ikeda (Korea) 16:00-16:15 16:15-16:30 16:30-16:45 16:45-17:00 17:00 Lower lid blepharoplasty with minimal tissue removal..kim, Byoung Jin (Korea) 최소한의조직을제거하는아래눈꺼풀성형수술最少去除组织的下睑成形术 My experience on capsulopalpebral fascia fixation for the correction of orbital fat buldging Kim, Sang Seop(Korea) 안와지방돌출교정을위한 capsulopalpebral fascia 고정술에대한경험有关为矫正眶脂鼓出睑囊筋膜眶隔脂肪疝修补术的经验 Evaluation and Treatment of Lower Eyelid Retraction & Ectropion following Lower Lid Surgery Baek, Sehyun (Korea) 하안검수술후안검후퇴와안검외반의평가및치료下眼睑手术后眼睑后退与眼睑外翻的评价及治疗 Prevention and treatment of complication in lower eyelid blepharoplasty Jin Guangshan (China) 아래눈꺼풀성형수술에서의합병증치료와예방下睑成形术的并发症治疗与预防 Clsoing 关闭 29

32 Room104_4 月 7 日, April 7 Session 1. Rejuvenation Ⅱ 返老还童 Ⅱ Chairs: Lim, Jong Hak (Korea), Pier Antonio Bacci (Italy) 08:30-08:45 Rejuvenation of abdomen etc. using barbed PDO threads Jo, Dong Hyeon(Korea) PDO 가시실을이용한복부회춘利用带刺的 PDO 线让腹部等部位返老还童 08:45-09:00 Facial rejuvenation surgery with minimal invasive approach Takayuki Kubo(Japan) 최소침습접근을통한안면회춘수술利用微创方法的面部返老还童术 09:00-09:15 Minimally invasive facial rejuvenation Mu Baoan(China) 최소침습안면회춘수술微创, 面部年轻化 09:15-09:30 New trends of cosmeto-gynecologic surgery Lee, Chang Hwan(Korea) 여성회음성형수술의새로운경향女性会阴整形手术的新趋势 Session 2. Face Lift Ⅱ Minimal Invasive 面部提升术 Ⅱ 微创 Chairs: Jo, Dong Hyeon(Korea), Nguyen Xuan Cuong(Vietnam) 09:30-09:50 09:50-10:05 10:05-10:25 10:25-10:35 10:35-11:00 Endoscopic face lifting Jung, Kwang Seup(Korea) 내시경을이용한안면거상술利用内镜的面部提升术 Short-scar operative face lift Park, Sam Gohn(Korea) 최소흉터안면거상술最小伤痕面部提升 Minimal invasive face lift ; Hai lift, Dual lift, V-line lift Lim, Jong Hak(Korea) 최소침습안면거상술 : Hai lift, Dual lift, V-line lift 微创面部提升术 :Hai lift, Dual lift, V-line lift Discussion 讨论 Coffee Break & Exhibition View 茶歇和展览 Session 3. Face Lift Ⅲ Invasive 面部提升术 Ⅲ 创 Chairs: Jung, Kwang Seup(Korea), Wang Zhijun(China) 11:00-11:15 11:15-11:30 11:30-11:45 11:45-12:05 Clinical study on safety and effectiveness of frontal and temporal facelift using facelift band Hua Li(China) 전두부와측두부거상술에서안면거상밴드의효과와안전성에대한연구应用整形提拉带行颞部提升术的临床研究 Treatment of 658 cases of facial surgery Ma Wenxi(China) 안면수술 658 사례의치료面部手术 658 例治疗体会 Mini variations of technique in facial rejuvenation Nguyen Xuan Cuong(Vietnam) 안면회춘을위한다양한테크닉为面部返老还童的多种技巧 Face lift : My dissection and suspension skill Wang Zhijun(China) 안면거상술 : 내가하는절개와걸기기술面部提升术 : 我的切开和悬吊技术 Session 4. Body Contouring Ⅰ Extremities 轮廓身 Ⅰ 四肢 Chairs: Kang,Kyoung-Jin(Korea), Ahn, Kyung Chun(Korea) 12:05-12:20 12:20-12:35 12:35-13:30 12:35-12:50 Ultra Beauty Leg(Tricombo calf muscle reduction therapy : RF nerve coagulation + PDO + Cannula lipolysis) Kwon, Han Jin(Korea) 최상의아름다운다리 (Triple combo 요법 : RF 신경응고 + PDO + 캐뉼라지방분해 ) 最佳美腿 (Triple combo 治疗 :RF 神经凝固 + PDO + 空心管溶脂 ) Liposuction,Lower extremities Joe Shigemoto(Japan) 하체지방흡입下肢吸脂 Luncheon Seminar & Exhibition View Calf and Ankle Sculpturing using RE: (PolyDioxanone) Hwang, Ue Kyoung(Korea) RE를이용한종아리와발목조각술使用 RE 小腿和脚踝雕刻 30

33 Session 5. Body Contouring Ⅱ Face & Body 轮廓身 Ⅱ 身和面 Chairs: Cho, Jaeho(Korea), Joe Shigemoto(Japan) 13:30-13:45 The clinical meaning of chanel line liposuction :Knee-around liposuction through umbilical incision Cho, Jaeho(Korea) 샤넬라인지방흡입의임상적의미 : 배꼽절개를통한무릎주변지방흡입술 Chanel Line 吸脂的临床意义 : 经脐切口的膝盖周围吸脂术 13:45-14:00 Facial Contouring with Laser Assisted Liposuction :Combination treatment of power assisted liposuction and laser assisted liposuction for v-line shaped face Cho, Jaeho(Korea) 레이저를사용한지방흡입술을통한안면윤곽通过激光吸脂术重塑脸部轮廓 14:00-14:15 5D Liposculpture: A New Way of Sculpting the Fat Tissues of the Body Using the Advanced Technology Ahn, Kyung Chun(Korea) 5D 지방성형술 : 최신기술을사용한신체지방조직을성형하는새로운방법 5D 吸脂 : 利用高级技术而重塑身体脂肪组织的新方法 14:15~14:30 A new concept in liposuction approach to produce a more tighter and smoother skin following liposuction(considerations to remove enough fat with constantly keeping smooth skin) Kim, Hyeong Seok(Korea) 매끈한피부탄력을유지하기위해지방흡입시고려할사항들为维持皮肤弹性而吸脂时需要考虑的事情 14:30-14:50 Complications of facial fat transfer and liposuction for the improvement of the aged face and unnatural facial contour Kang,Kyoung-Jin(Korea) 노안과얼굴윤곽개선을위한얼굴지방이식및흡입시술의합병증为改善老人脸和脸部轮廓的脸部脂肪移植及吸脂术的并发症 14:50-15:05 Lipoabdominoplasty without umbilical transposition Kim, Tae Kyeom(Korea) 배꼽치환을하지않는간단한복부재건술肚脐不移位的腹壁整形 15:05-15:20 Molecular biology in injection lipolysis Jyh-Hwa Hao(Justin)(Taiwan) 주입식지방분해술에있어서분자생물학有关注射消脂的分子生物学 15:20-15:40 Coffee Break & Exhibition View 茶歇和展览 Session 6. Body Sculpture 雕塑身 Chairs: Chang, Doo Yeoul (Korea), Cho, In Bae(Korea) 15:40-15:55 15:55-16:10 16:10-16:25 16:25-16:40 16:40-16:55 16:55-17:10 17:10 LAL(Dual laser liposuctiontm) vs RFAL(Bodytite TM)- Lifting Liposuction on face and body Chang, Doo Yeoul (Korea) LAL(Dual laser liposuctiontm) 와 RFAL(Bodytite TM) 비교- 얼굴과몸의지방흡입술比较 LAL(Dual laser liposuctiontm) 和 RFAL(Bodytite TM)- 面部和身体的吸脂术 How much of the improvement can be made by re-op liposuction? Discuss with the real cases of re-operation Cho, In Bae(Korea) 지방흡입재수술로개선된사례들의보고有关吸脂再手术得到改善的案例报告 Desirable contraction of lower abdomen in obesity, using only liposuction without abdominoplasty Jung, Rae Jun(Korea) 처진복부, 복벽성형수술하지않고지방흡입으로해결하기非手术吸脂解决腹部下垂和腹壁整形 The actual application of HPL using modified formula for body contouring Son, Bo Deu Rii(Korea) 몸매교정을위한 HPL의실제적용在塑造体形方面 HPL 的适用 Postoperative treatment tools after liposuction for effect enhancement and correction Eo, Kyung Nam(Korea) 지방흡입후효과증대와교정을위한시술의적용吸脂后为得到更好的效果而适用的方法 Correction of primary and secondary banana fold( double fold ) in thigh, using liposuction Lee, Sun Ho(Korea) 지방흡입으로엉덩이바나나주름개선하는방법利用吸脂改善臀部香蕉条的方法 Closing 关闭 31

34 Room 105_4 月 7 日, April 7 Session 1. Anti-aging & Stem Cell Ⅰ 抗衰老和肝细胞 Ⅰ Chairs: Kwon, Oh Sook (Korea), Hiromi Yokoyama (Japan) 08:30-08:45 Mechanism and therapy of anti-aging Han, Gong Chang (Korea) 노화방지의기전과치료防老的机制和治疗 08:45-09:00 Changes in the skin health conditions by facial skin care and antioxidant vitamins Kim, Eun Hwa (korea) 안면피부관리와항산화비타민섭취에의한피부건강상태변화通过脸部皮肤管理和抗氧化维生素摄取的皮肤健康状态变化 09:00-09:15 Can nutrition therapy achieve anti-aging effects of physical appearance? Minoru Arakaki (Japan) 영양요법으로신체적외모의항노화효과를얻을수있을까? 通过营养疗法能得到身体外貌的抗衰老效果吗? 09:15-09:30 Local injection of adipose-derived stem cells: a new promising strategy to anti-wrinkle Huang Jinlong(China) 지방유래줄기세포의국부주입 : 주름방지의새로운전략自体脂肪干细胞辅助支架材料在除皱研究中的应用验室 Session 2. Anti-aging & Stem Cell Ⅱ 抗衰老及肝细胞 Ⅱ Chairs: Han, Gong Chang (Korea), Ken Nakama.(Japan) 09:15-09:30 09:30-09:50 09:50-10:00 10:15~10:35 Photo blood irradiation therapy for longevity Kwon, Oh Sook (Korea) 항노화및삶의연장을위한광생물학적혈액치료요법为抗衰老和寿命延长的光生物学血液治疗方法 Stem cell therapy and rejuvenation effects-therapeutic course in Japan Hiromi Yokoyama (Japan) StemCell Therapy와회춘효과 - 일본에서의치료경과肝细胞疗法与返老还童效果 - 在日本的治疗过程 The prospects of safety and clinical use of adipose stem cell in the cosmetic treatments Ken Nakama(Japan) 미용의학, 항노화의학의적용에따른일본의줄기세포요법현황适用美容医学 抗衰老医学的日本肝细胞疗法现状 Coffee Break & Exhibition View 茶歇和展览 Session 3. Filler & Toxin 填料及毒素 Chairs: Jo, Dong hyeon(korea) Seo, Jeong Ho(Korea) 10:35-10:50 10:50-11:05 11:05-11:20 Advanced injection techniques of botulinum toxin Seo, Jeong Ho(Korea) 진화된 Botulinum toxin 주사방법 / 高级 Botulinum toxin 注射法 Long-term follow-up of PPC THERAPY Choi, Mi Sook(Korea) PPC 요법의장기관찰보고 PPC 疗法的长期观察报告 Treatment of body surface irregularity after liposuction by phosphatidylcholine (PPC) and deoxycholate (DCA) compound Song, Tae Heon(Korea) 지방흡입후울퉁불퉁한피부표면을 phosphatidylcholine (PPC) 와 deoxycholate (DCA) 화합물로치료하는법用 phosphatidylcholine (PPC) 和 deoxycholate (DCA) 化合物治疗吸脂后不平的皮肤表面 Session 4. Maxilla of Facial Aesthetic & ISBB Session 颚骨面部美容 ⅠClinical application of biomaterial blood / stem cell therapy of soft tissue & bone Chairs: Hajime Okudera(Japan), Chen Yao Su(Taiwan) 11:20-11:30 11:30-11:50 11:50-12:10 12:10-12:20 Nasal augmentation using fat graft with PRP Lim, Jong Hak(Korea) PRP와지방이식을사용한코확대술通过 PRP 和脂肪移植的隆鼻术 Innovative solutions for anti-aging Chen Yao Su(Taiwan) 항노화를위한혁신적해결책为抗衰老的创新方法 Use of self blood biomaterials and rhbmp-2 in soft tissue and bone augmentation Toshimitsu Okudera(Japan) 자가혈생체재료와 rhbmp-2를사용한연조직과경조직재생요법自体血生物材料和利用 rhbmp-2 的软组织 硬组织再生疗法 PRP therapy (platelet rich plasma therapy) and various treatments Tetsuo Kinugasa(Japan) PRP 요법 ( 다혈소판혈장요법 ) 과다양한치료법에관한내용有关 PRP 疗法 ( 多血小板血浆疗法 ) 和多种治疗法的内容 32

35 12:20-12:40 12:40-13:30 Cosmeceuticals: fact, fiction, and future Pin-Chi Chiu (Taiwan) Cosmeceuticals: 사실, 가상그리고미래 Cosmeceuticals: 事实 假想和未来 Lunch & Exhibition View 午餐和展览 Session 5. Maxilla of Facial Aesthetic & ISBB Session 颚骨面部美容 Ⅱ Maxill Oral Facial Aesthetic Session Chairs: Hajime Okudera(Japan), Yutaka Kitamura(Japan) 13:30-13:45 13:45-14:00 14:00-14:15 14:15-14:30 14:30-14:40 New collaboration of aesthetic surgery and the dentistry domain Hajime Okudera(Japan) 미용외과와치과분야의새로운협업美容外科和牙科新的合作 Facial control & hard tissue regeneration by mucosal tissue lift Jietsu Ryu(Japan) 점막조직거상에의한경조직재생및형태수정粘膜组织而硬组织再生及形态修改 Bone distraction improve facial appearance by osteotomy Yutaka Kitamura(Japan) 절골에의한뼈확장으로얼굴모양개선截骨而股扩张改善容颜 For the better result in facial bone contouring surgery Han, Seong Yik(Korea) 안면골윤곽수술에서의더나은결과를위하여为达到面骨轮廓术更好的效果 Discussion 讨论 Maxilla of Facial Aesthetic & ISBB Session Ⅲ Poster Session 颚骨面部美容海报会议 In addition to the above, and poster presentations 14:40-15:00 Coffee Break & Exhibition View 茶歇和展览 Session 6. Skin & Laser Ⅱ 皮肤及激光 Ⅱ Chairs: Lee Hwang Heui(Korea), David Sudarto Oeiria(Indonesia) 15:00-15:15 15:15-15:30 15:30-15;45 15:45-16:00 16:00~16:15 16:15~16:30 16:30 What s new and what s true with lasers and light? David Sudarto Oeiria(Indonesia) 레이저및광선의새로움과진실은무엇인가? 什么是激光与光线? 激光与光线的新颖之处是什么? Laser and IPL treatment in Asian skin Ratna Maitri Dewi Gondowardojo(Indonesia) 아시아인피부에있어서레이저와 IPL 치료针对亚洲人的激光与 IPL 治疗 Application of Erbium Laser in treatment of superficial scar Hu Yalan(China) 얕은흉터치료를위한 Erbium Laser의적용铒像素激光在浅表性瘢痕中的应用 Non-surgical treatment of Essential hyperhidrosis Jeon, Cheol Woo(Korea) 다한증의비수술적치료多汗症的非手术治疗 Basic theory of nonbarbed absorbable suture network tightening and lifting Yoon, Jung Hyun(Korea) 비흡수가시실의네트워크타이트닝과리프팅효과에대한기초이론有关非吸收刺线的网状紧致提升效果之基础理论 Discussion 讨论 Closing 关闭 33

36 Room 103_April 6, Saturday Session 1. Face LiftⅠ Non Invasive Face balancing act- non-surgical injection shaping 안면균형잡기 - 비수술주사성형술 面部平衡术 - 非手术注射整形 Zhang Jie, MD The International Asia Pacific Association of Cosmetic Surgery, China I d like to tell you my experience and thought about facial aging pathology, aging symptoms and aging treatments. Especially in the anti-aging treatment, the importance of injection molding, treatment principles, treatment areas will be mentioned. There are the advantages of injection molding comparing to surgery shaping. Development trends of the injection molding also will be commented. 이번발표를통해안면노화병리, 노화증상, 노화치료법등에대한저자의경험과생각을말하고자한다. 특히항노화치료에서주사성형의중요성및주사성형의치료원칙, 치료부위에대해서도언급하려한다. 또한수술식과비교해서주입식이가지고있는장점과함께주사성형의발전에대해말하고자한다. 从面部衰老病理衰老表现衰老治疗方法比对多方面探讨注射整形对于面部衰老年轻化治疗的重要性及注射整形治疗原则治疗部位 ( 手术整形不能完或效果不如注射整形 ) 优势注射整形发展趋势 34

37 Room 103_April 6, Saturday Session 1. Face LiftⅠ Non Invasive Nonsurgical facial lifting 비수술적안면거상술 非手术面部提升术 Hansen Lee, MD Browneye Cosmetic Surgery Medical Clinic, Seoul, Korea Clinical and cosmetic benefits of non-surgical facial lifting have been evaluated in 14 patients compared with 12 patients with surgical facial lifting. NSFLTs do not leave any scar nor post-op side effects as seen in surgery. NSFLTs is a fast growing cosmetic medical field that comprise toxins, fillers, lasers, high electric frequency waves, ultrasound and various insertion materials. Comparing with traditional surgical procedure, NSFLTs show more comfortable, safe, and natural looking cosmetic outcome. And the results are predictable and easily reversible and the adverse effect can promptly be managed without hassle. Proper combination of these NSFLT modalities can replace the expensive discomforting surgical procedures, when regarding clinical, cosmetic, economic and psycho-social aspects. NSFLTs should be considered prior to choosing the surgical procedures from which patients can possibly encounter the unexpected clinical or emotional stress after it. 비수술적미니안면거상술을받은 14명의증례를 12명의수술적거상술의증례와비교분석하였다. 비수술적거상술은흉터나부작용이없어매우빠르게발전하는미용의학의분야이다. 여러종류의톡신, 필러, 레이저, 고주파, 초음파및삽입물질등을포함하고있으며기존의수술적접근방식에비해안전하고자연스러우며편리한장점이있다. 결과가예측가능하고복원이가능하며부작용도무리없이해결할수있다. 적절한복합시술을한다면임상적, 미용적, 경제적, 사회심리적인면을고려할때수술적인방법들을대체할수있다. 원치않는부작용과정신적고통을야기할수있는수술을결정하기에앞서비수술적안면거상술이먼저고려되어야할것이다. 35

38 Room 103_April 6, Saturday Session 1. Face LiftⅠ Non Invasive Face lift using barbed PDO threads and adipose derived stem cell 가시돋힌 PDO 실과지방세포유래줄기세포를사용한안면거상술 带刺的 PDO 线与利用脂肪由来干细胞的面部提升术 Lee, Won Seok, MD Gold Plastic Surgery Clinic, Seoul, Korea To treat facial skin aging is a profound concern in the field of cosmetic surgery and medicine. Skin aging occurs under various influence. It is known that it is caused by aging reduction such as facial bones, periosteum, muscle, SMAS layer, adipose tissue, and collagen elastin of dermal tissue, etc. Various procedures on facial skin aging has been developing. Recently using the PDO threads has been used in the lifting of the skin. Lifting effect and skin tightening lifting was shown by the animal experiments. I would like to report on it. In addition I d like to report effects as the result of facial rejuvenation injected by fat cell-derived stem cells or mixed with adipose tissue. 얼굴피부의노화를치료하는것은성형외과영역에서지대한관심사이다. 피부노화는여러영향을받는데, 안면골과골막, 근육, 스마스층, 지방조직, 진피조직내콜라겐엘라스틴등의노화축소에기인한다고알려져있다. 여러시술법이발전되어왔으나, 최근 PDO실을이용하여피부리프팅에이용되어왔다. 동물실험등을통해리프팅효과와피부 tightening skin lifting을시도하고결과를리포트하려한다. 또그외에지방세포유래줄기세포를이용하여얼굴피부에주사혹은지방조직과함께섞어서 facial rejuvenation에쓴결과, 효과가있음을보고하려고한다. 36

39 Room 103_April 6, Saturday Session 1. Face LiftⅠ Non Invasive Ultra PDO triple thread lifting (Cog, Screw, Flat PDO Thread) 최신 PDO 삼중리프팅 (Cog, Screw, Flat PDO Thread) 最新 PDO 三重提升术 (Cog, Screw, Flat PDO Thread) Lee, Woo Seok, MD Mi N Mi Clinic, Bundang, Korea Absorbable PDO(Polydioxanone) thread has been improved rapidly. PDO thread lifting method is safe and easy but has rather weak lifting effect than surgical method. But now, face lifting for three PDO method has been improved effectively when operated with three kinds of PDO thereads. We can expect better effect when operated like below. Three phase step: One step, cog PDO thread use for vector lifting. Two step, screw PDO thread use. Three step, flat PDO thread use for tightening. I named this method, Ultra PDO Triple Thread Lifting. 37

40 Room 103_April 6, Saturday Session 1. Face LiftⅠ Non Invasive Brow fixation in non- endoscopic forehead lift: Nylon percutaneous sutures 나일론실을이용한이마거상술 非内镜前额拉皮术 : 通过尼龙经皮缝合的前额固定术 Kim, Dong il, MD BF Miracle Clinic, Dangjin, Korea Limited incision nonendoscopic brow lift takes advantage of the principles of minimally invasive surgery without the expense, learning curve, and encumbrance of endoscopic equipment. It offers equivalent brow elevation, shorter operative times, smaller incisions, similarly low complications rates, and overall patient satisfaction while eliminating the need for costly and cumbersome endoscopic equipment armed with thorough knowledge of the anatomy of the region, obtain consistently good results with the nonendoscopic brow lift. 38

41 Room 103_April 6, Saturday Session 1. Face LiftⅠ Non Invasive Study for skin rejuvenation & Lifting by using needle RF 니들 RF 를이용한피부재생과리프팅 利用针射频皮肤返老还童和提升术 Lim, Jong Hak, MD Kairos Clinic, Seoul, Korea President of KAAS What is the RF? Radio Frequency (RF) is the attended delivery of focused radio waves to specific tissues for aesthetic purposes and pain management. RF is attracted to tissue with fluid and causes friction in the targeted site. RF friction energy results in deep heating of dermal tissue in the subcutaneous fatty regions. Deep heat will tighten collagen, stimulate new collagen production and heat lipid cells to a point where fat is liberated through cell walls. Liberated fat is drained through the lymphatic system. Mechanism of Needle RF It causes mixed with new collagen and reticular fiber By stimulation of fibroblast. Combination Program 1.Needle RF + Skin Care - Needle RF + Rejuvenation ( EGF or 줄기세포 or 태반 ) - Needle RF + Peeling + Rejuvenation 2. Needle RF + PRP - Needle RF 2회 + PRP1회 + Rejuvenation - Needle RF + MTS + PRP + Rejuvenation 3. Needle RF + Laser - Needle RF + Fraxel + Rejuvenation - Needle RF + RF/IR (Repair Master) + IPL 4. Needle RF + PRP + Thread 5 Needle RF + MGF + Rejuvenation 6. Needle RF + Fraxel + Rejuvenation + Peeling + Rejuvenation Indication: Wrinkle, Pore, Tightening, Remove sebum, Acne & Acne Scar, Whitening 39

42 Room 103_April 6, Saturday Session 2. RhinoplastyⅠ Clinical application of L Silicone implant in augmentation rhinoplasty for the Asian ( 18 years of experience ) L-실리콘보형물을임상적용한아시아인을위한융비술 (18년의경험 ) L- 为临床适用硅胶假体的亚洲人隆鼻术 (18 年的经验 ) DIEP THE DUNG, MD Dr Dung s Beauty Clinic, Can Tho City, Vietnam 1 ) Objective The objective of this method is to reshape the nose by using L-silicone implant for augmentation rhino plasty in order to make the patient s nose more naturally beautiful than the old one. 2 ) Backgrounds 2.A Background of the nasal shape in Viet Nam There are many kinds of shapes, but in general, we can list them into 5 groups : 2 A1 Group 1 : (Photo) - The lobule is wide and greater than that of the dorsal component at least 3mm. - Most of the Vietnamese patients are in this group. 2 A2 Group 2 : ( photo ) - no nasal tip projection - the height of lobule is 5 mm smaller than that of the dorsal component. 2 A3 Group 3 : ( photo) - The height of the lobule is 7-10 mm greater than that of the dorsal component. - It is so called saddle nose. 2 A4 Group 4 : ( photo) - Depressed origin at the frontal - nasal angle. - The height of dorsum and lobule are equal. 2 A5 Group 5 : ( photo ) - The nasal dorsum is projected on the skin roughly. - It is so called crooked nose 40

43 All of these groups can be performed by L- shape method. 2.B Background of L - implant There are two kinds of L-Implant : - Sharpened implant : L-Silicone implant is made from a producer,we can use it right in the operation. - Non sharpened implant : From a piece of silicone implant, we must sharpened it into an L silicone - implant. 3 ) Advantages 3.1 It takes a short time for 1 case of operation, about minutes. 3.2 We only use local anesthesia. 3.3 The product is cheap and easy to buy it on the market. 4 ) Method The first case of using L silicone implant was performed by myself in Since that time, there have been many changes about the shape and technique so that we can achieve the best method. Operation. - Use blade No 15 to incise along the edge of the nostril. - Open the lobule of the nose. - Create a tunnel along the nasal dorsum. - Undermine the skin in front of the columellar strut. - Push the implant into the tunnel and insert a silicone strut into a pocket. - Suture the wound. ( Photos before and after surgery ) Now I am very proud to inform you that during the last 5 years, I have controlled all of the risks from this method for at least %. 5 ) Conclusion Through all my lecture and photos before and after surgery that you have seen, I can have a conclusion : - We can control all the risks caused by this method. - Silicone implant is no harmful to everyone. - L-shape silicone implant is the first of choice for patients who are the first time of being-performed rhinoplasty and for surgeons who are beginning to perform nasal cosmetic surgery before using another methods - Reshaping the nose by L - silicone implant is not difficult but achieving the best aesthetic results and control ling all complications due to this method are great challenges. It requires the surgeons so much experience and a highly- skilled level in this field. 41

44 Room 103_April 6, Saturday Session 2. RhinoplastyⅠ Three pieces augmentation rhinoplasty 세가지의융비술 三种隆鼻术方法 Yi-Sheng Kao, MD Charm Cosmetic United Clinic, Taipei City, Taiwan In Asian augmentation rhinoplasty, we usually use artificial I shape implant (Silicone, Gortex) for dorsal augmentation. And we use autologous cartilage for nasal tip modification (extension graft and tip graft). I called them two pieces augmentation rhinoplasty. However, In cases of depressed inter-eyebrow area, two-pieces augmentation rhinoplasty cannot achieve a harmony nose on the face. The discontinuity and unnatural appearance at the radix are usually found in these cases receiving two-pieces augmentation rhinoplasty. I have used silicone sheet and Gortex to augment the inter-eyebrow area in combination with two pieces augmentation rhinoplasty for one more years in 97 cases. Three pieces augmentation rhinoplasty can further enhance the nasal proportion on the face than two-pieces. The complications, including infection, malposition, unnatural appearance and implant visible, are rare. The results are generally good that the third pieces can be used as an adjunctive procedure in rhinoplasty. 42

45 Room 103_April 6, Saturday Session 2. RhinoplastyⅠ Autologous fascia lata rhinoplasty 대퇴근막자가이식융비술 阔筋膜自体移植隆鼻术 Ian Loh, MD Changi General Hospital, Singapore Asian patients often need augmentation of the radix and dorsum, While alloplastics offer a ready source of material, the use of alloplastic material in the nose is associated with a higher incidence of complications such as rejection, infection and extrusion. Obtaining sufficient autologous material for dorsal augmentation is a challenge in Asians. Grafts obtained from the septum and ear seldom provide adequate material, while rib cartilage requires harvest from the chest with potentially serious side effects such as pnuemothorax and massive hemorrhage. The author presents his experience using autolologous fascia lata as an augmentation material in Asian rhinoplasty; using a new harvest method employing minimal access techniques. Large amounts of graft can be obtained using a small 2cm superior thigh incision and a small inferior stab incision, with a low complication rate and a scar which heals well and is easily concealed under a pair of shorts. Case examples will be shown demonstrating minimal resorption over time. Facia lata allows for smooth, natural-appearing dorsal augmentation in Asians with a low resorption rate; and is a viable alternative to alloplastic augmentation in Asian rhinoplasty. 43

46 Room 103_April 6, Saturday Session 2. RhinoplastyⅠ Synergic procedure with rhinoplasty 코성형과함께하면더욱좋은수술 与鼻整形一起做更好的手术 Park, Hyo Jin, MD iface Plastic Surgery Clinic, Seoul, Korea Rhinoplasty is one of the most important surgery for facial plasty. The effect will be huge after rhinoplasty itself, but if you doing at the same time together with these procedure, such as fat injection, blepharoplasty and premaxillary augmentation, the satisfaction of the patient will be more high. So, I would like to talk about this issues in this presentation with some case examples. 44

47 Room 103_April 6, Saturday Session 2. RhinoplastyⅠ Refinement of the nasal tip in Asian patients: Creating the natural tip 아시아환자들의코끝개선 : 자연스런코끝만들기 亚洲患者的鼻尖改善 : 塑造自然鼻尖 Chuan-Hsiang Kao, MD Department of Otolaryngology-Head and Neck Surgery, Cosmetic and Laser Center, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, R.O.C. The characteristics of nasal tips in Asian patients include the short columella, bulbous appearance, alar flare, ovoid shaped nostrils, and weaker tip support. These are attributable to underdeveloped lower lateral cartilage. To achieve the optimal cosmetic results of the Asian rhinoplasty, it is not sufficient to only increase the nasal dorsal high, but also to refine the shape of nasal tip. However, it has been a challenging operation for nasal tip refinement. Successful nasal tip rhinoplasty depends on well-balanced nasal tip support and projection. Many different techniques for adjustment of tip support and projection have been proposed. We introduced the caudal extension graft (CEG) to predictably control nasal tip projection. The caudal extension cartilage graft was harvested either from septal cartilage or costal cartilage. The CEG was fixed to the caudal septum and positioned in midline, between the bilateral medial crura of the lower lateral cartilages. It can provide a stable platform for tip complex suturing and also maintenance of tip projection. The bilateral medial crura were sutured with CEG symmetrically. The trapezoidal CEG cartilage can support the nasal tip pyramid very well, and helps to reestablish a new nasal tip. Various tip cartilage grafts are needed to refine the tip after CEG was applied. Due to the elasticity of the ear conchal cartilage being similar to the tip cartilage, we prefer to harvest the ear cartilage for tip grafting. Most concerned complications after tip grafting are visible grafts and deformity of the tip. In this presentation, we will discuss our experiences on how to minimize the complication after tip refinement. 45

48 Room 103_April 6, Saturday Session 2. RhinoplastyⅠ Asian rhinoplasty with costal cartilage graft: My personal experience 늑골연골이식을이용한아시아인의융비술 利用肋软骨移植的亚洲人隆鼻术 46 Chuan-Hsiang Kao, MD Department of Otolaryngology-Head and Neck Surgery, Cosmetic and Laser Center, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, R.O.C. Asian aesthetic rhinoplasty differs greatly from Western rhinoplasty because of its unique underlying anatomy. To achieve the ideal aesthetic result, most Asian rhinoplasty is composed of both dorsum augmentation and tip plasty. There are varieties of allografts such as silastic silicone, GoreTex, etc, which have been used for dorsal augmentation in Asian patients for several years with acceptable complication rate. However, the ideal material for an onlay graft must have the characteristics of both low complication rates and high long-term patient satisfaction. The autogenous material, such as auricular, septal and costal cartilage can achieve this goal. Due to the amounts of septal and ear cartilage being limited, we recommend using costal cartilage for the augmentation rhinoplasty when the patients have moderate to severe degrees of saddle nose, short nose, and complications from previous alloplastic material implantation. The harvesting of costal cartilage is begun through an incision of about 2-3 cm in length on the inferior aspect of the right breast. The 6th or 7th costal cartilage is identified after making incision on the muscle fascia and dissecting through the muscle layers. The curved segment of the costal cartilage is cut off after estimating that the length of the straight segment is sufficient for dorsal augmentation. The long segment is sculpted and fashioned to be the onlay graft and the short segment can be prepared for the other grafts as necessary. Four strips of costal cartilage are taken from each quadrant of the graft and the central core of the costal cartilage is carved for the dorsal onlay graft. All the cartilage grafts are soaked in antibiotic saline solution for at least minutes. Prior to placement of the rib onlay graft, we have to check if there is any warping. If any curvature of the graft is noticed during carving, the costal cartilage is carved on the concave side to help release the cartilage memory and deformity. We routinely use an open rhinoplasty approach under general anesthesia to obtain a clear surgical field for diagnosis and manipulation of graft fixation. We found that harvesting the rib cartilage for augmentation rhinoplasty leads to predictable, highly satisfactory results. The postoperative chest discomfort can be well tolerated through careful dissection and wound closure. The autogenous rib cartilage can be the first choice for graft material in treating the severe low nasal dorsum, short nose, post-traumatic saddle nose deformity, and revision rhinoplasty, especially in treating the complications from the alloplastic implantation in Asian rhinoplasty.

49 Room 103_April 6, Saturday Session 2. Invitation Our meeting is going to explore the current status of cosmetic surgery in the greater aesthetic surgery world 미용외과의현주소를논의하는제101회일본미용외과학회第 101 届日本美容外科学会 : 讨论目前的整容外科 (Venue: Japan Tokyo Big Sight, Date: June 15-16) Recently, when we hear the words global standard, we think about the current state of Japanese cosmetic medical treatment, and we wonder if the practice of Japanese cosmetic surgery is consistent with cosmetic surgery abroad? For example, in Japan, breast augmentation is becoming fashionable with injections of hyaluronic acid and fat. So, what is the current position of our aesthetic surgeons overseas regarding this practice? Furthermore, on breast augmentation with implants, which is the appropriate method of incision, under the breast (IMF), axilla or peri-areolar? Which implant placement site - under the pectoralis major muscle (totally or dual plane) or sub-glandular is the best approach? When choosing an implant type which is best, smooth or textured surfaces (micro or gross texture)? Do we need to massage the breast after augmentation surgery? Finally, in the case of fat grafting, what is the percentage fat graft survival? Prominent surgeons influential in Europe and America will participate and lecture on these important topics at the 101st Congress of Japan Society of Aesthetic Surgery in Tokyo, Japan. In particular, we will focus on breast augmentation, face lift, fat injection, and are hoping to use as much time as possible for questions and answers in a round table discussion symposium style. This is a great chance to experience something new from valuable opinions and experiences on these topics. If there are things that you always wondered, please join us and share your thoughts with the member surgeons. Of course, we want you to show off to other members your useful knowledge and procedures as we work hard to keep up with the world level. This conference is going to address and explore the current status of cosmetic surgery in the greater aesthetic surgery world and we hope it will be an opportunity to reconsider the current state of Japanese cosmetic surgery. Thank you, Nobuyuki Masaki, MD President, the 101st Congress of Japan Society of Aesthetic Surgery 47

50 Room 103_April 6, Saturday Session 3. EyelidⅠ Overall design of younger ocular region 눈부위의전체디자인 眼部美容整形的整体设计思路 Shang Zhongming, MD Chinese Medical Association Branch of medicine and beauty of Shaanxi Province, China The shape of ocular region accounts pretty much for judging people s appearance. In case of ocular region s caducity phenomena, people s lineament will get adverse impact. Therefore more and more sufferer seeking for receive younger ocular region operation, which becomes the most popular operation in plastic surgery field. 眼部美容整形不能只停留在重睑术的思路, 而要做眼部的综合整体设计 要考虑眼睛在面部的位置 大小 比例 上睑的薄厚 松弛程度 眼球的暴露程度 睑缘和睫毛的方向 眼睛的水平轴 消除眼袋 文眼线等美学要素 使眼部美容整形达到极致, 做出最佳的美容效果 48

51 Room 103_April 6, Saturday Session 3. EyelidⅠ Advantage of continuous suture method in double eyelid operation 쌍꺼풀수술에서의연속봉합법의장점 双眼皮手术时连续缝合法的优点 Lee, Ji Hyeong, MD CSC Lauren Clinic, Seoul, Korea There are many suture method in the double eyelid operation. However, almost suture methods make the non-continuous suture loops into eyelid. If the location of suture loop is adequate, appearance of double fold line is good. But if not, the shape of double fold is not a beautiful curve. This problem is resolved by continuous suture method. Continuous suture method is done by one single suture material. Transconjuctival loop and transcutaneous loop is achieved alternately. Suture knot is in the last temporal stab incision. Although this method is more difficult technique and induced more-prolonged swelling, it is a best choice for a smooth and semi-lunar shape of double fold. 49

52 Room 103_April 6, Saturday Session 3. EyelidⅠ Minimum invasive blepharoplasty 최소침습눈성형술 微创眼部整形术 Yoshio Ikeda,MD Tokyo Plastic Surgery Clinic, Tokyo, Japan In Japan, the number of patients interested in blepharoplasty (surgery to lift/improve droopy eyelids) has increased. However, many patients worry not only about the result, but also the recovery time necessary after the procedure. I developed a non-incisional levator muscle tacking technique and have now combined this technique with traditional incisional blepharoplasty. This allowed for a procedure that produces equal results to standard blepharoplasty with much less swelling and internal bleeding, making for a faster recovery time. I will now explain the procedure. 50

53 Room 103_April 6, Saturday Session 3. EyelidⅠ Finesse in upper blepharoplasty 쌍꺼풀수술에서의기교 双眼皮手术技巧 Choi, Woong Chul, MD MEPS(Myoung Eye Plastic Surgery), Seoul, Korea Asians and Caucasians have different anatomic structures. Caucasians have high lid crease lines and upward protruding eyelashes because their eyelid skin is thin with minimal fat that naturally makes their eyes submerged into the skull. On the contrary, Asian use foreheads to open their eyes because their eyelid skin is thick with lots of fat that naturally make their eyelashes pointing straight down to the eyeballs. In fixing Asian eyelid problems, surgeons should remove these burden factors in order to improve the function of eyelids, while they simultaneously improve the beauty of the eyes by altering the direction of eyelashes. In this lecture I will explain how surgeons can obtain satisfactory results from eyelid operations that utilize the method of removing the burden factors for diverse Asian eyelid types. 51

54 Room 103_April 6, Saturday Session 4. RejuvenationⅠ Absorbable fine thread lifting(ultra V Lift) 흡수사를이용한리프팅 (ULTRA V LIFT) 利用可吸收线的返老还童术 (ULTRA V LIFT) Kwon, Han Jin, MD DerMaster Clinic, Seoul, Korea Absorbable Thread Lifting(Ultra V Lift) is a new concept of lifting by using fine thread. And using parallel vector technique for lifting. Absorbable fine thread will stimulate its own collagen and increase microcirculation, which will give natural firming, lifting and brightness of skin complexion. The advantage of absorbable Fine thread lifting is safe, easy and less downtime after procedure. Also can repeat the procedure as many times without any complication. Absorbable fine thread can treat not only theliftingoffacebutliftingofbreastandhiptoo. And also can improve specific wrinkles (forehead, glabella, indian fold, nasolabial fold and marionette s line). 2. RF Cannula dissection(innofill) RF 캐뉼라절개 (Innofill) RF Cannula Dissection is a new concept of treatment for Deep Forehead wrinkle, glabella wrinkle, eye bag, nasolabial fold and marionette s line by using insulated RF Cannula and using subcisional dissection technique for treatment. RF Cannula Dissection will stimulate fibrosis and its own collagen which will improve the wrinkle and tightening of the skin. The advantage of RF Cannula Dissection is using blunt insulated cannula so it is safe, easy and less downtime after procedure. Also can repeat the procedure as many times without any complication. RF Cannula can treat also filler lysis after unwanted shape of the filler and filler injection after slight coagulation which can make the filler last longer. 52

55 Room 103_April 6, Saturday Session 4. RejuvenationⅠ Adipose tissue A New material for facial rejuvenation 지방조직 - 안면회춘을위한새로운물질 脂肪组织 - 为达到面部返老还童效果的新物质 Wang Jieqing, MD Department of Plastic Surgery, Xinhua Hospital Affiliated to Dalian University, Dalian, China Autologous adipose tissue transplantation as a soft tissue filler material began in the early 20th century and got great concerns in plastic surgeons because of its advantages in soft tissue filling. However, the high absorption rate and low survival rate lead to poor postoperative effect and limiting the widespread application in clinical. From the beginning of the 21 century, the continuous progress of surgical techniques and surgical instruments improved the survival rate of transplanted adipose tissue. Especially in recent years with the discovery of the adipose-derived stem cells, since the autologous adipose tissue and the adipose-derived stem cell transplantation in the field of plastic surgery set off a new round of highlight. To observe the effect of the autologous adipose tissue and the adipose-derived stem cell transplantation in the face tissue augmentation and rejuvenation, we performed autologous adipose tissue transplant combined with adipose-derived stem cells for face augmentation from September 2011 to September 2012 and achieved good results. Adipose-derived stem cells transplantation can accelerate survival of fat graft, and its endocrine function may play a key role in improving the skin texture. 53

56 Room 103_April 6, Saturday Session 4. RejuvenationⅠ Strategy for mid face wrinkles removal 중안면주름제거전략 中面部除皱策略 Yi Wu, MD Department of plastic Surgery; Chongqing Emergency Medical Center, Yuzhong District Chongqing, China Object; procedure to create children s faces. and its effect. Method; after general anesthesia or local anesthesia, through the lower eyelid incision, peel the periosteum below under the eyes, and then it dangles facial tissue. It is fixed to the periosteum around the eye. And orbital septum fat or fat granules are implanted and the dished area of the nasolabial folds and under eye are Improved. Results: after 31 patients surgery, the eye encyclopedia of facial SAG somewhat are improved. Conclusion: Mid face lifting through lower blepharoplasty incision has superior effect of concealing incision hole. 목적 : 동안으로만드는수술법과효과. 방법 : 전신마취또는국부마취후하안검절개구를통해눈가밑골막아래를벗겨낸후중안면조직을매달아눈언저리골막에고정한다. 또한안와격막지방또는지방과립을이식하여눈밑과팔자주름의꺼진부분을개선시킨다. 결과 : 31건의환자수술후아이백과중안면처짐이어느정도개선되었다. 결론 : 하안검절개구를통해중안면리프팅을하면절개구은폐효과가뛰어나다. [ 摘要 ] 目的 : 探讨中面部年轻化的手术方法和效果 方法 : 在全麻或局麻下经下睑缘切口, 在眶缘下骨膜下剥离后上提中面部组织悬吊固定于眶外侧缘骨膜, 同时用眶隔脂肪或颗粒脂肪移植改善眶下缘和鼻唇沟凹陷 结果 :31 例病人术后眼袋和中面部松弛都得到一定程度的改善 结论 : 经下睑缘切口行中面部提升具有切口隐蔽, 效果好的优点 54

57 Room 103_April 6, Saturday Session 5. Anti-aging Medicine by WAARM Overview of anti-aging medicine and current state of Japanese anti-aging medicine 항노화의학에대한개관과일본항노화의학의현주소有关抗衰老医学的概况和日本抗衰老医学的现状 Jun Matsuyama, MD Chairman,World Academy of Anti-Aging Medicie(WAARM) Chairman & CMO Matsuyama Hospital, Gunma-Prief., Japan The aim of anti-aging medicine is not only to slow down the aging process, but also to keep the body functioning at its optimum level. This lecture will discuss more practical approaches of antiaging medicine, and top anti-aging therapeutics. Furthermore, we can expect an experimental expansion of medical knowledge on aging thanks in large part to the fast pace of advancements in biomedical technologies. Medical knowledge every 3.5 years or less. As a result, gains in human longevity are directly proportional to the cumulative sum of advancements in the biotech fields of stem cells, cloning, nanotechnology, artificial organs, and nerve-impulse continuity. We show the Total Anti-Aging Therapy tacnique including THRT, Live cell therapy, Umbilical cord stem cell therapy and Advanced imunotherapy etc. 55

58 Room 103_April 6, Saturday Session 5. Anti-aging Medicine by WAARM Telementoring, a new paradigm for surgical education 원격조언, 수술교육의새로운패러다임 有关远程启导, 手术教育的新模式 Robert Peterson, MD Athena Clinic, Honolulu, Hawaii, USA Telementoring, a new paradigm for surgical education, is presented, and contrasted with the current techniques of education-books, journals, videos and conferences. While books and conferences are adequate for teaching general principles, there is no substitute for experience when it concerns performing the procedure on a real patient. Each patient is unique and differs from the example cases in the literature; knowing how to adapt the procedure to these differences is very difficult and can cause real problems for both doctor and patient. The ideal situation is to have an experienced mentor to guide every treatment. This is the system in use in the best training programs around the world, but it is too time-consuming to be practical for busy practitioners. The internet has changed this situation and it is now possible for busy practitioners to share advice from afar, allowing mentoring with instruction targeted to an actual planned case. This is a much more efficient system of instruction, with key information provided as a tutorial that is easily remembered and case based. An example of such a system (cosmentor.com) is presented, and the implications for the ways in which this will change our practice environment are discussed. CV: Dr. Peterson is both an engineer (M.S.E.E. from Rice University) and a doctor (M.D. from Harvard Medical School). Trained in general surgery and plastic surgery, he has been Chief of Plastic Surgery at the Kapiolani Medical Center for Women and Children in Honolulu, Hawaii for over 15 years. He also maintains a busy private practice and is a frequent lecturer at conferences around the world. He is the founder of plasticsurgery.com, cosmeticsurgery.com, and cosmentor. com. He is the chief medical officer for AthenaClinics International group and director of the Athena fellowship of advanced techniques in plastic surgery. 56

59 Room 103_April 6, Saturday Session 5. Anti-aging Medicine by WAARM Highly bioavailable curcumin (Theracurmin ): Its clinical potential in common diseases and anti-aging 고생물학적인 Curcumin: 일반질병과항노화에있어서그임상적잠재성高生物学方面具有高效率的姜黄素 : 在一般疾病和抗衰老方面的临床潜在效果 Atsushi Imaizumi, PhD Theravalues Corporation, Chiyoda-ku, Tokyo, Japan In many aging societies, the focus is sharpenning on dietary suppllyments and functioinal food. Curcumin, a polyphenol derived from turmeric, has been known as one of promising functional food materials because of its anti-oxidative and anti-inflammatory functions. It has been suggested that one of important mechanisms of curcumin is inhibiting NF-kB activation. Since NF-kB activation is a key event of the chronic inflammation process in a range of diseases, curcumin is expected to be effective in conditions related to chronic inflammation, including cancer, cardiovascular disease, metabolic syndrome, Alzheimer disease, osteoarthritis, and other various common diseases and aging conditions. However, curcumin s poor bioavailability has been an obstacle to realizing beneficial health effects, since only few amount of curcumin is absorbed with oral administration. In order to overcome the bioavailability problem, we have successfully developed a surface-controlled water-dispersible curcumin, and named it Theracurmin. Its bioavailability compaired to ordinary curcumin powder was found to be at least 40-fold higher with Theracurmin contained 30mg of curcumin, and even much higher with higher dose of Theracurmin as the absorption rate gap between Theracurmin and ordinary curcumin became wider. By using this Theracurmin, animal and human studies have been conducted in Japan and in the USA. As for skin damage, oral Theracurmin contained 1 or 10 mg/kg/day of curcumin for 4 weeks inhibited pigmentation in UV-induced pigmentation model of guinia pigs by 6 to 18% compared to that of the control group. In healthy women who received Theracurmin contained either 30 or 90 mg of curcumin twice a day for 4 weeks, the skin moisture level significantly increased from baseline (average 15%). In addition, dose-dependent improvement was observed based on findings via diagnostic imaging of spots, wrinkles, and pores on the facial skin. 57

60 With regard to alcohol metabolism after alcohol drinking in healthy volunteers, blood acetaldehyde level was significantly lower with people who took Theracurmin than those who took pure water instead. In another study, oral Theracurmin contained 180mg/day of curcumin for a month resulted in improvement of AST, ALT and gamma-gtp. In postmenopausal women who have age-related cardiovascular risks, Theracurmin combined with exercise training has showed great health benefit in cardiovascular function, as it lowered the age-related increase in left ventricular afterload, improved vascular endothelial function, and decreased arterial stiffness. Other studies also showed that Theracurmin reduced exercise-induced muscle damage. Furthermore, Theracurmin showed the efficacy on systolic and diastolic function in hypertensive patients with left ventricular hypertrophy, and improved left ventricular diastolic function regardless of blood pressure in hypertensive patients. Researchers suggested that curcumin showed inhibitory effect on various factors related with cancer development, and that curcumin is expected to promote patients immunological capacity against tumor cells. We have proved Theracurmin s safety in advanced cancer patients and the data showed Theracurmin s effects on QOL of pancreatic cancer patients. We have been continuously conducting Theracurmin clinical trials with cancer patients to obtain further data. In conclusion, Theracurmin seems to have great potential in prevention and treatment of many diseases and age-related conditions. 58

61 Room 103_April 6, Saturday Session 5. Anti-aging Medicine by WAARM The importance of tooth and oral cavity in anti-aging and pertaining beauty -Shifting from symptomatic treatment to a fundamental treatment with the use of new sterilizing water 항노화와아름다움에있어서치아와구강의중요성为达到抗衰老和美丽牙齿和口腔的重要性 Kenichi Nebuka, DDS Medical Corporation KIRARI Kioicho Plaza Clinic, Tokyo, Japan In recent years, the field of anti-aging and cosmetics has shown a significant advancement, thanks to the newly developed techniques and materials in response to the growing demands. However, the demand of esthetic dentistry and the functional recovery in the oral cavity is still much lower than that of physical and facial anti-aging. Even with a complete physical and facial work, a favorable result with a perfect smile, the foundation of beauty, may not be achieved due to periodontal disease and tooth decay. Sadly, such cases are more common than expected. In addition to this, tooth loss may cause the maxilla, which supports the facial tissue and muscles, to degenerate, resulting with unwanted lines and sagging of the skin. In cases similar to above, proper dental and oral cavity treatments may allow prolonged effects of the anti-aging and cosmetic treatments. In order to improve the sense of beauty and value of teeth and oral cavity, a fundamental treatment was designed to prevent bad breath, periodontal diseases and tooth decay, all caused by bacterial infections, using a newly developed sterilizing water. The result of clinical application is reported. 59

62 Room 103_April 6, Saturday Session 5. Anti-aging Medicine by WAARM Change in an occlusal position and anti-aging 교합위치변화와항노화 咬合位置变化和抗衰老 Makoto Mera, DDS Affiliation: Institute of Clinical Dental Medicine, Hyogo, Japan There are three points to pay attention on oral part with aging. Permanent dentition shifts to ¹forward and ²lose balance either right or left side with age. Moreover, the change of it affects in vertical dimension, in other word, ³a reduction in distances between upper and below jaws. These changes cause shrink of related muscles of jaws bone, and furthermore these make skins relax. In order to restore one s physical appearance youth, firstly it is necessary to solve the essential problem causes by aging such as improving in ¹occulusal position. Therefore, it is important to improve vertical dimension, to fix a balance of right and left side and to shift backward of permanent dentition by teeth movement. Moreover, teeth movement causes a mechanical stress, as a result, it helps increasing in especially upper jaw s bone amount, and also it helps to improve the basic issues that cause by aging such as shrieked related muscles and relaxed skins. After the resolving the unbalanced soil structure, plastic surgery for bone, skins and muscles would be the most effective for anti-aging. How the teeth movement could change in those above would be presented as it should be a former treatment of plastic surgery. 60

63 Room 103_April 6, Saturday Session 5. Anti-aging Medicine by WAARM Anti-photoaging for skin by astaxanthin astaxanthin 의피부항광노화 虾青素的皮肤抗光老化 Eiji Yamashita Department of Research & Development, Medical Nutrition Division, AstaReal Co. Ltd., Japan It is known that reactive oxygen species (ROS) generated by UV irradiation is deeply involved in photoaging and that singlet oxygen (1O2) out of ROS is very important in degradation of collagen resulting in the wrinkle formation and the skin elasticity decreasing. 1O2 quenching activities among common hydrophilic and lipophilic antioxidants such as polyphenols, tocopherols, carotenoids, ascorbic acid, coenzyme Q10 and α-lipoic acid were recorded under the same test condition: the chemiluminescence detection system for direct 1O2 counting using the thermodissociable endoperoxides of 1,4-dimethylnaphthalene as 1O2 generator in DMF:CDCl3 (9:1). Carotenoids exhibited larger total quenching rate constants than other antioxidants, with astaxanthin showing the strongest activity. α-tocopherol and α-lipoic acid showed considerable activities, whereas the activities of ascorbic acid, CoQ10 and polyphenols were only slight; these included capsaicin, probucol, edaravon, BHT and Trolox [1]. We compared the protective effects of astaxanthin against singlet oxygen induced damage in human dermal fibroblasts in vitro to the following seven common antioxidants; β-carotene, lutein, α-tocopherol, vitamin C, coenzyme Q10, alpha-lipoic acid and catechin. Only astaxanthin at 10 μm showed a protective effect among the materials tested. The protective effect was nearly 100% at 3 μm whereas α-tocopherol showed the same effect at 250 μm. However, other antioxidants did not exhibit this effect even when they were applied at higher concentrations [2]. The anti-wrinkling effect of astaxanthin in the following two clinical studies [3] may be attributed to its protective effect against singlet oxygen induced damage. One was an open-label non-controlled study involving 30 healthy female subjects for 8 weeks. Significant improvements were observed by combining 6 mg per day oral supplementation and 2 ml (78.9μM solution) per day topical application of astaxanthin. Astaxanthin derived from the microalgae, Haematococcus pluvialis showed improvement in skin wrinkle reduction (crow s feet at week 8), age spot size (cheek at week-8), 61

64 and improved elasticity (crow s feet at week-8), skin texture (cheek at week-4), moisture content of corneocyte layer (cheek in 10 dry skin subjects at week-8) and corneocyte condition (cheek at week-8). It may suggest that astaxanthin can improve skin condition in all layers such as corneocyte layer, epidermis, basal layer and dermis by combining oral supplementation and topical treatment. Another was a randomized double-blind placebo controlled study involving 36 healthy male subjects for 6 weeks. Crow s feet wrinkle and elasticity; and transepidermal water loss (TEWL) improved after 6 mg of astaxanthin (the same as former study) daily supplementation. Moisture content and sebum oil level at the cheek zone showed strong tendencies for improvement. It seems that astaxanthin may improve the skin condition in not only in women but also in men. Based on the studies it s suggested that astaxanthin treatment might be a practical and beneficial approach for skin anti-photoaging. [1] Nishida, Y., Yamashita, E., Miki, W.: Quenching activities of common hydrophilic and lipophilic antioxidants against singlet oxygen using chemiluminescence detection system. Carotenoid Science, 11: 16-20, [2] Tominaga, K., Hongo, N., Karato, M., Yamashita, E.: Protective effects of astaxanthin against singlet oxygen induced damage in human dermal fibroblasts in vitro. Carotenoid Science, 15: 44-46, [3] Tominaga, K., Hongo, N., Karato, M., Yamashita, E.: Cosmetic benefits of astaxanthin on human subjects. Acta Biochimca Polonica, 59: 43-47,

65 Room _April 6, Saturday Session 1. Hair RestorationⅠ Surgical Cosmetic density of hair transplantation in Korea 한국인의모발이식에서미용학적밀도 韩国人毛发移植的美容学密度 Choi, Jung Keun, MD Yes Clinic(Talmodoctor Hair Transplantation Network), Bucheon, Korea One of the major goal of hair transplantation(ht) is the natural appearance of face. It is difficult to determine the cosmetic density of each patients in HT. How to approve the cosmetic density of HT. There are many factors concerned the cosmetic density, as thickness, color, curl and characteristic of the donor hair. The cosmetic density is different to the normal range of density for FU in the recipient area before hair loss and the maximal density of HT. The results was studied the satisfaction of patients after one year of HT by questionnaire retrospective. If donor hairs were normal state, the cosmetic density was 25-30FU(45-54 grafts)/cm square in Korean men, however Caucasian was 30-35FU/cm square, excluding the issue of hair survival in such cases. Therefore, pubic HT was 15-20FU/cm square in Korean women, eyebrow HT was 20-25FU/cm square in men, FU/cm square in women. 63

66 Room _April 6, Saturday Session 1. Hair RestorationⅠ Surgical Follicular unit extraction as a future of hair restoration surgery 미래의모발이식을주도할모낭단위적출술 将主导未来毛发移植的毛囊单位提取术 Michael Beck Hyunwook, MD Nobline Clinic, Seoul, Korea Hair restoration surgery is divided into strip surgery and FUE ( follicular unit extraction) by how you harvest hair follicles in donor area. Strip surgery is most popular and classic method but linear scar, severe pain and limited number of possible graft gives troubles to patients. FUE can solve these problem but has its own problems. Technical difficulty and long learning curve are the biggest one of them. To take hair follicles safely doctor should use proper light and loupe and chair. Comfortable posture and bleeding control and using sharp punch and imobilization of scalp are important too. Many doctors say that FUE cannot replace strip surgery because of its difficulty but I think it is possible if there is a good instruction manual and good education course. 64

67 Room _April 6, Saturday Session 1. Hair RestorationⅠ Surgical Applying new hair extraction tool in hair transplantation surgeries 모발이식수술에서새로운모발추출기구의적용 在毛发移植手术中适用新毛发萃取器械 Jack Yu, MD Jack s Clinic, Jiang Su, China Hair transplantation has been benefiting the hair loss community since 1900; it not only restores hair in male hair loss population, but also provides services to anyone with interests in becoming more attractive. Although, FUT (follicular unit transplantation) and FUE (follicular unit extraction) can both be used when harvesting hair grafts, FUE minimizes scars, leaves patients with less discomfort and reduces recovery period. The only drawback of such a technique is its low productivity. Operating with manual hair transplantation tool can only harvest limit quantity of hair in one surgical section, about grafts/day depending on physicians performance and patients hair characteristics. Introducing modern technology into hair transplantation formulates a new product-jack s EFUE (electronic follicle unit extractor). It s easy to operate, light, efficient, quite and portable. Jack s EFUE was first introduced to the market in 2008 at ISHRS (International Society of Hair Restoration Surgeries), it quickly attracted everyone s attentions and received many inquires. The machine finally launched into the market in 2009 after Dr. Jack Yu made a few key improvements. Now, the third generation of EFUE is a fully developed surgical tool features in efficiency, mobility, and weightless (compares with other motorized follicle unit extractors). Physicians with basic hair transplantation backgrounds can operate Jack s EFUE without intensive training. Hair transplantation is known to be a labor intensive project; with assistance from Jack s EFUE, an experienced physician can easily restore 3000 grafts, even the inexperienced physicians can challenge 1500 to 2000 grafts in one day. Before Jack EFUE, only FUT can possibly accomplish the number, but it leaves a linear scar at donor area. A hair restoration surgery usually last the whole day, holding a heavy tool will leave hands in soreness and therefore reduce productivity. Jack s EFUE on the other hand is light and designed to grip comfortably even for the whole day. If physicians need to perform a 65

68 surgery in different locations, they can carry EFUE set with them. Unlike other existing electronic hair extraction tools, Jack s EFUE runs on an AA battery, no power cord is required and no need to use a power adaptor. Base on current investigations, hair grafts of different ethnicity groups may present different characteristics. One of such characteristics needs to be concerned the most is its diameter. Asian tends to grow thicker hair when compares with Caucasian, even within the same ethnicity group, individuals may grow hair in different diameters. Therefore, switching extraction punches within a sizes range is necessary. Jack s EFUE is designed with an adaptor which can accommodate punches with variety of sizes, 0.75mm-1.0mm. Physician may switch punches in different sizes upon request. In the past five years, Jack s EFUE was involved in practices in the USA, China, Germany, France, Italy, England, Israel, India, Thailand, Taiwan, Hong Kong, Japan, Korea, and many other countries and regions. It s proven to be a very effective tool; doctors trained by different medical academies were all able to use this machine in their practices to serve patients from different ethnicity backgrounds. 66

69 Room _April 6, Saturday Session 1. Hair RestorationⅠ Surgical Jack s artistry eyebrow transplantation 예술적눈썹이식술 艺术植眉与眉毛移植技术 Jack Yu, MD Jack s Clinic. Jiang Su, China Almost everyone wish to have a pair of perfect eyebrow. When they are young, they trim the extra hair to make it thin or fashionable. However, when they grow older, the eyebrow became thinner and faint on different degrees. Some others may have inadequate eyebrow quantity due to physical injuries, or genetic causes. All these individuals can be benefited from eyebrow transplantation. Eyebrow transplantation is a procedure which harvest thin hair from donor area, and transplant them to eyebrow. Similar to hair transplantation but it s more on the state of art side; it requires a delicate taste of beauty and fashion. Depending on the surgery s technique and the patient s hair resource, a pair of natural-looking eyebrow can be done; and its visual effect is way better than eyebrow tattoo. Jack s artistry eyebrow transplantation is known to be one of the best eyebrow transplantation techniques. It can be divided into 4 major steps: design, extraction, trimming and placing. Design: When designing eyebrows, a doctor should consider patient s requests and advise on how to achieve the expected results, the doctor should also make suggestions base on the best of his/er knowledge. After achieve a mutual agreement on the shape of eyebrow, extracting can be initiated. Extraction: Hair from hairline is the optimal resource, thin hair from the hairline assembles the characteristics of eyebrow; hair from hairline is thin with very slight curve. Using Jack s EFUE (Electronic Follicular Unit Extractor) to harvest grafts from hairline is efficient and produces high quality grafts. Extract grafts from hairline Extract grafts 67

70 Trimming: After extract enough hair to reconstruct one side of eyebrow; they need to be trimmed in order to facilitate placing. Extra tissue and fat around the extracted grafts are not necessary for re-growing, but will impede placing; therefore, it s recommended to eliminate the amount of tissues and fat. Placing: When placing the eyebrow, the thinnest hair should go to the front and the top of the arc. The relatively thinner hair should be used to construct the outline and fill in the space with the rest of extracted hair. When implant the lower edge, the angle should be in between 25 and 45 degree, pointing up. The upper edge should be pointing down with an angle of 25 to 45 degree. Trim extra tissue and fat Placing trimmed hair to eyebrow Before and After The result is permanent and natural. But physicians should warn patients about trimming the hair constantly, usually every 10 to 14 days. Jack s Artistry Eyebrow Transplantation is an ideal solution for anyone with eyebrow problems. Some of newly transplanted eyebrows may fall from the second weeks post operation, and this may last until the third months, but almost all of the grafts will grow back at nine month to one year. 68

71 Room _April 6, Saturday Session 1. Hair RestorationⅠ Surgical Tip of making natural Asian female hairline transplantation 자연스러운아시아여성헤어라인이식을위한팁 亚洲女性自然移植发线的技巧 Kim, Eun Young, MD Mojelim plastic surgery Clinic, Seoul, Korea Nowadays it appears that the main concern about hair transplantation has increased on female hair line correction as much as male hair transplantation. It shows that many Asian women wants to have more smaller face by reducing forehead heights and sideburns. In this lecture I would explain how to make more natural female hair line design and transplantation with many cases. there are many critical factor of determining the naturalness like hair curl, thickness, direction and angle. 69

72 Room _April 6, Saturday Session 1. Hair RestorationⅠ Surgical Hair transplant in transgender 트렌스젠더의모발이식 变性人的毛发移植 Viroj Vong, MD HHH Hair Transplant Center, Bangkok, Thailand In male to female transgender. After sex change operation, breast augmentation, face feminization etc. last things or final touch of full feminization is refilled the temporal peak. To get round or oval shape feminine hairline. The challenge is to change a male with more bony, bigger, stronger face to smaller and softer look feminine face. I transplant very small hair less than 50 micron diameter from the back of scalp to the anterior hairline and us bigger FU for the rest of the empty space. Either by strip harvesting or FUE. Generally about FU to create new feminine hairline. Use a concept of Line Thai Micro Hairline to create a very natural and soft looking hairline. 70

73 Room _April 6, Saturday Session 1. Hair RestorationⅠ Surgical The Recovery method of donor scar in Hair Transplantation 모발이식의공여부흉터복원술 毛发萃取供区的伤痕复原术 Kim, Jin Young, MD YS Mobelle Hair transplantation Center, Korea The main problem of hair transplantation is donor site scar. Hair transplantation is classified by occipital scalp incision method and follicular extraction. Despite of two donor harvesting technique, visible scar of donor area is still exist. In strip incision surgery, long linear scar or large width scar is problematic, and in extraction method, visible white dot scar is too. The FUE insertion of visible strip incision scar is too solving the problem of scar. But patient discomfort the problem of short hair cut and anesthesia in FUE. And doctor do not solve the white dot scar in FUE patient. Therefore, I suggest the Micropigmentation of donor scar not only follicular unit strip surgery but also follicular unit extraction. Micropigmentation of donor scar give the comfort and diminish the burden of scalp incision and anesthesia. This method supply no-pain condition to the patient. The 1 to 2 session of retouch will last 2~5 years. The anesthesia of micropigmentation is so easy. It is sufficient to EMLA applied to scar area. Micropigmentation diminish the burden of occipital scar to hair transplant surgeon. Although donor scar is minimal and invisible in hair transplantation, the size and shape of donor scar is still visible and problematic. The micropigmentation of donor scar prevents the visible problem and helps the hair surgeons burdened with hair transplantation. 71

74 Room _April 6, Saturday Session 2. Hair RestorationⅡ Non Surgical Hair aging in Asian 아시아인의모발노화 亚洲人的毛发衰老 Sotaro Kurata, MD Beppu Garden-Hill Clinic (Kurata Clinic), Beppu City, Japan Skin rejuvenation is one of the most common concerns for both men and women. Anti-aging has been a very popular word in all over the world these years. We have to consider that hair is also very important factor for the appearance of aging face. There are three types of changes concerning hair aging. 1) Alopecia; Androgenetic alopecia (AGA) is the most common disease for men concerning aging appearance. Besides AGA, there are several important aging alopecia patterns occurred in men and women s hair. I will mention about mechanisms of these changes including male AGA, female AGA, chronic telogen effluvium. 2) Hair graying; mechanism of graying hair has been reported these years that it related to the behavior of melanocyte stem cells. 3) Damage hair; hairs will be damaged due to physical stresses such as ultra violet, coloring, perming, brushing or hot drying and so on. I also talk about differences of hairs between Asian and Caucasian. 72

75 Room _April 6, Saturday Session 2. Hair RestorationⅡ Non Surgical Clinical experience of Minoxidil with Amino acids oral medication for Women Hair loss 여성모발손실에대한아미노산경구약물치료와함께하는미녹시딜임상경험 用氨基酸口服药物和米诺地尔治疗女性毛发损失的临床经验 Minoru Arakaki 1, MD, Li Li 2, MD 1 Arakaki Plastic Surgery, Okinawa, Japan 2 The Director of Qingdao Municipal Hospital dept. of Dermatology and International Cosmetic Center. Qingdao, China In treatment for hair thinning in women, conventional nutrients treatments and topical minoxidil treatments are not efficient enough. Although it is not yet officially approved by FDA, the internal use of minoxidil is expected to be efficient for hair growth purpose. That is the reason for many people to import the medicine privately. Author reports the safeness and effectiveness in hair growth of minoxidil internal use from his clinical experiences with additional bibliographical considerations. Method Administrate Minoxidil 5mg/day with L-Cysteine500mg, MSM750mg, L-Arginine 500mg (Cocce) to women and research the effectiveness and adverse reactions for 3 months. Results Recognize hair growth in all cases. Body hair growth also recognized as an adverse effect. One case was terminated after recognizing hair loss in the initial phase, however, any other adverse reactions such as changing blood pressure, was not detected. Conclusions Minoxidil internal treatment is effective for hair loss treatment in women. Common adverse effect is body hair growth. One case is terminated due to hair loss in the initial phase. Since Minoxidil is a cardiovascular agent, it should be administrated under control of physicians. 73

76 Room _April 6, Saturday Session 2. Hair RestorationⅡ Non Surgical Finasteride in the long run for Japanese male 장기적으로일본남성에맞는 Finasteride 长期适合日本女性的 Finasteride( 防止脱毛剂 ) 74 Akio Sato, MD, PhD - Professor, Department of Regenerative Medicine, Plastic and Reconstructive Surgery, Kitasato University School of Medicine - Visiting Professor, Department of Research Institute for Science and Technology, Tokyo University of Science - Director of Tokyo Memorial Clinic, Tokyo, Japan Before now, there has been no study of finasteride use exceeding 1 year in Japanese men with androgenetic alopecia(aga) except the study subsequently conducted from the development phase. Since the launch of finasteride, no study in a larger population had been reported. Ethnic variation of the onset age, progressive nature and degree of hair loss of androgenetic alopecia are known. The therapeutic effect of oral finasteride (Propecia) was examined on Androgenetic alopecia of Japanese men. The efficacy and safety of finasteride (1 mg tablet) was evaluated in Japanese men with AGA in the long term. The study enrolled 3177 men given finasteride 1 mg day from January 2006 to June 2009 at our clinic. Efficacy was evaluated in 2561 men by the modified global photographic assessment; the photographs were assessed using the standardized 7-point rating scale. Safety data were assessed by interviews and laboratory tests in all men enrolled in the study. The overall effect of hair growth was seen in 2230 of 2561 men (87.1%), in whom hair greatly (11.1%), moderately (36.5%) and slightly (39.5%) increased. In the report of the Turkish study comparing topicalminoxidil (5%) and oral finasteride (1 mg / day), the response rate of finasteride was 80%. In our study, the response rate (87.1%) was higher than in the Turkish study. One of the reasons for this could be the characteristics of scalp hair of Japanese men. Japanese subjects generally have less hair density, larger hair diameter, and black color of hair shaft showing a marked contrast of color of hair compared to thinner and lighter color of the scalp hair in Caucasian men. Therefore, subtle changes in scalp hair growth can be easily identified by a global photographic assessment leading to a higher response rate in Japanese men. On the other hand, because our study was conducted in clinical practice, many patients did not receive follow-up examination. This might have affected the higher response rate. According to the supposition, it was assumed that all of the 616 patients who were not able to be assessed by the modified global photo graphic assessment because they had only baseline (first visit) assessment, had decreased hair growth (1 3). The resulting response rate was 70.2% (2230 / 3177), which is close to that of the previous studies conducted in the USA or the other countries.80%. The response rate improved with increasing duration of treatment. Adverse reactions occurred in 0.7% ( ) of men; seven men discontinued treatment based on risk benefit consider- ations. No specific safety problems associated with long-term use were observed. This study represents data collected at a single institution. Many patients did not receive follow-up examination. In Japanese men with AGA, oral Finasteride used in the long-term study maintained progressive hair regrowth without recognized side-effect.

77 Room _April 6, Saturday Session 2. Hair RestorationⅡ Non Surgical Comparison of Mineral contents in hair between alopecia and non-alopecia 탈모인과비탈모인의모발에함유된미네랄함량비교 比较脱毛者与非脱毛者毛发的矿物质含量 Im, Eunjin, PhD Youngdong University Dept. of Beauty-Care, Youngdong, Korea The purpose of this study was to examine the amounts of minerals in hair between adults with and without alopecia so as to provide basic information on the mineral imbalance in people with alopecia and help the treatment for alopecia. The participants are adults from Seoul in their twenties to forties who are divided into two groups; people with alopecia and without alopecia. ICP-MS (Inductively Coupled Plasma Mass Spectrometer) is used to analyze the participants hair. The followings are the result that analyzes these minerals. Among the nutritive minerals, there were significant main effects of gender and the presence of alopecia in the levels of Zn. Male group showed lower level of Zn compared with female group. And participants of alopecia showed lower level of Zn compared with participant of non-alopecia. Among the toxic minerals, there were significant main effects of gender and the presence of alopecia in the levels of Hg. Male group showed higher level of Hg compared with female group. And participants of alopecia showed higher level of Hg compared with participant of non-alopecia. Theses findings suggested the content of Hg levels in hair could be problematic and compromise the hair management for optimal condition. 75

78 Room _April 6, Saturday Session 2. Hair RestorationⅡ Non Surgical A Study on effects of scalp massage on stress responses 두피마사지가스트레스의해소효과연구 有关头皮按摩有助于缓解压力的研究 - 临床 Kim Hyeran, PhD Dept. of Bioengineering at the Postgraduate School, Konkuk University, Seoul, Korea The purpose of present study is to identify the effects of scalp massage on stress responses in middle aged women. The results of this study go like this : 1. Scalp massage is supported as an effective intervention to make the blood circulate more freely and stimulate the circulate of lymph as well as reducing pulse, blood pressure in middle aged women. 2. Scalp massage is supported as an effective intervention to help their depression, concern and insomnia relieved in middle aged women. 3. Scalp massage is supported as an effective intervention to relax the muscles and neutralize a poison as well as refreshing their life in middle aged women. 4. Scalp massage is supported as an effective intervention to relieve the fatigue of eyes, tension and make them comfortable in middle aged women. In conclusion, scalp massage is supported as an effective intervention to decrease psychological and physiological stresses in middle aged women. Therefore it is recommended to be scalp care massaged with aromatherapy to relieve the stress in middle aged women. 76

79 Room _April 6, Saturday Session 3. Facial Contouring Facial contouring surgery in China 중국에서의얼굴윤곽수술 在中国的脸部轮廓术 Xiongzheng Mu, MD Dept. Plast.& Reconstr. Surg., Huashan Hospital, Fudan University., China Objective: To review my experience in both malar reduction and mandibular reshaping techniques to establish optional, effective, and reliable surgical procedures. A square-shaped face is considered aesthetically unfavorable among East Asians; therefore, reduction malarplasty and mandibular reshaping are becoming more acceptable for aesthetic facial skeleton recontouring. Methods: The techniques of zygoma arch infracture or mandibular angle reduction were used until 2 alternative techniques were introduced in 2002: the wedge-section osteotomy in the malar complex and inclined-fullness osteotomy in the mandibular angle and margin. Both osteotomies were selected according to personal experience and communication with patients. The wedge-section zygoma osteotomy was performed in the lower zygomatic body via an intraoral approach and greenstick infracture of the posterior zygomatic arch through a tiny preauricular incision. The prominent malar complex could be reduced by being pressed inward and was stabilized only by surgical suture or self-stabilization without any fixation, and the latter method was chosen in my recent cases. For the lower face, I designed an inclined-fullness osteotomy to address the mandibular angle and margin along the diagonal of marked projection of the mental foramen on the margin of the mandible and the projection of mandibular foramen on the ramus. The surgical indications, major complications, and levels of patient satisfaction for the different techniques were compared, and thus the pros and cons of wedge-section osteotomy and mandibular reshaping vs conventional procedures were analyzed. 77

80 Room _April 6, Saturday Session 3. Facial Contouring Skin expansion surgery for ear reconstruction 귀재건수술을위한피부확장술 全扩张法分期耳廓再造术 Guo Zongke, MD, Xiong Meng, MD, Kang Chunyu, MD, Zhang Jue, MD, Wang Lei, MD, Ning Guansen, MD, Zhongda Hospital of Southeast University, Nanjing.China 78 [Subject] Discussing full skin expansion surgery for ear reconstruction. [Materials & Method] Auricles forming in general is done 2-3 times. In the first 50ml and 80ml kidney-shaped thin soft tissue expander is inserted into the mastoid. The second, remove the expander and then make the ear framework of the ribs as doing a negative pressure suction. The third sis to resect the remaining part of the ear. Excise the rest of the skin and cartilage. This makes the shape of concha cavity form. We have operated skin expansion surgery for ear reconstruction gradually since Until now we has achieved good results from 69cases of 67 patients. [Results] Skin expansion surgery for auricular reconstruction has the following advantages compared with the conventional methods. 1. Auricles are more sophisticated appearance. 2. By extending the flap blood supply more smoothly. 3. There is no need to transplant the skin because of covering the front and back of ear framework by extending flaps.4. Surgical method is simple; no need to lift flaps or or temporalis muscle showdown behind the ears. 5. Preventing to become hypertrophy of the outline behind the ears and well maintain the shape of the aperture of the biceps. 6. Fascial flap and temporalis fascial flap behind ears is left without using surgery for second and third operation. 목적 귀재건수술을위한피부확장술에대해논의한다. 재료및방법 일반적으로귓바퀴성형은 2-3기에걸쳐이루어진다. 첫번째에는유양돌기에 50ml, 80ml 신장모양의얇은피부연조직확장기를삽입한다. 두번째시기에는, 확장기를꺼내고늑연골로귀틀을만들어주며부압흡입한다. 세번째시기에는귀의남은부분을절제하는것으로남은부분의피부와연골을절제한다. 이로써이갑강의모양을잡아준다. 2007년부터현재까지우리는점진적으로전체확장법외이재건술을전개해왔습니다. 현재전체확장법외이재건술을통해 67명, 69건의수술을성공시켰습니다. 결과 기존의방법과비교했을때전체확장법외이재건술은다음과같은장점을보유하고있다. 1. 귓바퀴모양이더욱정교하다. 2. 피판을확장하여혈액공급을더원활하게한다. 3. 피판을확장하여귀틀의앞뒤를덮을수있어피부를이식할필요

81 가없다. 4. 수술법이간편하고, 귀뒤의피판또는측두근막판을들어올릴필요가없다. 5. 귀뒤의윤곽이비대해지는것을방지하고이두개구의모양을잘유지한다. 6. 귀뒤근막판과측두근막판은사용하지않고 2기, 3기수술을위해남겨둔다. 결론 : 전체확장법분기외이재건술은외의재건술중훌륭한수술법이다. 摘要 : 目的 探讨全扩张法分期耳再造的方法 材料与方法 : 耳再造手术一般分 2-3 期完成 第一期, 在耳后乳突区植入 50ml 或 80ml 肾形 薄壁皮肤软组织扩张器 第二期, 扩张器取出 肋软骨耳廓支架制作及负压吸引 第三期手术, 残耳切除, 切除残耳多余的皮肤和软骨 耳甲腔的成形 2007 年至今我们逐步探索开展了全扩张法外耳再造术 目前开展全扩张法耳再造 67 人,69 例患耳 结果 : 与传统方法相比, 全扩张法耳再造具有以下优点 :1 再造耳轮廓结构更加清晰,2 扩张皮瓣血供更有保障 3 扩张皮瓣可覆盖耳支架的前后, 无需植皮 4 方法简便, 不用掀起耳后皮瓣或者颞筋膜瓣 ;5 耳后的轮廓避免臃肿; 颅耳沟形态保持好 6 耳后筋膜瓣和颞筋膜瓣均未使用, 为二三期手术留有余地 结论 : 全扩张法分期耳再造手术是耳再造手术可选的方法之一 79

82 Room _April 6, Saturday Session 3. Facial Contouring Aesthetic parotidectomy : surgical options 미용적이하선절제술 : 외과적선택 美容腮腺切除术 : 外科性选择 Ian Loh, MD Changi General Hospital, Singapore Parotidectomy using conventional methods often leave patients with a conspicuous scar over the neck and a filling defect in the face and retromandibular area. We examine the various options available during parotidectomy to improve the cosmetic and functional outcome for the patient. This includes the use of modified face lift incisions, different approaches to demarcate the facial nerve, SMAS flap advancement/resuspension, sternocleidomastoid flaps and tissue glue closure techniques. The technqiues not only improve the cosmetic outcome of the surgery without compromising access or tumor clearence, and can also include the SMAS as an additional surgical margin in tumor surgery and result in a lower incidence of Frey s syndrome. The use of fibrin and tissue glue allows for drainless, day surgery parotidectomy, without the need for stitch removal. This improves the overall surgical experience for the patient. A discussion of these various techniques and case examples will be presented at this talk. 80

83 Room _April 6, Saturday Session 4. Skin & LaserⅠ Golgeun-therapy having an impact upon the facial reduction 골근테라피가얼굴축소에미치는영향 疗法对缩脸起到的影响 We, Sooyoung, PhD Golgeunwebeauty, Seoul, Korea The aim of this study was experiment which proves the effect on facial volume downsizing when Periosteum and Myofacial Massage was treated. The experiment had been treated for 10 weeks, 20 times per a week with 12 female volunteers in the 20 s and 30 s as a treatment for facial contouring. The effects of Periosteum and Myofacial Massage are evaluated by performing 3D laser scans before and 10 weeks after Periosteum and Myofacial Massage. The mean value of the volume differed significantly before and 10 weeks after the Periosteum and Myofacial Massage. The mean values of the volume were mm3 less, respectively, 10 weeks after the Periosteum and Myofacial Massage than before. And the mean value of right volume were 57.25mm3 less than left volume. 81

84 Room _April 6, Saturday Session 4. Skin & LaserⅠ Face lipolysis & face lift using fiber laser Fiber laser 를이용한안면지방흡입과리프트 激光吸脂和面部提升术 Wu Chunhua Wuhan Gigaa Optronics Technology Co, Wuhan, China The advantages of lipolysis: 1, Firming, convergence, wrinkle, more effective than face lift surgery: Overtake the other technologies such as RF, surgical wrinkle, can achieve satisfying result just in one time. No surgery, no bleeding, no dressing, no scars, truly safe and non-invasive is the new trend of beauty technology in the future and more perfect than traditional beauty technology 2. Clear up forehead wrinkles and crow s feet Transfer the heat on forehead wrinkles and crow s feet s position accurately and create immediately effect 3. Smooth nasolabial folds Crate adhesion on fascia that can smooth nasolabial folds more effective 4. Efficient Firming Use the new way to transfer the heat that directly through the epidermis to the fascia 82

85 Room _April 6, Saturday Session 4. Skin & LaserⅠ Triple Jet: new advances in hydroporation delivery system to the skin Triple Jet: 피부에전달하는 Hydroporation 전달체계의새로운발전 Triple Jet: 传达给皮肤的 Hydroporation 传达体系的新发展 Lee, Hwang Heui, MD NB Clinic, Seoul, Korea Now, since I started offering Triple jet treatments, I can enjoy the great results without fearing the involvement of invasive, time consuming, down-time, skin treatment. More than that, since recovery is immediate, and the treatment itself is fast and shooting It is truly unique / No Needles! / No Pain / No skin contact! / Patients are back to normal immediately! / And great result in Scar, Redness, Wrinkle. The penetration of liquid droplets into epidermis through Triple Jet system is achieved through Hydorphorisis. this effect is achieved with the special combination of a few factors and only works if they all come together: the liquid droplets reaching a unit surface area need to be many of the right size: 5-20 microns the air flow needs to be of sufficient pressure and form to produce local eddies to create a negative local pressure. So, just dumping a whole lot of liquid on the skin with a small percentage of micro droplets won t do. In fact, the liquid film will buffer further penetration. Our systems produce a statistically huge number of droplets per surface are, at the operation distance of 0.2 to 1 cm. These are 5-20 microns, 90PSI, 200m/sec, again statistically in similar size, and very importantly similar mass of skin cell. Once these droplets reach the skin surface a number of things happen: Specially Scar, redness, Wrinkle, and Lymphatic drainage. Potential fields of Triple Jet application are Hydropressure(Lymph drainage), Hydroabrasion(Exfoliation), and Hydroporation(Injection). Hydroporation history H2O inject 30sec In this study, I want to share my experience with; Evaluation of the clinic for hydropressure and lymph drainage Evaluation of the clinic for hydroabrasive therapy Evaluation of the penetration depth of the fractional hydroporation of liquid, 83

86 Room _April 6, Saturday Session 5. Live Demonstration Filler & PPC Filler & PPC 얼굴주입시연 面部填充演示 Choi, Mi Sook, MD Hansarang No No Clinic, Seoul, Korea Memo 备忘录 : 84

87 Room _April 6, Saturday Session 5. Live Demonstration Continuous buried suture double-eyelid surgery 연속봉합쌍꺼풀매몰법 双眼皮手术时连续缝合法的优点 Lee, Ji Hyeong, MD CSC Lauren Clinic, Seoul, Korea Memo 备忘录 : 85

88 Room _April 6, Saturday Session 5. Live Demonstration Ultra V lift upgrade tech combination of Ultra V tornado & V Ultra double twist for facial lifting 안면거상을위한 Ultra V tornado 와 V Ultra double twist 를결합한진전된 Ultra V 안면거상기술 Ultra V tornado 线和 Ultra V 双纽线结合的 Ultra V 面部提升技术 Kwon, Han Jin, MD Der Master Clinic, Seoul, Korea Memo 备忘录 : 86

89 Room _April 6, Saturday Session 5. Live Demonstration Non incisional rhinoplasty: HAi Hana-KO 비절개법코성형술 : HAi Hana-KO 非切开法隆鼻术演示 : HAi Hana-KO Lim, Jong Hak, MD,PhD Kairos Clinic, Seoul, Korea President, KAAS Memo 备忘录 : 87

90 Room _April 6, Saturday Session 5. Live Demonstration Minimal invasive face lift: Hai lift & Dual lift Hai lift & Dual lift 를통한얼굴주름제거시연 通过 Hai lift & Dual lift 的去除面部皱纹演示 Lim, Jong Hak, MD,PhD Kairos Clinic, Seoul, Korea President, KAAS Memo 备忘录 : 88

91 Room 103_April 7, Sunday Session 1. BreastⅠ Cosmetic breast surgery pearls in Asian patients 아시아환자들의미용적유방수술의전형 泰国及亚洲患者的美容乳房手术典型 Surin Plasen MD, PhD Praram 3 Clinic, Bangkok, Thailand With 30 years experience in cosmetic breast surgery for more than 10,000 cases in Asian patient, the background knowledge in blood supply, nerve supply, breast composition and function, lymphatic system and the muscles of the chest wall are very important. To do breast surgery, the essential steps were reviewed including the patient evaluation, aesthetic concepts of the breast applying them to surgery, adjustments for different body types, aesthetic placement of incisions and how to assessing the result. Also the types of implant and tissue response were described. Implant selection and clinical applications were reviewed. Classification of capsular contracture and strategies to decrease incidence were also explained. To prevent complication, some endoscopic equipment was described. The reasons to use endoscopic surgery were explained. TUBA is the alternative method for breast surgery requiring special implant, special instruments and special endoscopic instruments. The technique was described and the results were shown. Some patients have different problems such as laxity. Classification of breast laxity was described. Various techniques for breast reduction and breast ptosis correction are available. Vertical mammaplasty technique was described.the benefits of this technique were explained. Post-operative considerations, problems and complications were also presented. Long term results were also presented. Complication can occur both in short term and long term after breast surgery. Various complications were described and be managed. Reoperative breast surgery was described in detailed both the techniques and the instruments used. The results after surgery were presented. Your final judgment will determine the success. 89

92 Room 103_April 7, Sunday Session 1. BreastⅠ Mastopexy with Mesh Mesh 를사용한처진가슴교정술 使用 Mesh 的乳房下垂矫正术 Park, Kyung Won, MD SMAAD Plastic Clinic, Seoul, Korea Prior mastopexy needs severe incision. But Asian women may get very severe scar. That s why Asian breast doctors hesitate mastopexy. And therefore many non incisional mastopexy has been developed but the effect was not so good. Here mesh using mastopexy is so effective and simple, and only 0.5cm small one incision is enough. Even 2 times traction also possible and together with lipotransfer the effect is tremendous. 90

93 Room 103_April 7, Sunday Session 1. BreastⅠ Endoscopic transaxillary dual-plane breast augmentation using silicone gel implants: 58 cases report 실리콘겔보형물을이용한겨드랑이절개내시경이중평면유방확대술 : 58 증례보고 利用硅凝胶的经腋切口内镜双重平面隆胸术 :58 案例报告 HAO Lijun, MD Center of Plastic and Aesthetic Surgery, Harbin, China Vice President, Chinese Society of Aesthetic and Plastic Surgeons To discuss the virtues of endoscopic transaxillary dual-plane technique and sum up the main operating experience in breast augmentation using silicone gel implants. Methods The limits of implant pocket were outlined preoperatively, based on the characteristics of mammary glands, including the new levels under the breast fold (the vertical distance from the nipple 8.0cm), left and right boundary, and pectoralis major muscle splitting location. All cases were under general anesthesia. A dual-plane implant pocket were dissected within the marking limits through a cm transverse incision following the natural axillary creases, which was closed by the lateral chest wall, with the help of a 10mm, 30 endoscope and endoscopic diathermy scissors. The silicone gel implant was placed into the pocket. The vacuum drainages were left in both sides for 3-5days. Results Fiftyeight patients underwent the endoscopic transaxillary dual-plane augmentation mammoplasty. After a follow-up of 6-12months, compared with traditional single-plane technique under blindness, both surgeons and patients were satisfied with aesthetically natural appearance, soft handle,there was no complication such as capsular contracture, lateral displacement, or double bubble deformity. Conclusions This technique is an excellent tool for patients who prefer a distant incision. It provides good control over dissection, allows the use of dual-plane technique and keep a minimum bleeding during surgery, thus avoiding the risk of deflation. In addition, recovery is faster than other technologies and there is less bruising and pain. 91

94 Room 103_April 7, Sunday Session 1. BreastⅠ Correction of displacement complication in augmentation mammaplasty of silicone implants 실리콘보형물을이용한유방확대술에있어서변위합병증의교정在利用硅胶假体的隆胸术, 变位并发症的矫正 Xiaobang Ding, MD, Xiaofei Ma, MD, Yuanqiang Wei, MD Beijing Aima Plastic Clinic, Beijing, China Today breast augmentation is performed all over the world. According to the American Society of Plastic Surgeons (ASPS) approximately 307,000 women in the United States (US) alone underwent breast augmentation surgery in 2008 and the demand for silicone implants is rising; the number of silicone breast implants increased from 35% in 2007 to 47% in 2008, becoming the first in plastic surgeon. However there are a lot of complications after breast augmentation: capsular contracture, high implants, descent of submammary fold, rippling, visibility and palpability of the implant, double submammary fold, asymmetry, infection and extrusion of the implant, rupture of the implant, changes in volume, and changes that occur due to the patient s age. When the complications arise especially high implants double submammary fold and descent of submammary fold, the silicone implants need to be removed and setted to a new position. In this removing operation, a total capsulectomy can be performed under closed or open visibility, with a new implant fitted inside the same pocket. The capsulectomy often takes hours and the hurt too much.sometimes, capsule can t be peeled unbroken and peeled into pieces. Also, If the extent of capsular contracture is high or the capsule sticking to the implant closely, the capsulectomy can not be performed easily. Recently, we drop the old capsulectomy. No matter which level the implants setted, when we reach the capsule after separating tissue, we separate capsule from upper tissue but peel the whole capsule.after peel the upper tissue on capsule. A small break should be done to get the implants of the body.then we put the same implants or the new ones on the top of capsules and adjust the fit cavity for the implants. First,this method hurt much less and recover phase of patients reduce too. Second,it takes much less time and easier to be done. With this method,we can correct the complications of breast augmentation in a better way and get a better result. 92

95 Fig 1 A B A double submammary fold and descent of submammary fold. B the result: The surgery was performed through transaxillary cut. separate capsule from upper tissue. put the same implants or the new ones on the top of capsules. Fig 2 A B A Synmasty.B the result: The surgery was performed through transaxillary cut. separate capsule from upper tissue. put the same implants or the new ones on the top of capsules.press sternum for 3 days. Fig 3 A B A asymmetric(al) B the result: The surgery was performed through transaxillary cut. separate capsule from upper tissue. put the differernt implants(250/300cc) or the new ones on the top of capsules. 93

96 Room 103_April 7, Sunday Session 2. Breast Ⅱ The fifth generation gummy bear gel breast implant(silimed) 제 5 세대거미베어젤브레스트임플란트 第五代橡胶熊隆胸术 94 Jung, Kwang Seup, MD Bonita Clinic, Seoul, Korea President, AFAS [Object] I briefly overviewed the anatomic breast implant taking a look at the advantages and disadvantages of it.. After that I d like to seek combining a variety of breast augmentation and reconstruction surgery. I have the time to introduce the bio designed product of Silimed approved first by the FDA. [Method] Anatomic breast implant was designed to be the most suitable for the women s bust line. It has a different characteristics compared with the fourth generation implant which was approved in the year of So the different characteristics may need more advanced surgical techniques. If it is raised vertically, it s shape would be remained by cross-linking techniques. So it makes natural breast form because slope connecting upper pole to down pole is natural. More advantages; the leakage of silicone in the implant is considerably low, and rippling and folding does not occur rarely. Disadvantages: high price of implant, relatively large incision and easily rotation occurring. These disadvantages, however, can be reduced by the surgical techniques.[conclusion] The fifth generation gummy bear breast implant may satisfy women s desire for ideal bust line. 목적 : 아나토믹보형물에대한개론적인설명과함께장점과단점을살펴보고, 향후유방확대및재건수술의다양한접목을모색한다. 이와함께 FDA 최초승인 Silimed의 Bio Design제품의장점을소개하고자한다. 방법 : 여성의가슴라인에가장적합하게디자인된아나토믹유방보형물은이상적인가슴라인을위해고안된보형물로, 2006 년승인된 4 세대보형물과는다른특징을가지고있으며, 이러한특징을바탕으로좀더진보된형태의수술기법이필요할수있다. 제5세대보형물은보형물을세로로높였을경우, 그형태를간직하게하는 Cross-linking 기술로보형물의형태가고스란히남아있어, Upper Pole 에서 Down Pole로이어지는 Slope가자연스러운가슴형태를만들어준다는장점이있다. 또한보형물내의실리콘 Leakage가현저히낮고, Rippling, folding이거의발생하지않는장점이있다. 단점으로는보형물의가격이높으며, 절개부위가비교적이크다는점, 삽입후 Rotation이발생하기쉽다는점이있으나기술적인부분으로충분히이러한단점은감소시킬수있다. 결론 : 제5세대보형물은여성의이상적인가슴라인에대한욕구를충족시켜준다.

97 Room 103_April 7, Sunday Session 2. Breast Ⅱ Breast augmentation with autologous fat graft and ADSC, adipose tissue- derived stem cell and harvest technique 지방유래줄기세포와하베스트방식을이용한자가지방유방확대술 利用脂肪由来干细胞和 Harvest 方式的自体脂肪隆胸术 Cho, Youngshin, MD Young Clinic, Seoul Korea Introduction What is the ADSC ( Adipose tissue- Derived Stem cell)? The process in the extracting the ADSC is very simple during liposuction. Adipose tissue- Derived Stem cells (ADSC) are routinely isolated from the stem cells by refinement with collagenase after liposuction. This is a safe and natural method of enhancing your body because it is free of graft rejection and ethical consideration in using the patient s own adipose tissue. Isolator of ADSCs offers the most cost-effective result due to the development of refinement techniques. Therefore, the ADSC holds great promise for use in tissue repair and regeneration. Autologous Fat Breast Augmentation 1) Breast augmentation with fat grafts Because the survival rate is found to be inconsistent in conventional breast augmentation with fat grafts in which fat injected by liposuction, refinement and transfer, augmentation effect is not excellent. Therefore, conventional breast augmentation with fat graft have difficulty of 2-3 times operations. Although, application the fat graft kit, Lipokit ( Liposuction- Refinement-transfer Unit, Medikan Co.) results in complications such as fat necrosis, granulomas formation, calcification in 5% of fat grafts. Among the women in their twenties, the result has been the most excellent when their thigh have plenty of fat, but the women over thirties cannot obtain a good result as compared to breast implants. The reason for this is the skin of breast is thin and less blood supplied, therefore more risk in fat necrosis and more loss of stem cell during the process of refinement 95

98 2) Breast Augmentation with autologous fat graft and ADSC Development of technologies in collecting the stem cells using the patient s own adipose tissue, the procedure represents a cutting-edge procedure for breast augmentation on the basis of regenerative medicine. After the collection of stem cells by simply 100cc more liposuction and the injection of those refined cells would overcome the shortening of the conventional breast augmentation, allow enhancing effect of cc at once with no concern for complications such as fat necrosis, granulomas, and calcifications. This procedure requires more time in liposuction and collection of stem cells and more amounts of fat. 3) Breast Augmentation with autologous fat graft and Harvest technique (Human med AG, Germany) The fat was harvest with the harvest technique, which consists in general of very small particles by means of water-assisted liposuction and reinjection of the fat after separation from superfluous water by means of lipocollector. In my patients generally 2 fat-grfting procedures with an gain with 1/2 Bra cup size cc with natural breast satisfaction. Conclusion Breast Augmentation with autologous fat graft and ADSC and Harvest technique procedure which provides more than just a simple advantage over the conventional breast enhancement. This is a cutting edge procedure for breast augmentation, allows breast enhancement at one two times among those Korean women with plenty of thigh fat. 96

99 Room 103_April 7, Sunday Session 2. Breast Ⅱ Issues about autologous fat graft for breasts 자가지방가슴이식에대한고찰 有关自体脂肪隆胸术的内容 Sung, Kisu, MD LiLac BLC Clinic, Seoul, Korea It is increasing interests of people about autologous fat graft for breasts to get bigger & firmer breasts together with implant surgery of breasts. It is the time to review the complications & managements with the surgery and it will be big help to get effective & rewarding results of the surgery. As we know the survival issues and concern for cancer and complications have made it hard to get efficient procedures & worries for people. I think it will be useful to review ideas for better survival and cut down complications. 97

100 Room 103_April 7, Sunday Session 3. Rhinoplasty Ⅱ Nasal tip contouring for natural nasal shape in Asian 아시아인의자연스런코모양을위한코끝윤곽만들기 为亚洲人自然鼻形的鼻尖轮廓塑造 Jeon, JeongHwan, MD TheLine Plastic Surgical Clinic, Seoul, Korea Nasal tip of Asian is characterized by lack of skeletal support. So Asian tipplasty is focused on the method of skeletal support, especially for tip projection. Simple columellar strut is the standard method for nasal tip projection support. But this method is proper for Caucasian but not exactly proper for Asian tipplasty. Some kinds of methods are applied for tipplasty : septal extended graft, batten graft, and extended columellar strut with use of septal cartilage. We simplify this method to apply easily for Asian nasal tipplasty. In our method, we used Medpor for supporting nasal tip structure by means of extended columellar strut (septo-columellar extended graft). This is very simple and effective to make proper nasal tip projection on Asian nose. We have about 2500 cases with this method from 2008 to Five cases of complications were visited : all cases were partial protrusion of Medpor. Exposed parts were healed by secondary intention after protruded Medpors were excised partially. Some cases of minor deviated columella were found but were insignificant and patient have accepted that results. This method is simple and effective for Asian tipplasty especially having weak septal structure and relatively time saving method. So I want to share this method and report my results. 98

101 Room 103_April 7, Sunday Session 3. Rhinoplasty Ⅱ A modified technique of septal extension with septal cartilage graft for short nose rhinoplasty in Asian 아시아인의짧은코성형술을위한비중격연골이식, 비중격연장의수정돤기술改良鼻中隔软骨延长技术在亚洲人短鼻延长中的作用. Jinlong Huang, MD, Yufeng Liu, MD Jiangsu Provincial of TCM, Nanjing, China An aesthetically short nose is very common in Asian, which defined as a developmental deformity in which the nose appears inadequate tip projection, a decreased distance from the nasofrontal angle to the tip-defining points and an increased nasolabial angle with/or increased nostril shown. In the past few decades, rhinoplasty in China has mainly focused on the augmentation of the dorsum with alloplastic materials. alloplastic materials are used to nasal tip or nose lengthening rhinoplasty that would present a high risk of complications. Therefore, a recent trend in controlling tip projection and rotation is to use autogenous cartilage graft in Asian.A strong septal extension is mandatory to increase the tip projection and lengthen the nose on condition of inadequate and inflexibly nasal skin in short nose patients, while cap and shield graft or defatting of the dome or suture modification eta. are only used as additional methods as necessary.. Between January of 2008 and May of 2011, a total of 98 Chinese patients (female to male 89: 9) with different extent short nose and saddle nose and /or round nasal tip deformities underwent open rhinoplasties. Silicone implants were used as nasal dorsum augmentations in 26 and e-ptfe in 72. To evaluate the outcomes, nasal length, nasal tip projection and nasolabial angle were measured preoperative and postoperatively in 20 cases. The harvestable septal cartilage were carved into a and b strip, which are used to extend septum as a V shape structure. Generally the domal cartilage can caudally and anteriorly be projected 3-6 mm. Of 98 cases,42 patients were followed up with an average period of 13 months (range, 1 22 months). No major complications associated with implant and e-ptfe during the follow-up period except 6 cases with silicone dorsum augmentation show an operative look. Nostril shapes exist a mild asymmetry in 4 cases. Base view showed moderate scar in bilateral side of columella in 3 cases. 5 patients complained of inadequate postoperative nose lengthening. The effects of short nose lengthening were evaluated by pre-and postoperative values of nose length, nose tip projection and nasolabial angle in 20 cases. The results showed that statistically significant difference existed between the pre- and postoperative values(p<0.05,in three groups of data).nasal tip projection had a comparatively remarkably increment postoperatively among three indexs. Under limited harvestable septal cartilage, the modified technique of septal extension with septal cartilage graft (rarely, combined with auricular cartilage) is feaiable and can effectively improve tip contour in short nose rhnioplasty. Keywords: short nose rhinoplasty, nasal septal extension 99

102 Room 103_April 7, Sunday Session 3. Rhinoplasty Ⅱ Nasal tip surgery using s-c complex s-c complex( 비중격 - 이갑개연골복합체 ) 를이용한코끝성형수술 利用 s-c complex( 鼻柱 - 耳甲腔复合体 ) 的鼻尖整形术 Objective Ahn, Tae Hwan, MD, PhD Fresh Rhinoplasty Clinic, Seoul, Korea In case of Asians, there are many people who have weak & short nasal septum and small ala cartilage of nasal tip. If such Asian people want to have a sharper shape of nose, they can never expect a satisfactory result from the self nasal septum cartilage only. Thus, I am going to report about a great outcome which has been obtained by attempting to apply the s-c complex to Asians whose cartilage is comparatively weaker than western people. Methodology For the purpose of nasal tip plastic operation, it is necessary to take some nasal septum that is partially used for the extended sepal graft. Then, a little remaining part of nasal septum needs to be kept in normal saline. It needs to take some cavum conchae out of right conchal cartilage inside. At this moment, since cavum conchae only is not strong enough for strut graft, it is vital to make up the s-c complex by means of putting a small piece of the nasal septum, previously kept in normal saline, in the middle of the cavum conchae and stitching up the cavum conchae with 5-0 nylon. Suturing the nasal septum used as an extended sepal graft together with the s-c complex applied to strut graft can help strengthen the weak cartilage of Asians nasal tip. Result From September 1, 2011 to June 30, 2012, as a result from the nasal tip operations of 00 patients at fresh rhinoplasty clinic, there has been no inflammations, infections or downward twist found. 100

103 Conclusion When a plastic operation for nasal tip is considered, it is usually recommended to use rib cartilage of oneself. But, the s-c complex can also be effectively used particularly for Asians who have relatively weak nasal tip when they want a dramatic change of nose shape. 목적동양인들의경우비중격이약하고짧으며코끝의비익연골의형태가작고약한사람들이많다이러한동양인들이서양인과같이오똑한코를원하는경우자가비중격연골만으로는만족할만한결과를얻을수없다. 이에저자는 s-c complex( 비중격-이갑개연골복합체 ) 를개발하여연골이약한동양인에적용하여좋은결과를얻었기에보고하고자한다 방법코끝성형수술을위하여비중격연골을채취하여 extended septal graft 에사용할부위를만들고남은비중격연골을생리식염수에보관한다우측이개연골의안쪽에서이갑개연골 (cavum conchae) 을채취한다. 이때이갑개연골 (cavum conchae) 만으로는비주이식에힘이약하므로채취한이갑개연골 (cavum conchae) 에 blade 로절개를한후반으로접은후이갑개연골 (cavum conchae) 사이에보관한비중격연골조각을넣고 5-0 나일론으로봉합하여 s-c complex( 비중격-이갑개연골복합체 ) 를만든다. extended septal graft 로사용된비중격연골과비주이식에적용한 s-c complex( 비중격-이갑개연골복합체 ) 를함께봉합하여약한동양인의코끝연골부위를강화시킨다 결과 2011년 9월1일부터 2012년 6월30일까지상쾌한코성형클리닉에서코끝성형수술을받은 00명을대상으로수술결과를조사한결과염증이나감염은없었고코끝의하향회전도관찰되지않았다 결론코끝이약한동양인의경우서양인처럼오똑하고드라마틱한변화를원할경우본인의늑연골을이용한코끝성형수술이추천되지만 s-c complex( 비중격-이갑개연골복합체 ) 를이용한코끝성형수술도서양인과같은오똑한코끝변화를줄수있기에이에보고하고자한다. 101

104 Room 103_April 7, Sunday Session 3. Rhinoplasty Ⅱ Nasal measurements in Asians and porous polyethylene implants in rhinoplasty 아시아인의코길이와코성형술에있어서다공성폴리에틸렌보형물 在亚洲人鼻长和鼻整形方面的多孔性聚乙烯假体 Jang, Dongwoo, MD Department of Plastic & Reconstructive Surgery, Shanghai Ninth People s Hospital, Shanghai JiaoTong University School of Medicine, Korea Background: This study describes the measurements of the nose in Asians. The morphology of Asian noses is different from ideal standards of beauty. Traditional implants, such as rib cartilage, septal cartilage, and silicone, have caused problems. Objective: to understand Asians noses, set goals for rhinoplasty, and find the best alternative columellar strut. Methods: Five values were used to evaluate the morphology of the nose in this study: tip projection, ATC angle, nasolabial angle, nasofacial angle, and tip angle. Patients: 100 average Asians, 50 male and 50 female Chinese people, were compared with 36 pre-operative patients, 13 Chinese males and 23 Chinese females. We presented an application of porous polyethylene (Medpor) as a columellar strut for use in columellar lengthening. We performed three surgical techniques: a single-plate strut, a double-plate strut, and a butterfly-shaped strut. Open rhinoplasty (transcolumella incision) was performed in twenty-one cases; closed rhinoplasty (marginal incision) was performed in fifteen cases. Results: Prominent changes in the six values were found in both male and female patients after rhinoplasty. Conclusion: An analysis of the Asians nose will help surgeons achieve better results. Porous polyethylene columellar strut grafts provide adequate support for refined tip definition and the shaping of the columellar-lobular angle. 102

105 Room 103_April 7, Sunday Session 3. Rhinoplasty Ⅱ Techniques for alar modifications 콧방울수정기술 鼻尖修改技巧 Jung, Dong Hak, MD Shimmian Rhinoplasty Clinic, Seoul, Korea Weir first described the Alar Base Surgery in This technique is more commonly used in the African- Americans and Asians to reduce the typically large nares or the large or flat alar base, rather than for the Western Caucasians. One of the pitfalls when performing Alar Base Surgery is retaining a smooth contour of the nostril shape after incision of the nostril sill. There needs to be an appreciation of the appropriate amount of incisions to both the interior and the exterior portions of the nostril, depending on the shape of the nostril. Undesirable nostril appearance can be divided into 3 main types large alar rim, wide nostril base, and mixed. In these instances, alar base surgery is indicated and the techniques vary according to the different types of nostril shape. This can be done under local or IV anesthesia. In planning for alar base surgery, it needs to be appreciated that augmentation of the tip during rhinoplasty can result in a relative decrease in alar base width from the upward pull by the nasal bridge. In addition, there will be an apparent reduction in alar width as the size of the nose increases. All theses should be factored in when planning alar base surgery. The incision line should be made 1mm above the alar groove. Incising the alar groove will make suturing difficult and result in a visible scar. Alar base surgery may be divided into surgery of the alar rim or the alar base, depending on the deformity that needs to be addressed. Modifications of the technique can be made to achieve the desired result in different situations: For example, in patients with thick alar and small nostrils, excision of only the external alar skin can reduce the alar thickness without further reducing the nostril size. Alternatively, the alar may be thinned using longitudinal wedge resection. The author has also performed skin excisions in the soft triangle area for patients with a boxy and wide upper nostrils with narrow alar base, to achieve the ideal isoceles triangular shape. Alar Base Surgery is a powerful tool that should be mastered as an adjunt to rhinoplasty to achieve a more aesthetic outcome. 103

106 Room 103_April 7, Sunday Session 4. Rhinoplasty Ⅲ Revision rhinoplasty and the complications of different materials used for rhinoplasty 코성형교정과코성형에사용되는다른물질의합병증 鼻整形矫正和鼻整形所用的其它物质并发症 Levi John Lansangan, MD Medical Director, Shimmian Manila Surgicenter President, Philippine Academy of Aesthetic Surgery, Manila, Philippine Crafting an ideal nasal profile aims to enhance the patient s self-esteem and self-confidence by creating a natural-looking nose in harmony with the rest of the facial features without the worry of nasal contraction, material rejection and change of lifestyle. The nose which has articulations in the lower and upper lateral cartilages is a dynamic structure which conforms to the force exerted by an external pressure up to certain point. Because of this, operated nose suffers from daily trauma due to friction created by a hard implant like silicone that eventually result to material rejection. Another persistent problem is the continuous use of the liquid silicone in nasal augmentation. DMPS which is its generic name causes dermal thickening, migration, contraction and much worse tissue destruction A. LIQUID SILICONE (ALDATOSIL OR SILIKON 1000) 104 Liquid injectable silicone (LIS) has been utilized for soft tissue augmentation for more than five decades. Currently, only two LIS products (AdatoSil and Silikon 1000) are United States Food and Drug Administration (FDA) approved and only for treatment of retinal detachment. Therefore, any cosmetic injection of these products is off label. (J Clin Aesthet Dermatol July; 5(7): 44 47)The mode of action of this material is the stimulation of dermal thickening through granuloma formation. It is a very dangerous material available in 1000 and 5000 centistrokes. It became popular in the early 50 s until the late 70 s because of the cheapness and availability of the material. Some authors even suggest that there is no difference between the medical grade and industrial grade liquid silicone which is primarily used as a liquid elastomer for a lot of plastic mouldings. Unfortunately, despite numerous reports of its side effects and irreversible destruction of the skin soft tissue envelope a lot

107 of patients still undergo this form of treatment from underground salons and spas for a quick beauty enhancement procedure. The most commonly observed complications are granuloma formation and migration 1. 1st documented use in the late 60 s to augment the nose, it was used primarily to correct deformity caused by trauma to the nose 2. Available at 1000 and 5000 centistrokes which differs upon their viscosity 3. Until the early 70 s there was prevalent use of this product together will injectable paraffin (used for making candles and waxes) and injectable petroleum jelly 4. However during the late 70 s complications of this product started to show such as migration, irregularity, infection, contracture formation and virtual facial deformation that this injection material was banned from the market 5. Unfortunately in our country it is still being used by other aestheticians and unqualified doctors in search for quick source of income irregardless of the patients health 6. When this material is injected into the body, it stimulates a highly reactive process consisting of multi-nucleated giant cells and eventual granuloma formation as an attempt by the body to prevent the spread of this injurious agent thereby creating irregular bumps and humps in the nose. LIQUID SILICONE DMPS AVAILABLE IN 1000 In this patient there is loss of the nasoorbitofrontal line which is an imaginary line from the eyebrows tapering into the nasal tip to. Loss of the line gives an impression of a wide nose There is no other solution for this problem but to do a revision rhinoplasty and completely remove the injected material using sharp dissection. In this patient several cc of the liquid silicone was injected that completely defomed the nose. There was loss of skin elasticity and migration of the material to the nasal tip giving a drooping appearance. There was so much material injected that the skin is on a diseased state, - which on this case is as hard as a stone. Even with meticulous dissection the material cannot be removed without avulsing the external skin. Therefore in this case I do en bloc skin excision together with the disease tissue and material and re-approximate two normal edges of the skin 105

108 B. SILICONE RUBBER IMPLANTS Dimethylsiloxane [S1O(CH3)2], silicone rubber implants with or without polymer fabric have been used in the augmentation for facial plastic surgery since 1950s.2 The silicone facial implants are solid, yet flexible, and come in several sizes and shapes and can even be custom made from a solid block of silicone.3 Silicone easily can be modified intraoperatively with a scalpel or scissors. This material has memory, which demands adaptation to bone contour in the relaxed state, since bending may lead to extrusion or bone resorption.2 Figure 1. Chemical Structure of Silicone These implants easily are sterilized using steam autoclave or irradiation without damaging the material. Surrounding tissues do not react adversely to silicone, and only a thin fibrous capsule forms without ingrowth of tissue. Porous silicone implants and silicone bonded to Dacron have been used to enhance stability. 2 Silicon implants have numerous advantages. They are readily available with an unlimited supply, they are easy to fashion into the desired shape, they resist warping and resorption, and they have no donor-site morbidity. For these reasons, Silicon implants have many proponents. However, Silicon implants have been noted to have higher rates of infection and extrusion. Infection of the implant may leave the patient with permanent damage to the overlying skin.4 During the 80 s this was regarded as a miracle implant that can correct any desired height for the nasal bridge It is available as L-type, I-type and the bird type which differs from each other by the pres ence of a neck It is a silastic implant that heals by encapsulation. It is being treated as a foreign body thereby there is very loose attachment between the implant and the nasal tissues The material is a cheap plastic like material and widely available in prosthetics shops and other body fitting medical devices shops Other doctor use preformed silicone implants while others carve this to bring a more custom fit implant for the nose FIGURE 2: SILICONE IMPLANT Contracture Formation caused by a failed silicone implant 106

109 Extrusion of the silicone implant on the surgeon s side or area of weakness Another case of silicone implant extrusion on the surgeon s side Cause of deviation following the surgeon s side of incision c. EPTFE The history of Gore-Tex started in 1958 when Wilbert Gore identified expanded polytetrafluoroethylene (EPTFE) better known to us as DuPont Teflon as a good augmentation material. After more than 700,000 clinical uses, they found out that these soft tissue patches provide the strength and thickness required for demanding repairs. In addition, it was found out that the size of the pores which ranges from 0.5 to 30 microns allow cells such as macrophages to penetrate with the material and incorporate with the surrounding tissue which may be the reason why there is a low incidence of infection after these implants. However, one of the problems encountered by surgeons when using this implant for facial augmentation is its relative suppleness that makes carving difficult. One of the main difference between EPTFE and silicone is that the former follows the patients nasal anatomy and doesn t have a body of its own, thereby each implant should be carved individually basing on the patients nose contours and aesthetic desires. A familiarity with our ethnic facial measurements would help us decide on the ideal nasal height and avoid too much or too little of an augmentation common during the initial patients of gore-tex rhinoplasty. This diagram shows that the face is divided into 1/5 on the vertical dimension and 1/3 on the horizontal dimension. A natural nose should follow the normal naso-orbital groove that starts from the brow and tapers on the supratip area The nasoorbital groove is an ideal landmark in order to guide us on the width of the implant. A natural nose should neither be too straight and too bulky but rather should have a graceful transition from its origin at the medial point of the brow becoming narrower at nasion level wherein the skin is thinnest and, gradually becoming wider again as it approaches the tip defining point. The width 107

110 of this groove is around 8-12mm, therefore our most superior EPTFE implant should be within this range as well. Each implant should be carved tangentially (45 ) making sure that the edges will be trimmed well in order to avoid any squared implant appearance. Nowadays, the standards of beauty have become so high that the profile view of the person is equally as important as the frontal view. The former is the measure of the desired height and its starting projection should be the most anterior projection of the chin. One good measure of nasal beauty is its harmony and symmetry with the rest of the facial features. A diagram showing the ideal nasal profile and its relation with the chin The height of Asian noses usually begins just below the imaginary line drawn between the intercanthal distance or at the area of the nasion. It should be elevated by around 4-6 mm in order to reach to desired height at the level of the superior palpebral fissure line. 2 layers of 3mm EPTFE or 3 layers of 2mm can be used for this purpose making sure that each layer should be a little bit wider as compared to the superior layer. For example if the most superior layer is 12mm, the succeeding layer should be 14 mm and so on and so forth. The length of the implant should be around 36-42mm corresponding to the distance of the nasofrontal angle with the supratip break The layers of the EPTFE are sutured together using nylon 5-0 placing the knot underneath the implant and corresponding to the slope from the nasion to the nasofrontal angle. The e-ptfe implant can also be infected. The presentation of patients with infection caused by the e-ptfe implant is more severe since there is no point of weakness. Patients usually complain of a fluctuant mass in the ethmoid area with or without draining pus in the vestibular area. Infection caused by the e-ptfe implant Another infection caused by the e-ptfe implant Another infection caused by the e-ptfe implant Conclusion: Liquid silicone should not be used for augmentation rhinoplasty as this causes dermal thickening and destruction of the skin soft tissue envelope. When choosing an implant material porous implants such as the e-ptfe have lower infection rate because of the mircopore effect that allows tissues and macrophages to pass through the implant. Infection caused by e-ptfe implant are more severe in presentation. The safest materials used for augmentation rhinoplasty are still the autologous implants. 108

111 Room 103_April 7, Sunday Session 4. Rhinoplasty Ⅲ Secondary rhinoplasty for the repair of the late complications of silicone implant augmentation rhinoplasty 실리콘임플란트융비술의늦은합병증치료를위한추가코성형술为硅胶假体隆鼻术的晚期并发症治疗的追加鼻整形术 Chen Zhang, MD Dept. of Plastic and Aesthetic Surgery, Xinhua Hospital of Dalian University, Dalian, China Background: Augmentation rhinoplasty is the second most popular cosmetic surgery in China. Late complications of augmentation rhinoplasty are often encountered in everyday clinical works in my hospital. Simply removing of the implant will not make the patient satisfactory. We treated the complications by nasal dorsal augmentation with silicone implant and tip plasty with chochal and/ or septal cartilage. Method: In the past three years, eighty-seven patients were treated by nasal dorsal augmentation with silicone implant in a new tunnel and tip plasty with chochal and/or septal cartilage after the primary implant removed. Cephalic trim, ESG, colunmella strut, on-lay, shield grafts and some suture methods were used as the selective techniques for tip plasty. Results: Most patients of late complications of augmentation rhinoplasty were present with the deformities as follow: 1) Deviated nose; 2) High tension on the tip; 3) Unsatisfied shape. After secondary rhinoplasty, the patients were followed up for 6 to 21 months. Ninety-three percent of the patients satisfied about the results. Conclusions: It is a useful method and a choice for patient to repair the late complications by nasal dorsal augmentation with silicone implant and tip plasty with chochal and/or septal cartilage. 109

112 Room 103_April 7, Sunday Session 4. Rhinoplasty Ⅲ Modern restructural rhinoplasty for management of complicated and difficult nose 합병증많고, 까다로운코관리를위한새로운코재건술 为有效管理容易出现并发症的鼻子的新隆鼻修复手术 Le Hanh, MD Chief of Dept. of Plastic & Aesthetic Surgery, Cho Ray Hospital, Ho Chi Minh City, Vietnam Chairman of Dept. of Plastic & Aesthetic Surgery, Medicial University of Pham Ngoc Thach, Vietnam Objective;Silicone implant augmentation is a common cosmetic procedure in Vietnam. However, this kind of surgery can cause complications, such as protrusion, extrusion of the implants; deviation, malposition of implants; contracted noses Additionally, the removal of siliconoma leads to unaesthetic appearance of the nose. The corrective surgery for these noses is very difficult in some cases and it is a real challenge for surgeons. In this study, the technique of restructural rhinoplasty is used for restoration of the natural shape and skin envelope of these complicated noses. 110 Patients and Methods: Prospective study, done from 2009 to Patients: patients whose noses have complications, undesirable shape after silicone implant augmentation or after siliconoma removal. Method of anesthesia: Local anesthesia Methods of surgery: Modern structural rhinoplasty, including: - external rhinoplastic appoach - release and debulk the overlying skin and the soft tissue. - septoplasty and harvest septal cartilage for grafting. - osteotomy: lateral and medial - tip plasty: + releasing, reshaping and repositioning of lower lateral cartilages. + realizing a septal extension graft (using septal, ear cartilage or rarely, Porex sheet) + inserting shield, cap, batten graft, - dorsal augmentation using silicone rubber or e-ptfe or rarely costal cartilage. - alar base reduction - fixation of the whole nose.

113 Method of evaluation: Adequate photo documentation: before surgery, intra-operative, 10 days post-op and months later. Comparison between pre-op and post-op photos. Assessment of the results: very good, good, and bad results Results: 85 patients aged from 24 to 60 were operated on. Diagnosis before surgery: - thin skin with protrusion ( dorsal, infratip, supratip) of the implant. - thin skin with malposition of the implant and/or asymmetry of the nostrils - short nose and short implant. - tip deprojection or polybeak deformity. - contracted noses. The modern structural rhinoplasty has been used. With an accurate analysis of the complicated nose, the technique was modified to fit with the condition of each case. In the follow up period from 6 months to 30 months, the final results were rating in very good: 40%, good 60%. Conclusion: Modern structural rhinoplasty is a versatile and effective method in nasal augmentation surgery, mostly in revision of complicated noses. Using the principle of dissection and reconstruction of the whole frame-work of the nose and repositioning of overlying skin, we can solve almost all complicated cases, achieving an essential parameter of nasal beauty. 111

114 Room 103_April 7, Sunday Session 4. Rhinoplasty Ⅲ Surgical correction of injected nose in Thailand 태국에서이물질주사를맞은코의외과적교정 在泰国外科矫正异物注射的鼻子 Attapan Pornmontarut, MD President, The Thai Association and Academy of Cosmetic Surgery and Medicine [TACS], Thailand Nose injection in Thailand was done for at least 40 years, mostly because there were only a few doctors who done the nose operation in that time. The substance that had been used in that time was liquid silicone and liquid paraffin. The injection was not done by doctors, some were done by doctor s assistant or nurse from clinic or hospital. The injection was done with skills that able to create a straight and shapely nose as the customer desired. In the past 10 years there was an anonymous doctor who invented a new substance for nose injection call Bioplastic and injected it to many people who wish to have a beautiful nose. The clinic had spread into many branches as the Bioplastic injection became popular among Thai people because of its convenient and low cost compare to nose operation. However there is no reliable information about this Bioplastic substance or what does it made from, the doctor said that the Bioplastic was made from blended small pieces of solid silicone which can be removed by suction if the patient was not satisfied in the result. Then 8 years ago a new substance call Filler was imported into Thailand and gained popularity in a short time, doctors, dermatologist and surgeon performed nose injection with many kind of Filler in their clinic. But the Filler that FDA Thailand has authorized permission to use for facial injection is Hyaluronic Acid that can be self-degraded after 6 months to one year of injection. So FDA considered this substance as safe injection with the limitation dosage of 1-2 cc, on the other hand other kind of Filler that cannot be self-degraded were considered unsafe. The surgical correction of injected nose is an operation to correct the injected nose that has these following symptoms 112

115 Nose swelling Nose malformation such as crooked nose Rough skin surface Redness or color changed in nose s skin Nose s skin become thinner or the substance penetrated the skin The presentation consists of pre and post operation slide show of nose injected correction. Patients are treated with incision technique. The wound was entered through left and right nostril and bring out the injected substances. This operation is able to remove percent of the substance from patient s nose and cured many symptoms such as rough skin surface and nose malformation. If patients have enough skin layers the solid silicone can be insert subsequently after the injected substance had been removed. The results are successful and the patients were satisfied. 113

116 Room 103_April 7, Sunday Luncheon Seminar The effect of CD34+cell containing PRP injection on Male vertex hair loss and FPHL 남성정수리탈모와여성형탈모에의 CD34+cell containing of PRP injection 의효과 CD34+cell containing of PRP injection 在男性头顶脱发和女性型脱发起到的影响 Kim, Jin Young, MD YS mobelle Hair transplantion center, Seoul, Korea Hair loss is main problem of modern man. Alopecia treatment is still very diffucult. Oral finasteride medication and minoixidil is effective, but patient s expectation is very low. Hair transplantation is best effective treatment, but because of patient have the anxiety of invasive operation, burden of operation fee, patient hope to non- and minimal invasive technique. Autologous PRP is effective on hair loss treatment. But, telogen hair is still non- or slowly response to growth cycle. In PRP, growth factor is progressively anagenic effect and CD34+cell have the angiogenesis effect. Therefore, CD34+ cell containing PRP Treatment is very powerful and effective method. The Result of hair transplantation on male vertex type and FPHL is not satisfactory, In case of these type hair loss, CD34+cell containing PRP is prominent and minimal invasive treatment. CD34+cell containing PRP treatment positive therapeutic and synergistic effect on male Vertex type and FPHL. 114

117 Room 103_April 7, Sunday Session 5. Special Lecture OXY-VAR: Biorivitalisation - Endo Light Lift and oxygen propulsion OXY-VAR: 생물성재활성화 -Endo light lift 와 oxygen propulsion OXY-VAR: 生物性再激活化 -Endo light lift 와 oxygen propulsion Pier Antonio Bacci, MD Aesthetic Pathologies Center, Arezzo, Italy Biorivitalisation is an interesting methodology to make the prevention and to take care of the initial signs of aging. To recover the tissues we must introduce chemical drugs and other methodologies to stimulate microcirculation using laser and physical treatments. We can improve the beauty of the face but we cannot to stop the youth, so we must ever associate different sessions of biorivitalisation using hyaluronic acid and Endo Light Lift, a new interesting not invasive methodologies providing us for good results with few complications. Our experiences suggest 4-5 sessions any days of yaluronic acid to increase tissular water and nutrition. After 7 days we can use a stimulation by physical treatment and Endo Light Lift, using a diode Eufoton laser 808 o nanometers and a micron microfibra. As physical treatment we use a oxygen propulsion providing us for a good mithocondrial oxygenation. This association allows us good results without complications 115

118 Room 103_April 7, Sunday Session 5. Special Lecture FILL-TRACTION a mini invasive way for youth of face FILL-TRACTION- 동안을위한최소침습 FILL-TRACTION- 为达到返老还童的微创法 Pier Antonio Bacci, MD Aesthetic Pathologies Center, Arezzo, Italy 116 The process of aging of the face is from a series of mechanical, physics, and physiological chemical alterations induced by the stress of the life that reduces the metabolic activities and vascular function that activates those alterations and chronic degenerations characterized by cutaneous excess, reduction of fat and glide of the fat tissue, and atrophy of the skin. In patients without true cutaneous excess and tissue prolapse and where the aesthetic pathology is characterized by a reduction of the structure and of the tropism of the skin with reduction or regression of the adipose and the connective tissue, traditional lilfting is not always suitable and is not the first indicated treatment, even if it can be sometimes of help. These cases, as a rule, represent the large majority of the patients of 25 to 40 years old. When the patients are nasogenal wrinkles that begin to become nasogenal folds and, especially in hyperactive subjects, where the crows feet and the peribuccal irregularities are in association with the true and deep wrinkles, we can use mini invasive way using fillers to increase the volume and absorbable or not absorbable threads to redraw the contours of the face. In 2002 we presented a T3-Biolifting FT (Fill-Traction that means an integrate protocol of treatment for a new youth of the face using in the same session fillers, botulin toxin and absorbable unidirectional barbed threads (Medical Fill-Traction) or Fillers or lipofilling, botulin toxin and not absorbable threads in mini invasive surgical way. After 10 years of experience this integrate methodology provides us for a good results improving the quality of the skin, reducing wrinkles and folds, and harmonizing external aspect. The application of barbed threads, in medical or mini invasive surgical session, may be good results without complications giving a more juvenile aspect of the face and lengthens the lifetime of the substances reducing free radicals and vascular or metabolic alterations thanks to the spatial new position of the tissues.

119 Room 103_April 7, Sunday Session 5. Special Lecture VARTAM-Therapy: a new treatment for cellulitis 3VARTAM - 치료 : 봉와직염 ( 蜂窩織炎, cellulitis) 에대한새로운치료법 3VARTAM - 治疗 : 有关蜂窝织炎的新疗法 Pier Antonio Bacci, MD Aesthetic Pathologies Center, Arezzo, Italy So named Cellulite, named PEFS too, may be better and scientifically named FEF, Female Evolutive Fibroedema, on respect to the tipical isthopathological evolution, because it is a real infirmity with various aetiologies, but it is represented particurarly a reduction of the vascular side in the arteriolar microcircolation causing flogosis, evolutive fibrosis and ipooxygenation. After a precise classification, we can correct these alterations using a new not invasive medical methodology, diary named VARTAM - TMP, very useful particurarly to reduce the orange skin thank to the improvement of the vascularisation by a sinergic integration between diode laser and vascularising substance. We can use a not invasive oxygen propulsion to stimulate vascularisation, in association to a laser Light Low Power laser to increase mithocondrial s activity. Results are very promising, toh ave a fat reduction with improvement in the microcirculation, which leads to a sensible reduction of both edema and the orange peel skin effect. The italian study in more 100 patients shows results and action s mechanism, offering new reflexion s moments and a new protocol of treatment. 117

120 Room 103_April 7, Sunday Session 5. Special Lecture The basis of Beauty 미의기본 根本之美 Akiyoshi Takada, MD Department of Aesthetic Plastic Surgery Osaka University Graduate School of Medicine, Osaka, Japan When you look at someone, what makes you think she/he is attractive? In the 1800s, Sir Francis Galton conducted an experiment to create composite images of faces by projecting face photographs of criminals onto a single piece of photographic film. This was done in an effort to visualize the facial features that were common to criminals. However these composite faces were tended to be more attractive than the individual face photographs. Recent researchers use computer graphic methods to obtain more detailed composite faces (often called average faces or face prototypes ). This ensures sharper images created than images created using Galton s methods. These experiments led researchers to conclude that attractive faces are only average. The high attractiveness of composite faces proposed that averageness is the key factor of attractiveness. This is often referred to as Averageness Hypothesis. One explanation put forward for the effect of averageness on facial attractiveness is that average faces most closely resemble mental representations of a typical face and can therefore be processed most easily by the visual system. However, some researchers have objections that attractive faces are not average. The basis of beauty varies between individuals and it depends on their preferences of facial features. Moreover a recent research discovered two golden ratios, one for length and one for width of the face. Female faces were judged more attractive when the vertical distance between their eyes and the mouth was approximately 36 percent of the face s length, and the horizontal distance between their eyes was approximately 46 percent of the face s width. From these wide-ranged researches, the basis of beauty can be said to have both psychological and data- analyzed scientific aspects. Today I would like to discuss how we can take these aspects into account, in order to make a beautiful face as a cosmetic surgeon. 118

121 Room 103_April 7, Sunday Session 5. Special Lecture Tendency of the failure cases and cases from other hospitals-surgery fixes formation Japanese Plastic Surgery 일본에서성형수술의실패사례의경향日本的整形手术失败案例 Yutaka Yamamoto, MD Chairperson, Japanese AntiAging Surgery & Regenerative Medicine for Rejuvenation Medication in our country is controlled by state health insurance system. Increase of medical cost followed by aging society in our country brought about depletion of financial resource, resulting in upraise of treatment cost. This phenomenon draws an interest of doctors who wished to run medical business independently without state health insurance such as aesthetic medicine. Any kind of doctors are able to take part in aesthetic medicine because there is no rule that doctors are prohibited to treat the patient with special license. With this social background, cosmetic surgery becomes very popular lately. However, we cannot ignore that novice doctors are coming to this field day by day and are likely to make trouble cases. Our society has acute mission to have those novice doctors accomplish an appropriate technique of cosmetic surgery. Therefore, we make an effort to spread standard technique of cosmetic surgery by organizing surgical workshop. It is important to think over the operation technique from the correction surgery. I frequently encounter what so called scar inversion after incision double eyelid surgery. I will present how to avoid those trouble accompanied by this type of surgery. And also, I refer to difference between standard technique and my one. For example, an attention must be paid to management of elevator aponeurosis and pre-tarsus tissue. Not only difficulty of this surgery was attributed to obscurity of anatomical position, but also abnormality of eye movement due to adhesion after the surgery is also a part of difficulty in this correction. Iwould like to look into this mater more deeply by watching actual image of the surgery. In addition to that, I will show the correction surgery of breast augmentation using silicon bag, medial canthoplasty and nasal augmentation with silicon prosthesis. I suppose Korean, Chinese and Japanese faces are so much in common, so that the trouble cases I encountered in my clinic might give you good suggestion in you practice. In conclusion, I will explain about pitfall of the correction surgery based upon my reconsideration. 119

122 Room 103_April 7, Sunday Session 6. Eyelid Ⅱ Philosophy of the Waikiki Technique in creation of double eyelid with over 20 years experience 20년넘은경험에서쌓은쌍꺼풀수술에서의 Waikiki Technique의철학 20 多年经验积累的双眼皮手术 Waikiki 技术之哲学 Kim, Young Kyoon, MD 5050 Clinic, Bucheon, Korea The Waikiki partial-incision technique has been the principal method for the double lid-crease procedure for over 20 years. And the technique has been described in many textbooks and journals. The technique is primarily based on the principles of minimal incision technique limited to the middle one third of the desired crease in incision length, but the ultimate pearl of the Waikiki technique is laid on the concept creating a proper adhesion between the levator aponeurosis and the incised inferior skin edge effectively and moderately through its unique fixation suture method. Through the mm incision described in this technique, one can utilize most of the advantages of the full incision technique including muscle and fat excision, near complete identification of the levator, and sufficient levator-skin fixation. Furthermore, additional advantages can be seen, such as shorter scar, faster operating time, and less postoperative edema. During fixation of the skin and levator by placing the suture precisely at the inferior skin edge, not at the subcutaneous muscular tissue, the epidermal cornified cells act as a foreign body on the levator to ensure more thinner but secure adhesion. During anchoring suture, a secure bite of the tissue is important to prevent the loosening of the double fold postoperatively. The fixation-sutures are placed only in the middle one third of the expected crease but the rest of the crease follows naturally in the medial and lateral direction. 120 The Waikiki technique is the more effective method for patients in teens or twenties without excessive skin and for those cases for which the non-incision technique is indicated. Many surgeons tend to advertise the non-incision technique as a both safe and effective method; however, its indications are limited and loss of the fold is frequently seen. Considering these points, the Waikiki technique may be the better alternative. The surgical technique and philosophy of the Waikiki partial-incision method for double-lid creation will be reviewed in a stepwise fashion, and the speaker will comment about his surgical tips accumulated in over 20 years experience additionally

123 PHILOSOPHY OF THE WAIKIKI TECHNIQUE When placing the skin-levator anchoring suture, a suture direction and biting target for skin-tolevator fixation is absolutely important. At first, the needle should pass superiorly to inferiorly (i.e., backhanded) through the inferior skin edge. At this moment, the needle should enter through the subcutaneous tissue of the inferior incision and exit precisely through the outer skin of the incised skin edge. A second bite is then taken superiorly to inferiorly through the levator aponeurosis, and the knot is then tied down. This suture technique provides two advantages: one is to enhance the attachment of epidermal surface and levator each other, another is to prevent exposure of the knot. The unique philosophy of the Waikiki technique concerns the purchase of a small bite of the outer epidermis: the needle should captures not only the subcutaneous muscular tissue but also about 0.5 to 1 mm of the epidermal surface from the incised skin edge. During fixation of the skin and levator by placing the outer epidermal tissue precisely onto the levator surface, the dead cornified cells of the epidermis act as a foreign body on the live levator tissue to ensure more secure adhesion. In literature, the skin-to-levator aponeurosis fixation has been placed with capturing the dermo-muscular tissue except epidermal tissue. Grabbing any epidermal tissue has been regarded as to avoid postoperative inclusion cyst owing to epidermal invagination. But the speaker found that the epidermal invagination, when using author s technique of the skin-to-levator aponeurosis fixation, showed a temporary invagination through his long experience. The invaginated epidermal skin comes back to its original position in about 2 weeks because of the physiologic cutting-through phenomenon which has occurred in epidermal tissue around a knot trap. But the nucleus for further foreign body reaction and consequent adhesion remains around the suture knot along the incision line. In addition, the trap knot, created by the speaker s technique of the skin-to-levator aponeurosis fixation, is smaller in size than others, created by a conventional technique in anchoring the subcutaneous muscular tissues, so that it gives rise to thinner but secure adhesions along the incision line. 121

124 Room 103_April 7, Sunday Session 6. Eyelid Ⅱ Two modified techniques to decrease complications of buried suture double-eyelid blepharoplasty 쌍꺼풀매몰법의합병증감소를위한두가지의변형기술为减少双眼皮埋线法并发症的两种变形技术 Tsutomu Mizuno, MD Anesis Biyogeka Clinic, Okazaki, Japan 122 Background: Double-eyelid blepharoplasty is performed using two alternative approaches: the incision method and the suture method. Buried suture double-eyelid blepharoplasty involves implantation of a foreign material, i.e., the suture thread. Therefore, potential complications caused by foreign material should be considered. This article presents two modified techniques to decrease some suture-related complications of buried suture double-eyelid blepharoplasty. Methods: A retrospective study was conducted on 349 consecutive patients who underwent buried suture double-eyelid blepharoplasty between June 2002 and December 2010 using two novel techniques modified by the author. One of the modified techniques used was the transconjunctival tarsal fixation technique without penetrating the tarsal plate. The conjunctival fixation site for the buried suture method was the anterior surface of the superior tarsal border. The other technique was buried suture double-eyelid blepharoplasty combined with resection of the pretarsal orbicularis oculi muscle through a small skin incision. Results: No conjunctival complications, such as chronic inflammation of the tarsal plate or suture extrusion, were observed with the transconjunctival tarsal fixation technique without penetrating the tarsal plate. The loss rate of the double-eyelid fold after buried suture double-eyelid blepharoplasty combined with resection of the pretarsal orbicularis oculi muscle (9.6%) was lower than the loss rate after buried suture double-eyelid blepharoplasty alone (26%). This result highlights the benefits of resection of the pretarsal orbicularis oculi muscle, although the rate of blepharoptosis potentially increases. Conclusions: The transconjunctival tarsal fixation technique without penetrating the tarsal plate is simple and decreases the incidence of suture-related complications associated with buried suture double-eyelid blepharoplasty. Resection of the pretarsal orbicularis oculi muscle enhances the durability of the double-eyelid fold after buried suture double-eyelid blepharoplasty.

125 Room 103_April 7, Sunday Session 6. Eyelid Ⅱ How to evaluate and manage ptosis 안검하수의평가및치료 眼睑下垂的评价及治疗 Choi, Woong Chul, MD MEPS(Myoung Eye Plastic Surgery), Seoul, Korea The lid ptosis refers to the upper eyelids that are clearly sagging or droopy. However, the definition of the lid ptosis among Asians is ambiguous. When doctors treat the ptosis, they need to distinguish true from false ptosis(table). The operational method differs according to the degree of the ptosis, the function of the levator muscle, and Bell s phenomenon. In this presentation, I want to focus on the diagnosis of the ptosis using the method of detection, factors that need to be taken into consideration before the operation, and other relevant issues and operational outcomes using photos. table Aponeurotic ptosis pseudoptosis ptosis Mild to severe Mild to moderate Levator function Relatively good Fair to good (but in some cases vaies) Brow elevation + + Lid drooping + - Deep sup.sulcus + - Treatment Ptosis repair Burden factor removal 123

126 Room 103_April 7, Sunday Session 6. Eyelid Ⅱ Eye bags cosmetic surgery without scarring 흉터없는 아이백수술 无痕 眼袋整容术 Liangzhong Qin, MD Chongqing Emergency Medical Center and Fourth People s Hospital of Chongqing, China 124 Aging begins from around the eyes as the lower eyelid skin droops and fat bulges. It is the sign of aging around the eyes of women. So to make skin drooping smooth and remove fat bulging is one of top priorities in the cosmetic surgery. The goal of eye bags cosmetic surgery is to recover smooth skin of lower eyelid without scarring after surgery. I have 2,800cases of my own eye bags surgery techniques since I achieved ideal results all after following up them from the half year to 20 years. I d like you to consider the following points. 1. Incision: Along the folds of the outer skin below the eyebrow follicle, incise the skin toward direction of canthus or crow s feet by the blade s end facing up. (After local anesthesia, wrinkles well revealed.) Crow s feet wrinkles at the intersection of the top and bottom of the sword extends from the inside to the outside. Why this spot is incised is to have almost no the scars after surgery. Why the end of blade face up is to avoid harming to the eyelashes. 2. Separation: be careful not to hurt orbicularis oculi muscle when doing subcutaneous separation. This tip is to prevent turning eyelids upside down and after eye bags surgery and maintain normal lower eyelid. Only if orbicularis oculi muscle does not hurt the eyes lying silkworm phenomenon would appear. 3. Fat removal: Turn the already separated the skin on the inside of the lower eyelid down and cut the fat by.fat removal: vascular clamp. Don t pull out the fat forcefully. The tip is to prevent lower eyelid severely turned off by removing too much fat. Normal lower eyelid slightly off state is the ideal state. 4. Skin removal: Separate from subcutaneous to the bottom of the lower eyelid skin and fat is removed. After that make the separated skin pulls taut. Trim sagging skin along the border of the lower eyelid during eyelids blinking. This is a tip not only to cut the skin properly but also prevent to become the sagging state after recovery. If you cut too much skin the lower eyelid become turning upside-down or if you cut less the sagging skin it will remain still the sagging skin. 5. Sutures: sutures tip is to fit smoothly skins. This is an important tips not to leave scarring after surgery.

127 노화는눈가부터시작된다. 하안검피부가점차처지면서지방이팽륜되는것이바로여성눈가노화의징후이다. 따라서처지고축적된피부를매끄럽게해주고팽륜한지방을제거하는것이바로성형의최우선과제중하나이다. 성형후하안검의매끄러운피부를회복하고흉터가남지않도록하는것이아이백성형의목표이다. 저자가 1992년부터터득한아이백성형기술로진행한아이백수술사례는 2,800건이다. 반년에서 20년동안관찰결과모두이상적인효과를보았다. 다음요점은저자가임상실험시체득한것으로참고하기바란다. 1. 절개 : 아래눈썹모근바깥쪽피부의주름을따라칼끝이위를향하게해눈구석또는눈꼬리방향으로피부를절개한다 ( 국부마취주사후주름이더잘드러난다 ). 상하검의교차지점에있는눈꼬리주름을안쪽부터바깥쪽까지늘인다. 이곳을절개하는이유는수술후회복시거의흔적을찾아볼수없기때문이다. 칼끝을위로향하게해절개하는것은속눈썹이다치지않게하기위함이다. 2. 분리 : 피하분리시안륜근이다치지않도록조심해야한다. 이요령은아이백수술후눈꺼풀이뒤집어지는것을방지하며, 수술후하안검이정상을유지하도록한다. 안륜근이눈에상처를주지않는경우에만하안검에 와잠 현상이나타난다. 3. 지방제거 : 혈관집게로하안검안쪽의이미분리된피부를아래로뒤집고지방을잘라내면된다. 억지로지방을끄집어내면안된다. 이요령은지방을지나치게많이제거하여하안검이심하게꺼지는것을방지하기위함이다. 정상적인하안검이살짝꺼진상태가바로이상적인상태이다. 4. 피부제거 : 하안검피부를피하부터눈가아래까지분리하여지방을제거한후분리된피부를잘끌어당겨팽팽하게만들어준다. 눈꺼풀이깜빡이는상황에서하안검테두리를따라처진피부를잘라낸다. 이는피부를적당하게잘라내는요령이자지나치게많이잘라내하안검이뒤집어지거나또는처진피부를덜잘라내회복후에도여전히처진상태가되는것을방지한다. 5. 봉합 : 봉합요령은피부를매끄럽게잘맞추는것이다. 이또한수술후흔적을남기지않는중요한요령이다. 衰老从眼部开始, 下眼睑皮肤逐渐松弛堆积, 脂肪逐步膨隆是女人眼部衰老的最早表现 因此把松弛堆积的皮肤舒平, 膨隆的脂肪祛除是年轻化整容的首要课题之一 整容后恢复下睑平整形态却看不出整容痕迹是我们眼袋整容的目标 作者从 1992 年以来运用掌握的特殊要领的眼袋整形技术进行眼袋整容 2800 例 随访半年至二十年, 全部病例达到理想效果 下述要点是本人临床实践的体会, 供大家参考 : 1. 切开沿下睫毛根部外侧皮肤皱褶 ( 局麻注射后此皱褶很明显 ) 用刀尖向上方式向内眦或外眦方向挑开皮肤, 外眦在上下睑的交汇处的皱褶内向外稍作延伸, 选择此切开位置是手术恢复后看不出痕迹的第一要领 刀尖上挑式切开皮肤仅是为了避免伤及睫毛 2. 分离皮下分离切忌伤及眼轮匝肌, 注意完整保护眼轮匝肌 此要领是避免眼袋术后发生睑外翻, 也是手术后下眼睑保持正常形态的要点之一 轮匝肌不损伤在眼的动态情况下, 下眼睑才会出现 卧蚕 现象 3. 去脂血管钳夹住下睑内侧已分离的皮肤倒向下, 压出的脂肪剪去即可, 不可向内硬拽出脂肪, 此要点是防止脂肪祛除过多造成下睑内陷过深 正常下睑微凹状是理想状态 4. 剪皮下睑皮肤沿皮下分离至眶下沿, 祛除脂肪后把分离的皮肤拉紧铺平, 在眼睑做睁开动作的状态下沿下睑缘剪去多余的松弛皮肤, 此举是恰当剪皮的要领, 既防止皮肤剪去过多造成下睑外翻又避免松弛皮肤剪的不够恢复后仍感皮肤松垂 5. 缝合缝合的要点是皮肤对合要平整, 对合平整也是手术后看不出痕迹的另一要点 125

128 Room 103_April 7, Sunday Session 7. Eyelid Ⅲ Lower lid blepharoplasty with minimal tissue removal 최소한의조직을제거하는아래눈꺼풀성형수술 最少去除组织的下睑成形术 Kim, Byoung Jin, MD SEE Samsung Eye Clinic, Seoul, Korea Lower lid blepharoplasty has potential for significant long-lasting complications and marginal aesthetic outcomes if not performed correctly, or if one disregards the anatomical aspects of the orbicularis oculi muscle. This has detracted surgeons from performing the technical maneuvers necessary for optimal periorbital rejuvenation. Aesthetic outcomes in lower lid blepharoplasty can be improved using several technical sequence that addresses all of the anatomical findings. Lower lid blepharoplasty results are improved when (1) the supportive deep malar fat compartment is augmented, (2) lower lid orbicularis oculi muscle is preserved with minimal fat removal (3) the main retaining structure (orbicularis retaining ligament)is selectively released, (4) lateral canthal support is established or strengthened (lateral retinacular suspension); and (5) minimal skin is removed. 126

129 Room 103_April 7, Sunday Session 7. Eyelid Ⅲ My experience on capsulopalpebral fascia fixation for the correction of orbital fat buldging 안와지방돌출교정을위한근막초고정법술식에대한경험有关为矫正眶脂鼓出睑囊筋膜眶隔脂肪疝修补术的经验 Kim, Sang Seop, MD Chungdambeauty Clinic, Seoul, Korea Among the several methods for the correction of the orbital fat buldging, I used the capsulopalpebral fascia fixation method mainly since Hence, I would present the conclusion that this method is a good procedure to show good appearance and has superiority to other procedure in lower recurrence of palpebral bag. 127

130 Room 103_April 7, Sunday Session 7. Eyelid Ⅲ Evaluation and treatment of lower eyelid retraction & ectropion following lower Lid surgery 하안검수술후안검후퇴와안검외반의평가및치료下眼睑手术后眼睑后退与眼睑外翻的评价及治疗 Baek, Sehyun, MD Korea University, Guro Hospital, Department of Opthahlmology, Seoul, Korea u Cause 1) Vertical shortening of ant. lamella 2) Scarring bw middle lamella, lower lid retractor, inf orbital rim 3) Horizontal laxity of lower lid - Correction of horizontal laxity u Lateral canthopexy u Lateral canthoplasty - lateral tarsal strip - lateral retinacular suspension - dermal orbicular pennant - transposition of lateral canthal tendon - facial slin. Medial spindle procedure 128

131 Room 103_April 7, Sunday Session 7. Eyelid Ⅲ Prevention and treatment of complication in lower eyelid blepharoplasty 하안검성형수술병발증예방과치료및교정 下睑成形术的并发症治疗与预防 Jin Guangshan, MD, Jin Jinji, MD, Piao Yongnan, MD, Hon gshengri, MD Yanji City Jin Guangshan Plastic Surgery Hospital, Jilin, China : Objective To study of the method on prevention and treatment of complication induced by lower eyelid blepharoplastry. Methods For the different reason of occurring complication induced by 15 kinds of lower eyelid blepharoplasty, the program of the effective prevention of treatment of complication methods were established Results About ten years in our hospital, 4415 patients were treated with lower eyelid blepharoplastry and as used for the program, incidence rate of complication was reduced obviously. For all of the re-collection lower eyelid blepharoplasty, satisfied result of treatment was also obtained. Conclusion To comply with a series of principle on prevention and treatment of blepharoplastry, the incidence rate of complication could be reduced effectively, re-collective blepharoplastry was performed according to the occurring reasons of the complication and the satisfied treatment effect was obtained. Key words: Lower Eyelid Blepharoplastry Complication prevention and cure. [ 摘要 ] 目的探索眼袋整形术发生并发症的防治 方法针对 15 种眼袋整形术后发生并发症的不同原因, 积极采取有效的预防措施与治疗方案 结果我院近 10 多年对 4415 例就医者行眼袋整形术, 并发症发生率逐渐的明显减少, 再次矫正术也均获得满意效果 结论遵守一系列眼袋整形术并发症防治原则, 可有效降低并发症发生机率, 针对并发症发生原因的再次矫正术, 可获得满意的矫正手术效果 [ 关键词 ] 眼袋整形术 ; 并发症 ; 防治 129

132 Room 104_April 7, Sunday Session 1. Rejuvenation Ⅱ Rejuvenation of abdomen etc. using barbed PDO threads 가시돋힌 PDO 실을이용한복부등의회춘 利用带刺的 PDO 线让腹部等部位返老还童 Jo, Dong hyeon. MD Gold Plastic Surgery Clinic, Korea To treat aging of other parts of the skin like abdomen and soft tissue along with facial skin aging is another important concern. looseness of skin and soft tissue is caused by atrophy collagen, the fibrous, elastin, adipose tissue, muscle and bones due to aging and an the gravity. Recently I have been performing skin tightening on face and other areas using the PDO threads. I used and applicated Barbed PDO thread on the skin of abdomen and other parts, and rejuvenation of soft tissue and so obtaind good results. I d report the effects. 얼굴피부의노화치료와더불어복부등다른부위의피부, 연부조직의노화를치료하는것은또하나의중요한관심사이다. 피부, 연부조직의느슨해짐은중력과더불어노화에따른콜라겐, 섬유질, 엘라스틴, 지방조직, 근육, 골격등의위축에기인한다. 최근 PDO 실을이용하여안면등여러부위의피부 tightening을해왔고, 이번에 Barbed PDO 실을이용하여복부등여러부위피부, 연부조직의 rejuvenation에적용해본결과효과가있어보고하고자한다. 130

133 Room 104_April 7, Sunday Session 1. Rejuvenation Ⅱ Minimal invasive facial rejuvenation treatment 최소침습접근을통한안면회춘수술 利用微创方法的面部返老还童术 Takayuki Kubo, MD Ginza CUVO Clinic, Tokyo, Japan I have my own practice at Ginza Tokyo, which is well-known to be the center of Japan in some aspects such as luxury or entertainment business and also beauty industry. Namely, people gathered here are highly sophisticated, always seeking for the very best treatment. In order to satisfy those high quality demands, I have a mission to provide cutting edge technique in the field of cosmetic surgery which promises fast recovery and safe result. Therefore, we always make an effort to practice more refined treatment and those treatment have been favorably received at my clinic so far. Above all, peri-orbital and face lift surgery have a great demand at my clinic. My philosophy of those facial-rejuvenation surgery is not to do all in one treatment. Rather, to do each treatment as step by step approach. So that, patients are benefited from gaining natural outcome without being known by anybody. In this presentation, I will show real cases of facial rejuvenation treatment performed at my clinic. 131

134 Room 104_April 7, Sunday Session 1. Rejuvenation Ⅱ Minimally invasive facial anti-aging 최소침습안면안티에이징 微创, 面部年轻化 Mu baoan, MD Qingzhou Hospital Affilited to Weifang University, Qingzhou, China Minimally invasive anti-aging has become the current trend in the field of aesthetic surgery and medicine. In this presentation, I d like to mention the facial drooping, loss of elasticity and etc., as the three steps (skin, subcutaneous, SMAS) and three kinds of plane(cheeks, clowns, temples) through the ingenious mechanical decomposition principle. And also mention how to do lifting and fix it. I d like to explain how to spread lifting power to all lifting area. As the skill of minimally invasive, you can see the effect like anti-aging and young face. This surgery is proud of minimally invasive, safety, efficiency, continuity, naturalness and a speedy recovery. Therefore, these things are the widely useful way. 최소침습을이용한안티에이징은현재업계트렌드로자리잡았다. 본문에서는역학분해원리를통해안면처짐, 탄력저하등을삼단계 ( 피부, 피하, SMAS) 로, 또세가지평면 ( 볼, 광대, 관자놀이 ) 으로나눠리프팅과고정하는방법을논하고있다. 리프팅파워를모든리프팅부위에골고루분산시키도록하는법을설명할것이다. 최소침습의스킬로써안티에이징, 동안효과를볼수있다. 이로써최소침습, 안전성, 효율성, 지속성, 자연스러움과빠른회복을자랑한다. 따라서널리알릴만한방법이다. 微创手段恢复面部年轻化外观已是行业主流, 本文利用巧妙地力学分解原理, 将面部下垂松驰的软组织, 分三个层次 ( 皮肤 皮下 SMAS), 三个阶梯平面 ( 颊部 颧肌 颞额部 ) 分别提升和固定, 将提升力量均匀地分散在所有提升部位的受力组织上 采用极微创的操作技巧, 达到恢复面部容貌年轻化目的 从而达到微创 安全 有效 持久 自然和恢复快的要求 是一套值得推广的技术操作 132

135 Room 104_April 7, Sunday Session 1. Rejuvenation Ⅱ The new trends of cosmeto-gynecologic surgery 여성회음성형수술의새로운경향 女性会阴整形手术的新趋势 Lee, Chang Hwan, MD WON JIN Aesthetic Clinic, Seoul, Korea Female genital plastic surgery is being widely spread in world as more women seek to improve their genitalia structure and sexual gratification improvement. I can conclude that these kinds of Vaginal Tightening Operation(Laser posterior colporrhaphy) and IntraVaginal autologous Fat Transfer and Vaginal Implants to resolve vagina laxity, Clitoral Plasty(Laser Clitoropexy), G- Spot Augmentation Vaginoplasty for orgasmic potentiation and others variable minor operations. And then CO2 Fraxel and Nd-YAG Laser Vaginal rejuvenation have been touted in the media recently as the hot new procedures taking Cosmeto-Gynecolgic surgery by storm. I have been tried to evaluate effect of variable vaginal implants and CO2 Fraxel and Nd-YAG Laser Vaginal rejuvenation at our Women s Clinics in Korea Procedure: CO2 Fraxel and Nd-YAG Laser Vaginal rejuvenation I used to CO2 Fraxel and Nd-YAG Laser, and CO2 Fraxel Laser radiated 25-30W at mid and outer vaginal mucosa, CO2 Fraxel Laser as well as Nd-YAG Laser radiated tonic mode at Labia majora & Labia minora. These procedures will be done in an outpatient surgery setting in our hospital under local and intravascular anesthesia and sterile conditions. I used to a recognized KFDA materials & instruments. Conclusively, Although implants are safe, they are foreign bodies and thus have inherent risks including infection, failure, malposition, and then Laser radiation method is safe at Vagina & others region. However, We must further study about the individual technical variations during the surgery, and the correct surgical indication to perform, along with any adjuvant treatment modalities with or after the surgery in those who have multiple causes of sexual dysfunction. Key Words: Vaginal Implants, Autologous Fat transfer, Laser Radiation at Perineal area. Perineal Surgery, Vaginal thightening Operation 133

136 Room 104_April 7, Sunday Session 2. Face Lift Ⅱ Minimal Invasive Endoscopic face lift 내시경을이용한안면거상술 利用内镜的面部提升术 Jung, Kwang Seup, MD Bonita Clinic, Seoul, Korea President, 2013 AFAS Open coronal surgery was the only option to rejuvenate the brow and frontal area before This method remains as an effective and proven operation. In 1992 after publications and presentations of Nicanos Isse and Vasconez about the use of endoscope for brow lift rejuvenation techniques of the brow and frontal area evolved and changed tremendously. Now days the endoscopic brow and frontal area rejuvenation is very well determined including midface endoscopic rejuvenation. Advantages and disadvantages of the endoscopic brow lift Advantages Disadvantages -Excellent exposure for release of periorbital adhesions -Initial cost of equipment and special instrument -Short scars -Technology-dependent nature of the proceduresequipment failure may prevent completion of procedure -Endoscopic magnification very precise surgery fuse _Reduced risk of alopecia over heating mechanical problem -Reduced risk of scalp sensory Changes -Learning curve involved -Less edema -Need for additional fixation -Fast subsiding of edema To perform the endoscopic brow or frontal lift it is essential to understand anatomy and learn how to operate with endoscopic instruments. I d like to discuss that endoscopic brow and frontal lift is a very good method with very well indicated to Asian with comparable results of open coronal surgery. 134

137 Room 104_April 7, Sunday Session 2. Face Lift Ⅱ Minimal Invasive Short-scar operative facelift 짧은흉터수술식안면거상술 最小伤痕面部提升 Park, Samgohn, MD SENSE Plastic Surgery Clinic, Seoul, Korea Several methods have been used to treat facial aging. Surgical approach, however, facial lifting is the most effective method, and lifting effects can last for a long time. This surgical method has disadvantages: long scars remaining, several complications occurring, and taking a long period of recovery which delay to return to the daily life of a patient. In order to complement disadvantages of surgical approach recently thread lifing becomes popular. This thread lifting, however, has a big disadvantage: effect duration is not satisfied. We, SENSE Clinic has studied and developed and performed short-scar operative face lift to lower complication rates, to minimize the scar and have the short recovery period after surgery considering the advantages and disadvantages of those surgeries. I d like to give a brief report with a video on the basic short-scar operative face lift we have performed. 안면노화현상을치유하기위하여현재여러가지방법이이용되고있으나, 수술적인방법즉안면거상술방법이가장효과적이며, 리프팅의효과가오래지속될수있다. 이런효과적인안면거상술이이전까지는주로긴흉터안면거상술을시행하였기때문에여러가지합병증이발생하였고, 긴흉터를남겨야했으며, 회복기간이아주길어서일상복귀하는데오랜기간을감수해야만했다. 이런점을보완하기위해최근에는흉터가전혀없는실리프팅이선풍적인인기를보았지만, 지속기간이만족스럽지못하다는최대의단점을나타내었다. 센스성형외과에서는이런수술법의장단점을고려하여, 합병증발생율이낮고, 흉터가작으며, 수술후회복기간이짧은 짧은흉터안면거상술 을연구-개발하여시행하고있습니다. 본강의에서는센스성형외과에서시행하고있는가장기본적인짧은흉터안면거상술을동영상과함께간단히강연하고자한다. 135

138 Room 104_April 7, Sunday Session 2. Face Lift Ⅱ Minimal Invasive Minimal invasive face lift: Hai lift & Dual lift Hai lift & Dual lift 를통한얼굴주름제거 通过 Hai lift & Dual lift 的去除面部皱纹 Lim, Jong Hak, MD Kairos Clinic, Seoul, Korea President, KAAS As you age, the contour of your face collapses and wrinkles get deepened. In the past, for those aging symptoms incision, dissection and SMAS etc were often used, however those methods leave surgical scars, unnatural look, fasial nerve damage, edema and ecchymosis, with long recovery period. Recently one method which overcomes above problems has been invented. This method uses minimal incision through temporal region or no incision at all. Here I want to introduce one method that uses dual lift operation with absorbable POD cogged threads after 6-10 months. This method is called HAi lift which requires incising 2 cm on your head. Then, it is needed to insert cogged plate (made of Poly-lactic acid) through SMAS so that it can be fixed to deep temporal fascia. The advantages of this method can be a reduced surgery time, shortened recovery period and longer maintenance period after the operation. 나이가들수록얼굴은처지고얼굴윤곽은망가지고주름이깊어가게된다. 이런치료를위해서기존에는절개와피하박리 (dissection), 그리고 SMAS처리등이필요했지만, 수술자국이나표현의부자연스러움, 안면신경손상 (fasial nerve), 부기 (edema) 나멍 (ecchymosis) 등으로사회복귀시간이길어진것은부정을할수없는사실이다. 최근에는절개를하지않거나머리 (temporal region,scalp) 안에최소절개를통해서처진심부조직들을젋었을때의상태로돌려주는수술이개발이되었다. 이에연자는 6-10개월이후에흡수 (absorbed) 가되는 POD cogged threads 를특수고안해특허출원을얻은듀얼리프트 (Dual lift) 수술로좋은결과를얻고있으며, 머리안쪽 2cm 정도의작은절개로 Poly-lactic acid 성분으로제작된 cogged plate를심부 SMAS층에삽입해심측두근막 ( deep temporal fascia) 에자동고정시키는하이리프트 (HAi lift) 수술을통해, 짧은수술시간과회복시간 (down time) 그리고긴유지기간을얻었기에보고한다. 136

139 Room 104_April 7, Sunday Session 3. Face Lift Ⅲ Invasive Clinical study on safety and effectiveness of frontal and temporal facelift using facelift band 전두부와측두부거상술에서안면거상밴드의효과와안전성에대한연구 应用整形提拉带行颞部提升术的临床研究 Hua Li, MD, Yan Shao, MD, Yin Hu, MD, Zichun Gu, MD, Li Chen, MD, Xing He, MD, Jingjing Ma, MD, Zhiyong Lan, MD Department of Plastic and Reconstructive Surgery, Sir Run Run Shaw Hospital, Medical College, Zhejiang University, Hang Zhou, China Frontal and temporal facelift is considered as a effective and safe technique in aging face. Traditional frontal and temporal facelift procedure adopted non-absorbable suture to fix and lift the loose soft tissue. The suture was one point fixation, and the suture might cut the soft tissue. That may cause unstable result. We adapt facelift band, and assess its role in the procedure. Purpose: To assess safety and effectiveness of the facelift band which adopted in frontal and temporal facelift. Methods: 90 cases divided into two groups. In the facelift band group, after cut and subperiosteal dissection and cutting frontal muscles, we put in facelift band in each incisions and hold the loose soft tissue. The other group is traditional frontal and temporal facelift group which use suture only. Result: The patient s satisfaction rate is 95% in facelift band group. There was no significant difference in the combined incidence of adverse events between the two groups. Conclusion: 1. Frontal and temporal facelift is considered as a effective and safe technique in aging face treatment. Traditional Frontal and temporal facelift procedure adopted non-absorbable suture to fix and lift the loose soft tissue. The suture was one point fixation, and the suture might cut the soft tissue. That may cause unstable result. We adapt facelift band, it has multiple teeth or serrations, which can hold and fix the frontal and temporal tissue in multiple piont. The fixation style is more stable. 2. Facelift band is made from PLGA, this material is approved by FDA (U.S.A). In our study, its safety and efficacy has been proved again. 137

140 Room 104_April 7, Sunday Session 3. Face Lift Ⅲ Invasive Treatment of 658 cases of facial surgery 안면수술 658 사례의치료 面部手术 658 例治疗体会 Wenxi Ma 1, MD, Wang Tiegang 2, MD 1 Medical Hospital of Southeast University, Nanjing, China 2 Southeast Beauty College, Nanjing, China Object; analyzing the effect of facial cosmetic surgery and discussing noteworthy problem. Method; I had the 658 cases of facial cosmetic surgery such as outpatients and rounds since March I reviewed and analyzed and evaluated the effect of the cases which included scars surgery, forehead wrinkles removal, post-traumatic scars removal, surgical sutures, eyelid surgery, and nasal surgery. The effects were evaluated by dividing into 6th grades according to percentage. The average results were calculated by integrating subjective evaluation of patients and doctors. Result; There are 256 patients who remove their scars using sutures and skin graft % of them, they chose A. And who chose B are 14.84%. After scar removal surgery, people who using injection of KENALOG, medicine, and doing pressure medical treatment are 140cases % of them evaluated A, but 7.67% of them evaluated B. Minimally invasive forehead wrinkles removal surgeries are 86 cases % of them chose A, and 6.98% of them chose B. Sutures of scar removal are 95cases % of them evaluated A, and 16.84% of them evaluated B. Eyelid surgery and nasal surgery cases sum total are %of them estimated A, and 4.63% of them estimated B. Conclusion; The effects of surgery have been satisfied. Most people chose A, and the people who chose A are almost over 90%. Among this two set surgeries, case A is accounted 81.05%~81.5%. This result means that satisfaction of surgery is high. But surgery needs fixing it, so we have to complement over and over. In this text, I discussed something that we have to attention in facial cosmetic surgery. 138

141 목적 : 안면미용수술의효과를분석하고, 주목할만한문제에대해논의. 방법 : 1990년 3월이후외래, 회진으로이루어진안면미용수술 658건에대해돌아보고분석하여, 상처수술, 이마주름제거수술, 외상후상처제거및봉합수술, 쌍꺼풀, 코수술등의효과에대해평가한다. 효과는퍼센트에따라 6개등급으로나누어서평가하고, 환자및의사의주관적인평가를종합하여평균적인결과를계산해낸다. 결과 : 흉터제거후봉합및흉터제거후피부이식총 265건, 평가결과로 A를선택한사람은 81.51%, B를택한사람은 14.84% 이다. 흉터제거술후케날로그주사와외용약그리고압박치료법을종합적으로사용한경우는 104건, A라고평가한사람은 92.31%, B라고평가한사람은 7.67% 이다. 최소침습이마주름제거술 86건, A라고평가한사람은 91.86%, B라고평가한사람은 6.98% 이다. 흉터제거봉합 95건, A라고평가한사람은 81.05%, B라고평가한사람은 16.84% 이다. 나머지절미수술, 쌍꺼풀, 코수술은총 108건으로 A라고평가한사람은 95.37% 이고, B라고평가한사람은 4.63% 이다. 결론 : 수술효과가좋으며, A라고평가한사람이많고대부분 90% 이상을차지한다. 이가운데두세트수술에서 A 라고평가한사람들이 81.05%-81.51% 를차지한다. 이는수술만족도가높다는것을의미하나아직도많이부족한점이있기에계속보완해나가야한다. 본문에서는안면미용수술에서주의해야할점들을거론하였다. 目的总结分析面部美容手术的效果, 提出值得关注的问题 方法对 1990 年 3 月以来的门诊及会诊的面部美容手术 658 例进行回顾和分析, 对疤痕手术 额部祛皱手术 创伤后清创缝合手术, 切眉 重睑 隆鼻等手术的效果分别作出评价, 效果情况按照百分比划分为 5 个等级分别评价, 患者和医生的主观评价进行合并, 计算平均结果 结果疤痕切除后缝合及疤痕切除后植皮术共 265 例, 评价结果为 A 者占 81.51%, 评为 B 者占 14.84%; 疤痕切除术后辅以康宁克通 -A 注射, 硅酮凝胶膜外用, 加压疗法综合治疗者 104 例, 评为 A 者占 92.31%, 评为 B 者占 7.67%; 微创额头祛皱术 86 例, 评为 A 者占 91.86%, 评为 B 者占 6.98%; 清创缝合 95 例, 评价结果为 A 者占 81.05%, 评为 B 者占 16.84%, 其余切眉 重睑 隆鼻术共 108 例, 评为 A 者占 95.37%, 评为 B 者占 4.63% 结论手术效果好, 评为 A 者为多, 多占 90% 以上 本组中有两组手术评为 A 者占 81.05% 81.51%, 说明手术满意度虽高, 但仍有许多不足, 需要加强与改进 文章提出了回顾面部美容手术应该注意的几个问题 139

142 Room 104_April 7, Sunday Session 3. Face Lift Ⅲ Invasive Mini variations of technique in facial rejuvenation 안면회춘을위한다양한테크닉 为面部返老还童的多种技巧 Nguyen Xuan Cuong, MD Director, the Saigon Hospital of Cosmetic Surgery, Ho Chi Minh City, Vietnam Temporal Incision in Facelift: The traditional incision for facelift in temporal area is marked as a curved as in C or a straight line. This incision always leaves white scar after surgery and sometimes the scar maybe worse due to hair fall around the incision. Anyway a straight line in any hair area is easily to be visible by its white straight line. Therefore I propose the incision is a broken line or zig-zag line with length of each line segment is about 2 cm. This type of incision reduces tension on wound on post-operative time hence reduces wound scar. This type of incision can be also applied for incision in hair area in forehead lift to avoid perceptible scar. New Incision for Alar Base Reduction: The traditional incision in alar base reduction consists of incision from the ouside of alar base or at the outer and inferior angle of of the alar base. This incision leaves white scar that can be seen from outside of the alar base. Otherwise, this incision can change the normal aspect of the nostril and reduces the height of the tip because of cutting of the foot of the alar base. I propose incision is performed only in the distance between the columella and the alar base to reduce the distance between 2 alar bases. The operator will estimate precisely how big or how long is the length of skin to be resected between the columella and the alar base. The alar base is detached from inside for easy closure with nylon 5-0 and nylon 6-0. This type of incision can be indicated for big and medium size of alar base, except only very big size of alar base. 140

143 Room 104_April 7, Sunday Session 3. Face Lift Ⅲ Invasive Face lift:my dissection and suspension skill 안면거상술 : 내가하는절개와걸기기술 面部提升术 : 我的切开和悬吊技术 Wang Zhijun, Shi Heng, Su Xiaowei, Zhang Chen Gao Jingheng, MD Department of Plastic Surgery,Xinhua Hospital Affiliated to Dalian University,Dalian,China Generally speaking, there are two main procedures: dissecting and suspending tighten tissues,during a face lift operation. Dissection is the only technique for the benefit of tightening and repositioning the skin flap or SMAS flap, tightening is to fix the flaps and tissues on the fixation points strictly following the directions (vector) and tesion (biomechanics). A good dissection requires a well-understanding of the aging process and the facial anatomical structures, while suspension needs a good command of cosmetology and younthful facial features, and also some biomechanic knowledge. Based on the above viewpoints, I clarified my own dissection and suspension skills as follows. Ⅰ. Dissection skills during a face lift operation Dissection techniques on subcutaneous of the middle and lower face and neck area This part can be divided into parotideomasseterica region, malar fat pad region, marginal mandibular region, and the neck area. It had been practically proved that it is better to dissect a distance of 6~8cm from the tragus in parotideomasseteric of middle face rather than a more extensive division. But the lateral margin of malar fat pad should be exposed. When undermine the middle and lower face and neck area, the flap should be thin, and the advantages are less bleeding and that the thick SMAS platysma flap remained could bear a strong lifting. Meanwhile, I keep the view, supported by a unconfirmed theory, that the thinner flap is favorable to the patient.after undermined, there will be proliferation of scar, thickening of skin and increase of blood supply under dermis. Dissection techniques on subcutaneous of temporal regions Temple region includes hair-bearing area, hairless area, orbicularis oculi region, and margo orbitalis region. 141

144 Dissection techniques of SMAS platysma flap in the region under zygomatic arch It is easier to dissect by cutting in the parotid regoin, meanwhile parotid fascia should be remained intactly. It s better to take blunt dissection on the superficial of masseteric fascia, and for the protection of facial nerve branches the masseteric fascia can t be destroyed. Dissection techniques on the superficial of deep temporal fat pad This procedure is easy to manipulate and it s better to separate fast with both blunt and sharp dissection. Dissection techniques of forehead rhytidectomy utilizes coronal incision I suggest to undermine in the sub-galea aponeurotica layer. Ⅱ. Suspended tightening skills of the related important tissues Expose the buccal fat pad at the premasseteric margin and fix it on the parotid fascia Apply two-steps tightening skill to lift the SMAS-platysma flap from farther point to near Lift the superolateral edge of the malar fat pad at a vertical orientation and fix it on the above deep temporal fascia Undermine on the superficial layer of the superficial temporal fascia and deep temporal fascia,then obtain the temporal branch pedicle flap, lift this flap on the posterosuperior direction and fix it on the deep temporal fascia. All the flaps should be sutured with little tension. 142

145 Room 104_April 7, Sunday Session 4. Body ContouringⅠ Extremities Ultra Beauty Leg(Triple combo therapy:rf Nerve coagulation+pdo+ Cannula Lipolysis) 최상의아름다운다리 (Triple combo 요법 : RF 신경응고 + PDO + 캐뉼라지방분해最佳美腿 (Triple combo 治疗 :RF 神经凝固 +PDO+ 空心管溶脂 ) Kwon, Han Jin, MD DerMaster Clinic, Seoul, Korea Many Asian women has big volume of lower leg which is not smooth by the looks. Ultra Beauty Leg is triple combination therapy which can Coagulate the nerve innervate to Gastrocnemius by RF thermal heat. And Polydioxanone, which is absorbable material place into the muscle can reduce the muscle size. Also someone has a fat then can use of Phosphatydilcholine and hyaluronidase cocktail infusion by cannula for lipolysis and drainage. It s a new concept of combination treatment for lower leg volume reduction more effectively by controlling nerve, muscle and fat. 143

146 Room 104_April 7, Sunday Session 4. Body ContouringⅠ Extremities Liposuction, lower extremities 하체지방흡입 下肢吸脂 Joe Shigemoto, MD Joe Clinic, Osaka, Japan Our attempt to achieve safer liposuction procedures for highly obese patients The result of liposuction is influenced by the amount of the suction and designing. Adverse events like severe pain and anemia can occur with large amounts of liposuction. Our objective as cosmetic surgeons is adequate fat removal whereas avoiding serious adverse events is a responsibility of a medical practitioner at the same time. In cases of highly obese patients who require large amounts of suction, we are trying to mitigate adverse events by performing the procedure one side at a time. We report indications, advantages, pit-falls and observations of these cases. 広範囲及び大量脂肪吸引の患者に対する当院の取り組み脂肪吸引の効果の判定は吸引量とデザイン性で決定される しかし吸引を大量に行うと強い疼痛や貧血などの合併症に悩まされることが稀にあります 十分な脂肪を取ることが美容外科医の使命であるが 重度の合併症を避けるのも医師の責任である 当院では広範囲の脂肪吸引や大量の脂肪吸引の必要な患者に対して片側ずつの吸引をすることにより術後の合併症を軽減させています 当院における片側脂肪吸引の適応 利点 注意点 術後経過を報告します 144

147 Room 104_April 7, Sunday Session 4. Body ContouringⅠ Extremities Calf and ankle sculpturing using RE: (PolyDioxanone) 안면거상술 : 내가하는절개와걸기기술 面部提升术 : 我的切开和悬吊技术 Hwang, Ue-Kyoung, MD Yeline Clinic, Seoul, Korea 145

148 Room 104_April 7, Sunday Session 5. Body Contouring Ⅱ Face & Body The clinical meaning of chanel line liposuction :Knee-around liposuction through umbilical incision 샤넬라인지방흡입의임상적의미 : 배꼽절개를통한무릎주변지방흡입술 Chanel Line 吸脂的临床意义 : 经脐切口的膝盖周围吸脂术 Cho, Jaeho, MD TheLine Plastic Surgical Clinic, Seoul, Korea The most of contemporary skirts for women is getting shorter. The knee around the chanel line was always exposed if she wears a short skirt. The chanel line skirt is the popular skirt the length of the skirt is reaches to 5~10cm above the knee. Therefore scar around the knee is easily noticed and most of women in Korea dislike the exposed liposuction scars because they tried to conceal they had the body contouring procedure like liposuction. The knee-around liposuction is able to make a significant improvement of low extremity contour in spite of the minimal amount of the liposuctioned fat. Knee-around liposuction using 700mm-sized long cannula through umbilical incision does not leave any scars in the vicinity of the knee and makes an aesthetical result of liposuction better. Because the more long distance between the incision and the liposuctioned area, the cannula can goes more parallel to subcutaneous fat layer. This surgical method that we introduced helps to have less irregularity on the skin surface and subcutaneous tissue, more fine aesthetic result and high satisfaction for patients and surgeons. Comparing to existing techniques, Knee-around liposuction using 700mm-sized long cannula through umbilical incision helps the result to be more highly successful in aesthetic wise. 146

149 Room 104_April 7, Sunday Session 5. Body Contouring Ⅱ Face & Body Facial contouring with laser assisted liposuction : Combination treatment of power assisted liposuction and laser assisted liposuction for V-line shaped face 레이저를사용한지방흡입술을통한안면윤곽通过激光吸脂术重塑脸部轮廓 Cho, Jaeho, MD TheLine Plastic Surgical Clinic, Seoul, Korea In the Korea, liposuction has been a popular procedure for obese person or those who are slim but unsatisfied with their body shape. But some surgeons are reluctant to perform this cosmetic surgical procedure for face contour improvement because of the little amount of fat in the facial area and shortage of the experience of facial liposuction. Laser Assisted Liposuction is the latest adjunct to liposuction. This technique employs laser energy to induce lipolysis and hemostasis and stimulate neocollagenesis. We performed facial liposuction with power-assisted liposuction after laser lipolysis. The incision which is located at the posterior auricular area is completely hidden. Tumescent solution that is consisted of normal saline 100ml, 2% lidocaine 4ml and 0.1ml 1:1000 epinephrine was infiltrated to submental area and low buccal area. Propofol injectable emulsion was infused continuously for IV sedation. Pneumatic power assisted liposuction instrument was used for fat aspiration with 2.5 mm diameter and 15 cm long cannula after 1444nm Nd:Yag laser lipolysis. There was no difference in aspirated fat amount and other clinical parameters from simple power assisted liposuction but operation time is 10 ~ 15 minutes longer than simple power assisted liposuction. Most patients who had facial contouring with laser assisted liposuction through the posterior auricular incision have been satisfied with the V-line shaped face contour and hidden scar. Facial contouring with laser assisted liposuction is useful to have a good aesthetic result because of the submental and buccal area lifting effect due to neocollagenesis that is induced by laser lipolysis and the volume reduction effect by liposuction. Laser-assisted liposuction is a safe and efficacious procedure that may possess advantages over conventional liposuction. 147

150 Room 104_April 7, Sunday Session 5. Body Contouring Ⅱ Face & Body 5D Liposculpture: A new way of sculpting the fat tissues of the body using the advanced technology 5D 지방성형술 : 최신기술을사용한신체지방조직을성형하는새로운방법 5D 吸脂 : 利用高级技术而重塑身体脂肪组织的新方法 Ahn, Kyung Chun, MD Seroi Clinic, Seoul, Korea Liposuction is one of the most performed procedures in the field of aesthetic surgeries around the world. So many women are desperate to get rid of unwanted fat accumulations in certain parts of the body. However, somewhat unharmonious results of surgeries have been complaints of many patients. Considering the fact that fat diminishes the beautiful contours of the muscles and hinders the vivid grooves between the muscles, to carve the fat like an sculptor emphasizing each and every big and small ins and outs of the body line is a challenge to every aesthetic surgeon. To achieve ultimate results of liposuction, firstly, detailed designing is necessary. US could be very useful in designing complicated curvature of muscles. Like the sculptors who use different kinds of tools for their artistic expression, surgeons, who want to carve the fat artistically, need various tools. In 5D liposcupture, the design may look 2 dimensional, but the fatty tissue must be sucked in 3 dimensional way. Thus, 3 dimensional thoughts in designing is very important. To achieve utmost results, 5 different devices are used, i.e. PAL(Eva), external US(VASER), radiofrequency devices(lica and Bodytite), and Harvest for fat transferring. Lively natural looking results are attained through 5D liposculpture. Loose skin is tightened. Definitions of the abdominal muscles are carved vividly. Small chests and hips are enhanced by fat transferring. Thus, final results of 5D liposculpture are satisfying to both patients and surgeons. 148

151 Room 104_April 7, Sunday Session 5. Body Contouring Ⅱ Face & Body A new concept in liposuction approach to produce a more tighter and smoother skin following liposuction(considerations to remove enough fat with constantly keeping smooth skin) 충분한지방흡입시매끈한피부탄력을유지하기위해고려할사항들为维持皮肤弹性而吸脂时需要考虑的事情 Kim, Hyeong Seok, MD Apgujeongline Plastic Clinic,Korea Introduction To win uniformly smooth skin elasticity after liposuction is not very easy. According to the regional characteristics due to the many anatomical differences and individual differences of the subcutaneous tissue including fat, showing consistent results seems to be more difficult. It is worst especially when there are difficulties due to the severe laxity of the skin according to the individual, and a large amount of subcutaneous fat. I would like to introduce important considerations to remove enough fat with constantly keeping smooth skin based on the techniques of experiences in my office and the domestic and foreign-related reports 149

152 Room 104_April 7, Sunday Session 5. Body Contouring Ⅱ Face & Body Complications of facial fat transfer and liposuction for the improvement of the aged face and unnatural facial contour. 노화와얼굴윤곽개선을위한얼굴지방이식및흡입시술의합병증为改善老人脸和脸部轮廓的脸部脂肪移植及吸脂术的并发症 Kang, Kyoung Jin, MD Korea Beauty School Clinic, Busan, Korea The facial fat transfer and liposuction have been widely used for the improvement of aged face and unnatural facial contour. According to the status of patients, these two kinds of procedures should be used alone or combined with each other. The soft tissue facial contouring using fat transfer and liposuction has been known as a relatively safe procedure in cosmetic surgery field. Their revision surgery is also thought to be easier than any other cosmetic surgery. However, various complications always could be occurred. Furthermore, some of them result in serious or irreversible sequela. Typical complications of the fat transfer are hyper-correction, hypo-correction, irregularities, lump, unnatural facial contour with sagging, infection, and arterial occlusion. And, the possible complications after performing facial liposuction are also include hyper-correction, hypo-correction, irregularities, depression, skin necrosis, sagging and infection. It has been suggested that there are three major factors causing these possible complication mentioned above. Firstly, short in understanding of the facial anatomy and related to aging process, secondly, low-level of doctor s injection skill, improper practice, and lack of sense of aesthetic, and thirdly, possible infection caused by contaminated apparatus and drugs Therefore, the speaker would like to present minutely with taking a concrete examples about the prevention, the emergency response procedure, the proper method and time of the revision surgery. 150

153 Room 104_April 7, Sunday Session 5. Body Contouring Ⅱ Face & Body Lipoabdominoplasty without umbilical transposition 배꼽치환을하지않는간단한복부재건술 肚脐不移位的腹壁整形 Kim, TaeKyeom, MD The-All Clinic, Seoul, Korea The classic abdominoplasty presents the best aesthetic results. But it has many complications with umbilical transposition and large underminig. For the best results, we must choose cases carefully. The classic abdominal plasty is very invasive and has long downtime. So many people does not choose surgery itself because of uncomfortableness, pain and complications. The lipoabdominoplasty without umbilical transposition for patients with mild excess skin laxity would be very effective procedure. If doctors chooses cases well, only they have to do is good design. Some cases need the classic abdominoplasty as usual but the surgical trends change much. The patients want simple and comvinient mothods, though they need the classic abdominoplasty for the best results. Not for the best results, for the best satisfaction of the patients, I often choose lipoabdominoplasty without umbilical transposition. 151

154 Room 104_April 7, Sunday Session 5. Body Contouring Ⅱ Face & Body Molecular biology in injection lipolysis 주입식지방분해술에있어서분자생물학 有关注射消脂的分子生物学 Jyh-Hwa Hao (Justin Hao), MD Formosa Bimolecular Institute Life Investigation Bureau, Taichung, Taiwan The focus on IL therapy has changed during the last 3 years from the experience based on collected data to the validated science. The University of Regensburg has conducted 2 impressive studies on the subject which have proven the efficacy of the treatment. More and more physicians in Asia are using this fairly new treatment option. In European countries the number of treatments is increasing year by year. Some companies are working on approvals for subcutaneous fat injectables. One of the main questions will be, if phosphatidylcholine is necessary for the metabolic process or if the cell membrane destructor deoxycholic acid alone is sufficient for fat reduction. The race for the best market position has begone - who will win? 152

155 Room 104_April 7, Sunday Session 6. Body Sculpture by Korean Academy of Aesthetic Medicine LAL(Dual laser liposuction TM ) vs RFAL(Bodytite TM )-Lifting liposuction on face and body LAL(Dual laser liposuction TM ) 와 RFAL(Bodytite TM ) 비교 - 얼굴과몸의지방흡입술 比较 LAL(Dual laser liposuction TM ) 和 RFAL(Bodytite TM )- 面部和身体的吸脂术 Chang, Doo yeoul, MD Change Clinic, Seoul, Korea Many liposuctions are being currently performed due to improved stability of liposuction since the development of tumescent technique. Various liposuctions developed afterward have placed emphasis on increasing efficiency of liposuction and accelerating recovery. However, after the development of LAL(laser assisted liposuction), surgical method of recovering skin elasticity with liposuction is being performed rather than the simple removal of fat. RFAL(radiofrequency assisted liposuction) method device (BodyTiteTM) with more powerful effects of improving skin elasticity has been recently developed. Theory, effect, and stability regarding this device are introduced. RFAL method is better than LAL for the contraction of tissue. Linear contraction of skin after liposuction is 5% in case of SAL or UAL, and 17% in case of LAL. RFAL can achieve 14-40%, and this is progressed for 3 weeks in the early period and is further progressed past 3 months to achieve contraction that is 2-3 times greater than early contraction and is stabilized between 3-6 months. Furthermore, uniformal application of heat is achieved during contraction to contract inner subcutaneous fat, and fascia in addition to skin. Thus, it can be said that it produces far more superior effect regarding area contraction. RFAL also has Skin temperature monitoring function and it is another large advantage. Side effects of burns that were formed due to inexistence of temperature monitoring in most lifting equipments can be prevented in advance, and function for adjusting degree of lifting through skin temperature is included. Use of RFAL is expected to enable many patients that have previously required skin excision to have surgery only by lifting without remaining of scars. But LAL is enough for common liposuction surgery and has good effect for making even skin surface. I will discuss about it with my thousands cases. 153

156 Room 104_April 7, Sunday Session 6. Body Sculpture by Korean Academy of Aesthetic Medicine How much of the improvement can be made by re-op liposuction? Discuss with the real cases of re-operation 지방흡입재수술로개선된사례들의보고有关吸脂再手术得到改善的案例报告 Cho, In Bae, MD G7 Clinic, Seoul, Korea Liposuction is one of the most popular plastic surgery worldwide. Even in Asia, Liposuction is the most common plastic surgery in these days. As the number of the operating doctor increase, the number of the liposuction cases are rapidly increasing. As the number of the cases increase, the unsatisfactory and the complication cases also increasing. The expectation of the result can be different between the patient and the doctor, depending on the extent, it will cause physical and emotional stress for the patient, even the economic problem if the reoperation is required. This is not only the problem of the patient, if the patient complain about the result and ask economic reparation or even medical suit, it can be a very painful stress to the doctors physically and mentally that may lead them to give up the operation. Unfortunately, the unsatisfactory and complication case is commonly considered as an increasing trend. The criteria of the completeness in esthetic surgery is very subjective and hard to definite. So the reoperation criteria and the method can be very various and also the result can be very diverse. Today, I want to share my experience by discussing my reoperation liposuction cases and also talk about what was the usual complication after liposuction, how to make a plan to fix the problem, what has to be reminded to do the reoperation, how much of the improvement can be made through reoperation, and how to prevent the complication. Thank you. 154

157 Room 104_April 7, Sunday Session 6. Body Sculpture by Korean Academy of Aesthetic Medicine Desirable contraction of lower abdomen in obesity, using only liposuction without abdominoplasty 처진복부, 복벽성형수술하지않고지방흡입으로해결하기非手术吸脂解决腹部下垂 Jung, Rae Jun, MD 365cm Clinic, Seoul. Korea Jeffery Klein에의한투머센트테크닉은지방흡입술시생길수있는출혈, 마취시생기는부작용의위험을낮춰서지방흡입술의현저한발전을이루게했다. Lipectomy와함께시행하는 Abdominoplasty 의경우, 단순지방흡입술에비해 dramatic한효과를볼수있으나, complication (seroma, infection) 이발생할수있는가능성이좀더있다고할수있고, 수술후회복기간이길어질수있다. 단순복부지방흡입만으로 large-volume liposuction 시행하여, 아랫배쳐짐증상이기대이상으로개선된 case를소개하고, 유의점에대해서살펴보겠다. REFERENCES James Kim, M.D. Thomas R. Stevenson, M.D. Abdominoplasty, liposuction of the flanks, and obesity : Analyzing risk factors for seroma formation. American society of Plastic surgeons 2006, vol. 117: Tumescent Technique Tumescent Anesthesia & Microcannular Liposuction : Jeffrey A. Klein, M.D. Mosby 2000 Abdominoplasty : Joseph P. Hunstad, M.D. Remus Repta, M.D. Saunders

158 Room 104_April 7, Sunday Session 6. Body Sculpture by Korean Academy of Aesthetic Medicine Title: The actual application of HPL using modified formula for body contouring. 몸매교정을위한 HPL 의실제적용 在塑造体形方面 HPL 的适用 Son, Bo Deu Rii, MD 365mc Clinic, Seoul, Korea 1. Lipoplasty with HPL Hypotonic fluid increase cell membrane permeability cellular swelling rupture of cell membrane Lipolytic effects of mixed drugs Injection of large volume of fluid Combination therapy ± Ultrasound or RF or low level laser 2. HPL formula Dr. Hoeffin s formula -123 mmosm of original solution 365MC obesity clinic formula mmosm 97 mmosm aminophylline, lidocaine, epinephrine, dexamethasone, NaHCo3 3. HPL procedure using simple injection needles and syringe multiple needle are placed subcutaneously and inject 4. HPL Based-Combined Treatment - 1st session : Modified HPL + RF therapy - 2nd session : Mesotherapy + Carboxytherapy - 3rd & 5th session: repeat 1st session - 4th & 6th session: repeat 2nd session 5. The Effectiveness And The Impact Factors of HPL 1) factors of patient : weight loss, regular procedure intervals, number of procedure 2) factors of procedure : osmolality of fluid, volume of fluid, combined-treatment 6. HPL of lower osmotic solution - pros and cons?? 156

159 Room 104_April 7, Sunday Session 6. Body Sculpture by Korean Academy of Aesthetic Medicine Postoperative treatment tools after liposuction for effect enhancement and correction 지방흡입후효과증대와교정을위한시술의적용 吸脂后为得到更好的效果而适用的方法 Eo, Kyung Nam, MD 365mc Clinic, Seoul, Korea Postoperative treatment after liposuction fast recovery follow up education early complain handling Treatments tools RF Carboxytherapy Endermology Correction with PPC skin irregularity uneven fat thickness lifting 157

160 Room 104_April 7, Sunday Session 6. Body Sculpture by Korean Academy of Aesthetic Medicine Correction of primary and secondary banana fold(double fold) in thigh, using liposuction 지방흡입으로엉덩이바나나주름개선하는방법 利用吸脂改善大腿皱纹的方法 Lee, Sun Ho, MD 365mc Clinic, Seoul, Korea 힙주름 (Hip fold) 은일반적으로 1개의주름을유지하고있다. 하지만사람에따라서 2개의주름 (Double fold) 을가지고있는경우가있어서, 좌우비대칭이거나아니면힙자체가너무쳐져보여서교정을필요로하는경우가종종발생한다. 선천적으로 2개의주름이있는경우 (Primary double fold) 와허벅지지방흡입후잘못된수술의결과로 2개의주름이만들어진경우 (Secondary double fold) 로나눌수있으며, 혹은반드시 2개의주름이뚜렷하게보이지않더라도 2개의주름중에서윗부분의주름이아주희미해서하나의주름만있는것처럼보이지만그로인해실제로힙이아래로많이쳐진것처럼보이는경우도통상 double fold라고포함시킨다. 이에, 허벅지지방흡입시 double fold 가생기게되는원인과잘생기는 type 및예방법, 그리고마지막으로 double fold를제거하는방법을소개하고자한다. 추가로허벅지지방흡입시 hip ptosis를야기하는경우를소개하고반드시 safty zone을보존해야함을증례를통해알아보고자한다. 158

161 Room 105_April 7, Sunday Session 1 Anti-aging & Stem Cell Ⅰ Mechanism and therapy of anti-aging 노화방지의기전과치료 防老的机制和治疗 Han, Gong Chang, MD Donga Women`s Clinic, Seoul, Korea The purpose of anti-aging medicine is to prevent disease, improve the quality of life, longevity. The therapy is health risk factor control(drinking, smoking, etc), chronic disease management (hypertension, diabetes, arthritis, etc.), fasting considering the balance of nutrients, the regular exercise of moderate intensity, hormone replacement therapy, stress management, and taking antioxidants and minerals, immune enhancer, brain functioning improver and etc. Now It has been scientifically proved that illness depends on your lifestyle. 나이보다훨씬젊고건강해보이는사람을만날때가있다. 이것은이른바 건강연령 이실제나이보다낮기때문이다. 건강연령은그사람의삶의질과수명을결정해주는진짜나이인셈이다. 10년뒤건강은오늘을어떻게보내느냐에달려있다. 노화의대표적인증상은체중 ( 특히뱃살 ) 이증가하고, 운동능력이떨어지며성기능이줄어들고혈압이올라가고, 기억력감소나인지능력감소, 육체적기능의감소, 흰머리나주름등의변화, 만성질환의증가이다. 또면역력이떨어져무리를하면몸이쉽게안좋아지고자주피로한상태가계속되며특히피부의탄력이떨어져주름이눈에띄게많아지게된다. 오래살고자하는것은인간의기본적인욕망이자본능이다. 최근에는한단계더나아가오래살되죽는순간까지건강했으면하는게보편적인바람이다. 건강하다는것은단순히질병이없는상태만을의미하는것이아니다. 행복하다고느낄수있어야진정으로건강한상태라고할수있다. 따라서생활습관을바꾸거나새로운습관을몸에익혀육체적-정신적건강을증진하는방법등을통해질병에걸릴가능성을줄여나가는것이중요하다노화방지의학의목적은질병예방, 삶의질향상, 수명연장에있다. 치료법은건강위험인자조절 ( 금주, 금연등 ), 만성병관리 ( 고혈압, 당뇨병, 관절염등 ), 영양소의균형을고려한절식, 중간강도의규칙적인운동, 호르몬보충요법, 스트레스관리, 항산화제와무기질복용, 면역기능증강제, 뇌기능개선제등이다이제병이생기는것은어디까지나본인이어떠한생활방식을갖고살고있는가에달려있다는것이과학적으로증명되었다. 159

162 Room 105_April 7, Sunday Session 1 Anti-aging & Stem Cell Ⅰ Changes in the skin health conditions by facial skin care and antioxidant vitamins 안면피부관리와항산화비타민섭취의피부건강상태변화 通过脸部皮肤管理和抗氧化维生素摄取的皮肤健康状态变化 Kim, Eun Hwa, PhD Cheonan Yonam College, Cheonan, Korea This study was conducted to comparatively examine the influence of facial skin care and combined use of facial skin care and antioxidant vatamins on the skin health indexes. The 30 participants were grouped into A, B and C, 10 people for each group, and then, their skin health indexes were measured. A group received facial skin care and B group received facial skin care and took vitamin C(1,000mg/day). C group received facial skin care and took vitamin C(1,000mg/day) and vitamin E(1,000 IU/day) together. The experiment was carried out for 8 weeks, and using MPA 5 580(Courage & Khazaka, Germany), this research measured the skin health indexes of moisture, oil, melanin, and erythema. In relation to the secondary moisture quantity of cheeks, there were differences among groups. C group had the most moisture(73.27), while B group had the least moisture(61.70)(p<0.05). However, regarding other indexes, the differences were not significant. In elation to the skin health indexes of three groups, moisture and oil went up after 8-week care, and melanin and erythema went down so significant differences before and after the experiment were found. This experiment shows that the facial skin care has positive influence on the skin health conditions rather than the kind of antioxidant vitamins or the combined use of them. Key word : antioxidant vitamins, facial skin care, skin health, skin moisture, melanin, erythema 160

163 Room 105_April 7, Sunday Session 1 Anti-aging & Stem Cell Ⅰ Can Nutrition Therapy achieve Anti-Aging Effects of Physical Appearance? 영양요법으로신체적외모의항노화효과를얻을수있을까? 通过营养疗法能得到身体外貌的抗衰老效果吗? Minoru Arakaki 1, MD, Li Li 2, MD 1 Arakaki Plastic Surgery, Okinawa, Japan 2 The Director of Qingdao Municipal Hospital dept. of Dermatology and International Cosmetic Center. Qingdao, China Nowadays the Anti-Aging Therapy with nutrients is widely known. But many doctors, especially plastic and cosmetic surgeons seem to doubt the efficacy of the nutrition therapy. Because almost papers of anti-aging therapy with nutrition is reported with epidemiologic data without photograph. In my clinic order made nutritional therapy based on individual blood test analysis has been carried out for 5 years. In my experience nutrition therapy is very useful in the field of aesthetic surgery and medicine. Especially weight loss treatment for the middle age obesity, so called metabolic syndrome, Mineral Fasting is very useful. This time I try to show the efficacy of nutrition therapy with photograph before and after treatment in some cases. 161

164 Room 105_April 7, Sunday Session 1 Anti-aging & Stem Cell Ⅰ Local injection of adipose-derived stem cells: a new promising strategy to antiwrinkle 지방유래줄기세포의국부주입 : 주름방지의새로운전략 自体脂肪干细胞辅助支架材料在除皱研究中的应用 Jinlong Huang 1, 2, Yan Xu 2, Ke Wen 1, Gang Chen 1, Cui Wei 2, Pinfang Zhai 2, Ying Wang 2 1 Plastic Reconstructive Surgery & Medical Aesthetic Center, Nanjing University of TCM affiliated Hospital, Nanjing, China 2 Nanjing RegeneCure Biotech Co, Ltd, China Objective To verify the effectiveness of ADSCs for the treatment of skin aging. Methods We analyzed the effect of intradermally injected ADSCs (1 106 cells/ml) to implement the anti-wrinkle treatment with the patients. Results Our research demonstrated that wrinkles were improved with ADSCs follow up 6 months to 1 year. Dermal thickness were increased in the ADSC-injected patients. Conclusion ADSC are effective for wrinkles and ADSCs show promise for application in cosmetic dermatology. [Keywords] Adipose-derived stem cells (ADSC); Antiwrinkle; Fibroblasts; Intradermally inject 摘要 目的研究自体脂肪干细胞辅助常有支架材料在皮肤年轻化抗皱治疗中的作用研究 方法收集 25 例要求除皱治疗的自愿患者, 分别抽取脂肪组织,GMP 标准实验室分离培养脂肪干细胞, 以 / ml 的浓度加入常有注射材料支架中注射入皱纹部位的真皮组织中 结果临床随访 6 个月到 1 年, 经过自体脂肪干细胞注射治疗的患者皱纹改善明显, 病理检查可见注射部位真皮组织明显增厚, 胶原纤维及脂肪组织增生 结论自体脂肪干细胞对于皱纹的改善具有明显的作用, 自体脂肪干细胞在面部年轻化等美容外科方法的发展中具有重要意义 关键词 脂肪干细胞 ; 抗皱 ; 成纤维细胞 ; 真皮内注射 162

165 Room 105_April 7, Sunday Session 2. Anti-aging & Stem Cell Ⅱ Photo blood irradiation therapy for longevity 항노화및삶의연장을위한광생물학적혈액치료요법 通过营养疗法能得到身体外貌的抗衰老效果吗? Kwon, Oh Sook, MD soo and eun clinic, Seoul, Korea Ultraviolet Blood Irradiation (UBI) - also called UV Blood Irradiation or Photoluminescence - is a way to internalize the sun s powerful effect on harmful pathogens. UBI has been used successfully as a healing treatment since the 1920s. UVB Ultraviolet Therapy (Photo-oxidation therapy) is a biological healing modality utilizing ultraviolet irradiation of the blood (with UV Ultraviolet C light) to produce the following beneficial photochemical reactions: Those are Improved micro circulation and oxygenation of tissues, Anti-inflammatory effects, Stimulation of the immune system,increased tolerance of the body towards radiation or chemotherapy, Cardiovascular protection through increased metabolism of cholesterol, uric acid, and glucose, Resolution of vascular and Powerful anti-infection properties. UBI has been shown to effectively destroy a variety of diseases and ailments such as HIV, Hepatitis, Psoriasis, Cancers, Autoimmune disorders such as Lupus, chronic fatigue syndrome, and rheumatoid arthritis, Chronic pain, Conditions associated with hyper-inflammatory response. Not only will UV Blood Irradiation help to kill bacteria, yeast, and viruses, it has also been shown to have a vaccine-like effect by allowing the immune system to work with the antigenous pathogens to build an appropriate immune response Biological effects of blood irradiation therapy include that Increase in: arterial and venous oxygenation, blood ph, lymphocytes, electrical charge on the red blood cell, of bacteriocidal capacity of the blood, hemoglobin, white blood cell count, lymphocytes, phagocytosis ability; Reduction of : cholesterol, creatinine levels, blood lactate, clot formation tendencies, blood viscosity, uric acid levels, fibrin levels, plasma viscosity, surface tension of the blood; Normalization or modulation of: immune status, glucose tolerance, and fibrinolysis. During a session of UV Blood Irradiation, a patient s blood is exposed to UV light. UV light has also been shown to oxidize - or add oxygen - to the blood, in addition to killing harmful bacteria, fungi, and viruses. Not only does the added oxygenation have an anti-microbial effect, it also boosts immune function by improving white blood cell activity. Contraindications include: Porphyria, photosensitivity, acute hemorrhagic diseases (such as hemophilia-but not including routine medical anticoagulation), hyperthyroidism, subacute appendicitis and cholecystitis, immediately after a myocardial infarction (heart attack). 163

166 Room 105_April 7, Sunday Session 2. Anti-aging & Stem Cell Ⅱ Stem cell therapy and rejuvenation effects-therapeutic course in Japan Stem cell therapy 와회춘효과 - 일본에서의치료경과 肝细胞疗法与返老还童效果 - 在日本的治疗过程 Hiromi Yokoyama, MD President, Japanese Society of Clinical Anti-Aging Medicine, Tokyo, Japan To an overview of the current state of the research stage to commercialization from around the regenerative medicine of Japan and South Korea, the research stage Although the activities in Japan has surpassed South Korea, in the case leading to the commercialization of Korea and overwhelmingly prevails Situation they will do so in the future. Why does this situation has become. Factor with respect to its various arguments have been made, while there is also attributed to the factors pointed out that the attitude for the examination of (PMDA) Pharmaceuticals and Medical Devices Agency is the regulatory authorities in Japan. Such discussions have been in Japan but taboo. Japan and South Korea reversal is happening in this area in the manufacturing industry as well in spite of much larger number of research in regenerative medicine, Japan had been miraculously dominate is a fact. If we compare the framework of regulatory restrictions on Japan and South Korea from this point of view, but is basically the same framework between the two countries, there are also big differences clear. The path to apply to humans, such as new drugs that are not approved for marketing manufacturing in Korea, whereas in this one based on the examination of KFDA is authority regulatory, it is in Japan based clinical examination of PMDA It is that the path of the two eyes of clinical research in the framework of the law there is a doctor in addition to the path of the test. On connecting to the outlet of the supply of medical products to play Japan s activities in the research stage that many results have been produced, the current system of Japan, the path of the two is present, not the functioning necessarily effective. Say that these change the status quo, and audits by regulatory authorities as well as PMDA is also for clinical research and for clinical trials, and challenges in this to promote the spread of regenerative medicine, say that perspective I will describe the differences in regenerative medicine, such as Japan and South Korea in 164

167 Room 105_April 7, Sunday Session 2. Anti-aging & Stem Cell Ⅱ The prospects of safety and clinical use of adipose stem cell in the cosmetic treatments 미용의학, 항노화의학의적용에따른일본의줄기세포요법현황适用美容医学 抗衰老医学的日本肝细胞疗法现状 Ken Nakama, MD ACT Clinic, Kyoto, Japan There is attention on ips cells in the field of stem cells therapy in Japan, however, there are plenty of problems still to be overcome in clinical use. Physical stem cells such as bone marrow stem cells have much clinical results. Traditionally, much of the stem cells derived from bone marrow have been utilized in research. However, depending upon the ailment, extraction of the bone marrow could be difficult, and the problem of the low rate of stem cell amplification has been discovered. In 2001, Zuk and his associates have reported the existence of stem cells in adipose tissues. The characteristics of adipose are that they have low insult and can be extracted relatively easily. And they have proved that cells extracted from adipose include, adipose cells, chondrocytes, osteoblasts, myoblasts, and not only mesenchymal cells, but epithelial cells, nerve cells and endothelial cells, in addition, include stem cells where hematopoietic cells and hepatocytes can be differentiated. On the other hand, there are huge possibilities in cultivation. amplification of mesenchymal cells from adipose tissues. Mesenchymal stem cells, participate in tissue regeneration by differentiation, or have shown to have promoted tissue regeneration by excreting growth factors or cytocaines. And further, mesenchymal cells having immunity inhibition abilities have been discovered recently. The presenter has performed basic stem cell cultivation and clinical application for the last seven years. Basics of adipose derived stem cells and it s clinical application have been performed for the last 5 years. Presently, he releases announcements against the issues of stem cell therapy and it s safety taken up by the mass media in Korea and Japan. And he announces results from animal experiments against those issues of it s safety, and also, his personal opinion on the possibilities of stem cells in the cosmetic treatments. Ken Nakama, MD 1988 graduated Cung-Ang University, residency General Surgery 1990 residency at Tokyo Medical University - General Surgery 1992 served at ICRC 1993 residency at Tokyo Medical University - Anasthesiology 1997 residency at Tokyo Medical University Transplant Surgery 1999 Director at Seibu Clinic 2012 Director at ACT Clinic 165

168 Room 105_April 7, Sunday Session 3. Filler & Toxin Advanced injection techniques of botulinum toxin 고급단계의 Botulinum toxin 주사방법 高级 Botulinum toxin 注射法 Seo, Jeong Ho, MD Dr. Seo Clinic, Seoul, Korea Botulinum toxin is widely used to treat many areas of the facial wrinkes including the glabellar, forehead, and periorbital even though whole facial areas. When the mimetic muscles responsible for creating the wrinkes are not functionally necessary, botulinum toxin may be injected to temporarily weaken them ameliorate the creases. Its mechanism is that botulinum toxin acts by preventing the release of acetylcholine at the neuromuscular junction of striated muscle fibers, creating a flaccid paralysis of the muscle. A. Intramuscular injection technique have standard method. 1. Injection techniques for glabellar region; a. Have patient contract muscles to identify corrugator supercilii position and insertion. b. Injection needle should remain perpendicular to muscle. c. Symmetrical injections per side can be used to treat corrugator. 2. Injection techniques for lateral canthus region; a. Stay at least 1cm lateral to the orbital rim. b. Avoid the veins that typically run in these areas. c. For patients with prominent infraorbital rhytides, 2unit of toxin injections can be performed into the inferior horizontal portion of the orbicularis m. 3. Injection techniques for forehead; a. Have patient elevate brows to show where frontalis is causing rhytides. b. If lateral brow elevation is too severe or unnatural following injection, add 2units of toxin high on the lateral forehead. 4. Injection techniques for masseter muscle; a. Mark and delineate the muscle with the patient clenched. b. Draw a line from the lip corner to ear tragus and keep injections below this lin B. Intradermal injection techniques have no standard method. 166

169 Room 105_April 7, Sunday Session 3. Filler & Toxin Long-term follow-up of PPC THERAPY PPC 요법의장기관찰보고 PPC 疗法的长期观察报告 Choi, Mi Sook, MD Hansarang No No Clinic, Seoul, Korea PPC has been used for medical applications for more than 30 years and to treat localized fat for about 10 years in many countries. Lipodissolve is a non-surgical treatment that dissolves small collections of fat from areas such as the saddle bags, love handles, abdomen and chin. Lipodissolve is not a miracle treatment for weight loss,nor is a cure for obesity or a substitute for liposuction. Instead, PPC is a safe, minimally invasive alternative with no downtime that gradually dissolves localized fat that are resistant to diet or exercise. In 2004, Network Lipolysis, an international association of doctors who practice lipodissolve, determined that over 90% of patients were satisfied or very satisfied with their results. Their combined experience would suggest that 80% of patients are very satisfied after 2-3 treatments. 15% will see changes after one treatment, 40% after two treatments, and most by three sessions. Because of individual factors, not everyone will achieve the same results over the same number of treatments. As a rule, 2-6 treatments with 2 months intervals are required to achieve the desired result. Since the body can tolerate only a certain amount of PPC at one time, the number of sessions required will depend upon many factors such as body region, body size and the amount of fat to be treated. Maintenance treatments may be required to maintain desired body contour. No long-term adverse effects have been identified with the use of PPC for medical indications. Unlike liposuction, the skin over the treated area tightens as the fat dissolves, leaving no additional looseness. Unlike liposuction, lipodissolve can also improve the appearance of surrounding cellulite. Fat cells in the treated area are destroyed and permanently removed. Fat accumulation due to weight gain after PPC treatment will be evenly distributed in remaining fat cells throughout the body and will not tend to accumulate easily at previously treated trouble spots. This results in a better balanced body shape than before. As we are only born with a certain number of fat cells and these do not multiply in adults, results are permanent once the cells are removed. Long term studies confirm that results from lipodissolve were persistent 7 years after the treatment was performed. Additional treatments may be needed depending upon the extent of the condition and the expectations of the individual concerned. 5% of patients do not respond. The reasons for this are unknown. Long-term follow up of patients treated with PPC to reduce local fat deposits shows that the PPC treatment is available to reduce the fat cells permanently at injected area and is a good choice for body sculpturing. 167

170 Room 105_April 7, Sunday Session 3. Filler & Toxin Treatment of body surface irregularity after liposuction by phosphatidylcholine (PPC) and deoxycholate (DCA) compound 지방흡입후울퉁불퉁한피부표면을 phosphatidylcholine (PPC) 와 deoxycholate (DCA) 화합물로치료하는법用 phosphatidylcholine (PPC) 和 deoxycholate (DCA) 化合物治疗吸脂后不平的皮肤表面 Song, Taeheon, MD TheLine Plastic Surgical Clinic, Seoul, Korea Liposuction is one of the most frequently requested procedures performed by cosmetic surgeons. Although some minor or major complications exist, their frequency is low. When surgeons follow-up their patients after liposuction, one of most commonly encountered complications is body surface irregularity of operated area. For treat it, fat shifting or fat graft can be considered. But, it is not easy for patients who have not much subcutaneous fat left or with rejection for operation. Phosphatidylcholine (PPC) and deoxycholate (DCA) compound has been recently used for the purpose of partial lipolysis and is valued for its efficacy and lower invasiveness compared to liposuction. So it is often used for patients who do not want to be performed operation. We present 3 cases of body surface irregularity of operated area after liposuction. Administered PPC / DCA to patients who have the subcutaneous fat is less than 1 cm of the thickness after liposuction improved their appearance. 168

171 Room 105_April 7, Sunday Session 4. Maxilla of Facial Aesthetic & ISBB Session Ⅰ Nasal augmentation using fat graft with PRP PRP 와지방이식을사용한코확대술 通过 PRP 和脂肪移植的隆鼻术 Lim, Jong Hak, MD Kairos Clinic, Seoul, Korea President, KAAS An implant that is used for rhinoplasty surgery can cause side effects such as damage, change in location of the implant or a thinning dermis. Moreover, in order to sharpen or change a nasal tip more complicated operations such as moderation of alar cartilage or cartilage graft are needed. These operations which require several weeks to fully recover can be difficult for people living in the busy present time. Here, I would like to introduce one way of nasal tip plasty using a special scaffold that has already been applied for patent 3 years ago. This method is well-known through several seminars, held by JAAS (Japan) and has been received favorable feedbacks, because it only requires using self-fat graft and PRP, without any incision. 코를높이는데사용하는보형물은, 시간이지나면보형물의변형이나이동, 그리고피부의비박화등의부작용을야기할수가있다. 또한코끝을더날씬하고높게수정을하기위해서는비익연골의수정이나연골이식으로비주를연장하는복잡한수술이필요하다. 수술후수술부위가안정이되고일상생활을하기위해서는몇주간의기간이필요한이런수술은, 시간이모자라고바쁜현대인에게는큰부담으로다가온다. 연자는이미 3년전부터코끝수정은특허출원한흡수가되는특수지지대 (scaffold) 를삽입하고, 콧대에는자가지방과 PRP를혼합주입함으로써, 자연스럽고안전하게그리고회복이빠르게절개를하지않고코성형을하였고, 이미일본 JAAS가개최하는세미나와라이브수술을통해일본선생님들에게좋은평가를얻고있기에, 소개하고자한다. 169

172 Room 105_April 7, Sunday Session 4. Maxilla of Facial Aesthetic & ISBB Session Ⅰ Innovative Solutions for Anti-aging 항노화를위한혁신적해결책 为抗衰老的创新方法 Chen-Yao Su, DDS Biomedical Research Unit, Department of Dentistry, National Yang-Ming University, Taipei, Taiwan With the advent of blood-derived biomaterials such as PRP and PRF, there has recently been considerable interest in aesthetic surgery and medicine in the use of biomaterials made from autologous human blood as therapeutic agents for accelerating post-operative wound healing and tissue regeneration because these products are biodegradable, do not induce tissue reaction, and exhibit valuable physiological functions. Blood-derived biomaterials obtained by combining a platelet-rich plasma (PRP) with thrombin are called platelet gels (PLT gels). The mixing of both fractions results in (a) the conversion of fibrinogen into fibrin, (b) the activation of platelets and (c) the release of a myriad of growth factors (GF) stored in the α-granules. Upon activation by agonists, platelets release a myriad of functional molecules which play a key role in tissue repair and regeneration by stimulation and differentiation of local stem cells. Compared to the use of a single growth factor PRP offers a biomimetic growth factor cocktail, which imitates the natural conditions during wound healing. GF-rich platelet lysates are now explored and proven to be unique non-toxic biocompatible tools for anti-aging therapies. The aim of this presentation is to demonstrate the mechanism of functions and potential clinical applications of GF-rich platelet lysate that may be used clinically to accelerate post-operative wound healing and tissue regeneration. 170

173 Room 105_April 7, Sunday Session 4. Maxilla of Facial Aesthetic & ISBB Session Ⅰ Use of self blood biomaterials and rhbmp-2 in soft tissue and bone augmentation 자가혈생체재료와 rhbmp-2 를사용한연조직과경조직재생요법 自体血生物材料和利用 rhbmp-2 的软组织 硬组织再生疗法 Toshimitsu Okudera, DDS, PhD Oji Dental/Aesthetic Surgery Vice-president, Tokyo, Japan Today, soft and hard tissue regeneration therapy is that many clinicians is essential to do dental implant treatment. In regenerative therapy, the use of Self Blood Biomaterials is considered to be beneficial in patients. This time, I d like to talk about basic research and clinical application of Self Blood Biomaterial use. 171

174 Room 105_April 7, Sunday Session 4. Maxilla of Facial Aesthetic & ISBB Session Ⅰ PRP therapy (Platelet Rich Plasma Therapy) and various treatments PRP 요법 ( 다혈소판혈장요법 ) 과다양한치료법에관한내용 有关 PRP 疗法 ( 多血小板血浆疗法 ) 和多种治疗法的内容 Tetsuo Kinugasa, MD Kinugasa Clinic, Osaka, Japan In recent years, PRP therapy has been carried out extensively in the field of cosmetic medicine. It also began to be performed clinically in the field of orthopedic surgery, dental and otolaryngology. We add β-fgf to PRP and then inject it into the lower-middle dermis and fat layer, so we improve wrinkles, sagging and dark shadow of skin using the augmentation of the face. Therefore when used PRP alone as well as with a variety of surgical procedures and laser treatments it would be one of the more effective means for rejuvenation. This time, We d like to share the therapies we have applied with you. 최근 PRP 치료는미용의료분야에서활발하게이루어지고있다. 또한, 정형외과, 치과및이비인후과등의분야에서도임상적으로이루어지기시작했다. 우리는 PRP에 β-fgf를첨가하여진피중층 ~ 하층과지방층에주입하여얼굴의확대를이용한주름 피부쳐짐 곰의개선을도모해왔다. 그래서 PRP 단독요법뿐만아니라레이저치료와다양한수술법과함께사용하면회춘에더효과적인수단의하나가될것이라고생각하고있다. 이번에우리가행하고있는방법을공람하고싶다. 近年 PRP 療法は美容医療の分野で盛んに行なわれてきている また 整形外科 歯科や耳鼻科などの分野でも臨床的に行なわれはじめた 我々は PRPにβ-FGFを添加し 真皮中層 ~ 下層や脂肪層に注入することで 顔面のaugmentationを用いたシワ たるみ クマの改善をはかってきた そこで PRP 単独療法のみならず レーザー治療やさまざまな手術法と併用することで より若返り効果の高い有効な手段の一つになると考えている 今回 我々の行なっている方法について供覧したい 172

175 Room 105_April 7, Sunday Session 4. Maxilla of Facial Aesthetic & ISBB Session Ⅰ Cosmeceuticals: fact, fiction, and future Cosmeceuticals: 사실, 가상그리고미래 Cosmeceuticals: 事实 假想和未来 Pin-Chi Chiu, MD, MBA Department of Dermatology, National Taiwan University Hospital, Taipei, Taiwan, Cosmetics have become an integral part of daily life in many people s lives. But due to the lack of basic public education and frequent incorrect media coverage about skincare and cosmetics, massive false information spreads like wildfire. Many people s skin get injured or damaged consequently and cases of sensitive skin, rosacea and cosmetic contact dermatitis increase dramatically in recent years. Cosmeceuticals, or cosmetic products promoted as having biologically active ingredients, are increasing being used in place of or in addition to medical procedures. The realm of cosmeceuticals is presently the most rapidly expanding area of dermatology. But because of the lack of basic medical education and understanding about cosmeceuticals, many medical professionals just consider it only as a kind of commercial claim or hype. They just put their names on the product labels, sell them on the market and advertise them in many channels, but they hardly tell the truth and educate the public. In the future, in the modern world, we can not avoid using cosmeceuticals. Thus we have to know more about the risks and benefits of cosmeceuticals to the skin. It is inevitable and reasonable. In daily practice of cosmetic dermatology, we can not avoid suggesting adequate cosmeceuticals and skincare methods to our patients. Thus we, as medical professionals, have to learn more about pros and cons of cosmeceuticals. It is our mission and responsibility. How to use cosmeceuticals wisely? How to take cosmeceuticals as adjunctive therapy in dermatological or aesthetic procedures? How to keep up with the trends of cosmeceuticals? In this talk, I will give a brief overview to these topics and discuss the fact, fiction, and future of cosmeceuticals. 173

176 Room 105_April 7, Sunday Session 5. Maxilla of Facial Aesthetic & ISBB Session Ⅱ New collaboration of aesthetic surgery and the dentistry domain 미용외과와치과분야의새로운협업 美容外科和牙科新的合作 Hajime Okudera, DDS, PhD Oji Dental Aesthetic Surgery, Tokyo, Japan In late years, by the development of the dentistry domain, it came to be able to be restored from the countenance recovery of the lie image more aesthetically and physiologically. It is what the epoch-making clinical to call maintenance of jaw bone regeneration and bone by the appearance of the oral implant in the background builds. In other words, I am not satisfactory and, by the restoration such as denture and bridge, may promote jawbone absorption to maintain countenance, besides, physiologically, and it is, and countenance collapse becomes the edentulous jaw countenance of the result so far. I frustrate you for an action to tell I am young, and to be cheerful forever to aim at of Aesthetic Surgery very much. It was not a thing corresponding to the society at all now. As for our new tide, it became an aim of Aesthetic Surgery by the physiological recovery of the chin face domain more realistically to go, and it was so that an effect went up it more by Collaboration of Aesthetic Surgery. Do it as Maxillo Facial Oral Aesthetic Section; and many in the vanity surgery society until today; announce it, and the proposal of hard tissue reproduction and the soft tissue reproduction by Platelet- Rich Plasma (PRP) may be interested in very much in particular. I will think in future if it is important to achieve an effect in medical care more practically in this way by collaboration of mutual intervals from the arts and sciences standpoint. 174

177 Room 105_April 7, Sunday Session 5. Maxilla of Facial Aesthetic & ISBB Session Ⅱ Facial control & hard tissue regeneration by mucosal tissue lift 점막조직거상에의한경조직재생및형태수정 粘膜组织而硬组织再生及形态修改 Jietsu Ryu, DDS Dental Clinic RYU Nihonbashi, Tokyo, Japan Some organizational changes due to aging in the oral and maxillofacial region, can not be overlooked that underlie changes in the jaw bone absorption at the same time. So, how to play the jawbone beneath the nasolabial fold, aiming to improve nasolabial fold thereby extending the vicinity, while at the time of entry of horses into the jawbone GBR (guided bone regeneration)in implant treatment, of I think making an application, but also to ensure recovery and for the current state of the jawbone, the implant better, and must always perform the GBR. Originally, to perform the above treatment is a high degree of difficulty with invasive surgery. By peeling face lifter under the periosteum of the incision vertical insert a bone graft including the PRP therein, it is possible to play the alveolar bone easily cases this Lift up result wrinkles born the techniques presented here will also say and depression, improve, and oral implant can be inserted into the nascent bone regeneration. 175

178 Room 105_April 7, Sunday Session 5. Maxilla of Facial Aesthetic & ISBB Session Ⅱ Bone distraction improves facial appearance by osteotomy 절골에의한뼈확장으로얼굴모양개선 截骨而股扩张改善容颜 Yutaka Kitamura, DDS, PhD Center of Oral and Maxillofacial Surgery & Dental Implant in Shinshu, Tokyo, Japan Distraction osteogenesis (DO) has become a important and useful surgical technique for patients with jaw deformities. For skeletal class Ⅲ patients, one of the main technique is Sagital split ramus osteotomy (SSRO), but application of this method is sometimes not sufficient for the severe cases to correct the jaw deformities. The preparation of this case is also severe skeletal class Ⅲ 26-year-old female patient. She was treated with the combination of SSRO after using the rigid external distraction( RED) system for midface Le Fort Ⅰ osteotomy. The result of soft tissue profile and occlusion achieved after the application of SSRO and RED system were very satisfied for this patient. It is suggested that the combination choice of SSRO and DO with RED system after Le Fort Ⅰ osteotomy is significant useful method for the severe case of skeletal class Ⅲ jaw deformities. 176

179 Room 105_April 7, Sunday Session 5. Maxilla of Facial Aesthetic & ISBB Session Ⅱ For the better result in facial bone contouring surgery 안면골윤곽수술에서의더나은결과를위하여 为达到面骨轮廓术更好的效果 Han, Seong Yik, MD, DDS Dr. Han s Facial Plastic Surgery Unit., Seoul, Korea For the reasonable result after facial bone surgery, precise diagnosis of patients status, elaborate planning, delicate surgical technique, meticulous postoperative care can be the important phases. Generally diagnostic and planning procedures encompass radiologic works, fine photographic analysis, precise combined diagnosis, and simulation using models or various softwares. Recently, improved diagnostic software technology enabled fine diagnosis and deliberated simulation as close as to the end result of the real surgery. In this lecture, the updated method of diagnosis with 3D CT will be primarily introduced and the possible way for the best result including updated surgical technique will be discussed as well. 177

180 Room 105_April 7, Sunday Session 6. Skin & Laser Ⅱ What s new and what s true with lasers and light? 레이저및광선의새로움과진실은무엇인가? 什么是激光与光线? 激光与光线的新颖之处是什么? David Sudarto Oeiria,MD, Ratna Maître Dewi Gondowardojo, MD Director, Klinik Dr. Ratna, Cosmetic Dermatology, Laser & Cosmetic Surgery Surabaya- Indonesia Laser and light Therapy have been emerged to become one of the must Have treatment tools in Dermatology clinic, many new indications and new lasers are coming out as well as new laser usage techniques, although. T he latest breakthroughs in laser and light therapies are zeroing in on providing an alternative treatment for hair loss, nail fungus and cellulite, It still need more studies, before it can be the main treatment of these conditions. Newer and better laser technologies provide dermatologic surgeon a new level of control in doing laser, permitting extreme precision, especially in delicate areas, as well as newer indications and newer techniques of Laser application provide better control and better outcome. Today we have a variety of options when it comes to rejuvenating the appearance. One of the newest is repeating Fractional laser resurfacing, which can reduce facial wrinkles, scars and blemishes, without unwanted effect, but not every instrument have the same quality of technology, superpulse technology with spot size 120 micron with deep penetration, in combination of bigger spot size 1.3 mm with superficial circular ablation, provide the most precision for fractional resurfacing as well as removing a mole or syringoma by using single spot circular 1.3mm spot size, that go deeper by layers and precision. We will discuss the best fractional laser technology with best clinical skill to enhance the get better result with fewer side effects for the existing indication and new indication for hypertrophic scar as well as keloid. New method of using lasers and lights including the Q-swith NdYAG laser in the melasma control and tattoo removal have greatly enhance the clinical outcome. Newer IPL technology has become more precise as the wavelength band has become narrower, and Square and multipulses with delay in each shot has increase the target injury and decrease the unnecessary burn. Laser Lipolysis has been advances, started from a LP 1064 nm laser to a combination with 1320nm as well as 1444nm. Other diode lasers might better for fat tissue, but less in skin tightening. Key words: must have tool, newer and better laser, more precision, better techniques of laser application, newer indication, square and multipulse IPL, combination of wavelength in treating a single skin condition, Laser Lipolysis 178

181 Room 105_April 7, Sunday Session 6. Skin & Laser Ⅱ Laser and IPL treatment in Asian skin 아시아인의피부에있어서레이저와 IPL 치료 针对亚洲人的激光与 IPL 治疗 Ratna Maitri Dewi Gondowardojo, MD, David Sudarto Oeiria, MD Vice Director, Klinik Dr. Ratna, Cosmetic Dermatology, Laser & Cosmetic Surgery, Surabaya- Indonesia Naturally Asian skin has more pigmentation and hyperpigmentation is an early sign of photoaging. Also Melanocyte in darker skin is more vulnerable to be become hyperactive after trauma and inflammation. But Asian is not homogenous, there are northern, central and southern Asians, and they are distributed to many parts of the world, with different latitude and sun shine, so there is no single parameter for treating Asian skin. Laser wavelenghts that target melanin is less selective in darker skin type especially when using high fluence Pre laser treatment skin conditioning and post treatment skin care are as important as energy setting and adequate cooling. Patient with atopic syndrome and history of long and severe PIH after insect bites, will response to Laser treatment with greater chance of PIH. Pigmentary changes are the main reason of unsaticfactory patients, when using laser and IPL in Asian, if PIH come after treatment, they are more concerned about pigmentary changes due to treatment than the initial lesion as PIH is more obvious. Treatment of melasma with Laser and IPL is difficult, but by using proper combination of creams, sun protection and avoidance, lasers and IPL with fine tuning of the energy setting, can ensure good result. Key words: Asian skin, homogenous, Latitude, laser, target melanin, less selective, darker skin, pigmentary changes, melanocyte, vulnerable, unsatisfactory patients, combination, fine tuning. 179

182 Room 105_April 7, Sunday Session 6. Skin & Laser Ⅱ Application of Erbium Laser in treatment of Superficial scar 얕은흉터치료를위한 Erbium Laser 의적용 铒像素激光在浅表性瘢痕中的应用 HuYalan, Zhao Peng, Li Qian, Wang Shuixia, Jia Liyuan,Qi li, Du huiqing Department of Plastic Surgery, The 260th Hospital, Shijiazhuang, China Objective To study the clinically curative effect of erbium laser on the treatment of superficial scar. Methods Using an erbium laser, 56 cases with superficial scar were treated for 5 times, a course of treatment, with a month interval. Minimum of 3-year-old, the largest of 58-year-old; position: 26 cases of face, 15 cases of neck, 10 cases of trunk and 5 cases of limbs. The area partitioning and parameter choose were made ahead of treatment. Pulse width: cheunt; energy density: 900~1100 mj/p. Results The treatment of immediate appear white point, 1~2 minutes sensation,10-20 minutes were red and swollen, 2 days they dry,5-10 days took off a scab.all followed up for 6months, all were satisfied with smooth scar, weakened pigment and improved texture. Conclusion The application of erbium laser is a good method for repairing superficial scar effectively with these advantages, like a laser beam on each small organization is a minimally invasive, can be effectively start regeneration of the organization as a result of trauma such as tiny invasion, non-scar, noninfections and non-pigmentation. Along with the increase of number of treatment, the repair of scar surface epithelium more perfect, the effect is more signficant. 摘要 目的探讨铒像素激光在浅表性瘢痕治疗中的临床疗效 方法对 56 例浅表性瘢痕患者采用铒像素激光进行治疗, 最小 3 岁, 最大 58 岁, 面部 26 例, 颈部 15 例, 躯干 10 例, 四肢 5 例 每疗程 5 次, 每次治疗间隔 1 个月, 每次治疗时先划区域, 选择治疗参数, 脉宽 : 长 ; 能量密度 :900~1100mJ/P, 治疗区域内定量连续发射 5~10 个脉冲激光照射 结果治疗即刻出现小白点,1~2 分钟出现灼热感,10~20 分钟红肿,2 天结痂,5~10 天脱痂 本组患者治疗 3~8 次, 随访 6 个月, 瘢痕平复, 色素变浅, 质地改善, 均取得满意的效果 结论采用像素激光治疗浅表性瘢痕, 每一微小光束对组织都有一个微创伤, 能有效地启动组织的再生修复功能, 创伤小, 无瘢痕 感染及色素沉着等并发症发生 随着治疗次数的增加, 瘢痕表面上皮修复更完善, 效果更显著 180

183 Room 105_April 7, Sunday Session 6. Skin & Laser Ⅱ Non-surgical treatment of essential hyperhidrosis 다한증의비수술적치료 多汗症的非手术治疗 Jeon, Cheol Woo, MD Evita Clinic, Seoul, Korea Patients with mild to moderate oversweating symptoms are usually the best candidates for non-surgical treatment options. Most of these treatments focus on controlling the symptoms of hyperhidrosis. This Non-Surgical Treatment is variable and recommend stepwise treatment by algorithm. Topical Medication, Oral Medications, Iontophoresis, Botulinum Toxin Injection I will explain variable Non-Surgical Treatment and show video demonstration of botulinum toxin injection. 181

184 Room 105_April 7, Sunday Session 6. Skin & Laser Ⅱ Basic theory of nonbarbed absorbable suture network tightening and lifting 비흡수가시실의네트워크타이트닝과리프팅효과에대한기초이론. 有关非吸收刺线的网状紧致提升效果之基础理论 Yoon, Jung Hyun, MD Yonsei Fam s Clinic, Seoul, Korea 182 Background From an aesthetic point of view, the progression of aging skin diminishes the elasticity of skin and the subcutaneous fat tissues begin to relocate themselves. In order to overcome aging skin, various tightening and lifting treatments are being introduced. Of those treatments, the treatment that takes the shortest amount of time with the shortest recovery process, as well as producing the most effective results, is cog thread lifting. But it uses suture made of polypropylene, which the human body cannot absorb so when it is left, the risk of underestimating adverse reactions to the treatment is high. In the beginning of 2011, the country introduced and began to use Polydioxanone, an elasticity lifting treatment that utilizes a self-dissolving absorbable suture, and it has thus far been met with satisfying results. However, after the absorbable thread treatment is completed, it is not definitively unclear as to why the complexion brightens and skin elasticity is maintained but the facial outline gets smaller. Objectives Polydioxanone: When an absorbable suture is inserted, we aim to observe what significant changes occur around the area where tightening and lifting materializes. The revival of the skin as well as the subcutaneous tissue cell activity is influenced by mechanotransduction, namely the cell signal message that occurs after the physical stimulus of the suture. To survey and measure this cell signal message, we will use the growth factor as a guide. Material and Methods We selected and used 4 White Yucatan variety pygmy pigs with skin that most closely resembles the structure of human skin. In order to incur the most minimal error in animal experimentation, a sterile breeding and experimental environment was used to house the animals.

185 4-0 Polydioxanone was inserted into the subcutaneous fat, the derm (thick skin), and the muscle. The method used a device that automatically rotates the needle during the time between the previous extraction and the next insertion. This particular device rotated the needle 10 times. 4 weeks after the experiment and progression of the polymer, we took one pig, resuscitated it, and recorded the skin and muscle construction. To administer the growth factor hormone, we cut out a small section above the central area where the thread was inserted and froze it in a negative 40-degrees-below-zero nitrogen tank. The leftover solution was fixed and composed into formalin. H&E dye, Anti SMA immunological system dye used to observe myofibroblast, and Masson Trichrome immunological system dye used to observe collagen were used. The growth factor surveyed and observed EGF, FGF, TGF-B, IGF, VEGF. Results In the H&E dye sample, the surrounding areas where the suture insertion occurred saw PMN cells (that began with Eosinophil) gather and make granulation tissue while the area that made granulation tissue began to see disappearing of fat/adipose cells. The granulation tissue inside the Masson Trichrome s immunological system dye, used to see collagen cellulose, made brand new collagen cellulose as indicated and observed by the abundant amount of color-changing blue and the existing fibrous connective tissue coagulated and was observed as a merging effect. Myofibroblast, which is closely correlated with the constriction of a healing cut, was observed with Anti-SMA immunological dye, which turned into a bright red hue and therefore determined to be present. The results compared between the group that was administered the Growth factor and the control group showed that EGF was 300 times more, FGF was 350 times more, IGF was 400 times more, TGF-B was 150 times more, and VEGF was 1000 times more. Conclusion When Polydioxanone absorbable suture is inserted, the construction of the body form granulation tissue in that same area and make an abundance of new collagen. Furthermore, we were able to discover and confirm the opinion that the area of the suture saw disappearance of fat/adipose cells. Also, myofibroblasts, closely related to the constriction of a healing cut, were observed in large numbers and the growth factor, compared to the control group, showed that it had a minimum of 150 times or more of a multiplied amount. In conclusion, if the suture is inserted, that same area of insertion will see a formation of granulation tissue, and the growth factor will increase as new collagen cellulose and myofibroblast generates and subcutaneous fat cells diminishes. With these results, skin tone becomes brighter, elasticity is maintained meaning tightening has been commenced, and a change in the facial contour/outline occurs. 183

186 Exhibition Company List Company Name Tel Fax Product A.P Medical Surgical Instrument, Cannula Amjeong Medics Breat Implant API Surgical Instrument APRO KOREA RF-R5000 AstaReal Co., Ltd Natural Astaxanthin Bistool Facial Silicone Implant Coloplast Korea Biatain Daejoo Int l Co., Ltd Stelm Cell Cosmtectics DAEYEON MEDICAL Surgical suture, Blade,Suture needle Danil SMC.Co.Ltd icare, Reandne, Tri-M, RF liner Dongjin International PAD System, 20S System MB Trading Dr-Kim Head Lamp, Loupes Gabon World.Inc Medcial Books Grant F Ones Korea Body Make Foundation, Cosmetics Hbco U-VL, U니, RF Dissector Hifeell Korea Haifeel Hugelpharma Tess Lift, Princess Filler, Volume Huyoungmedi Polytech Breast Implant Jack Yu Hair Extraction Tool jeisys medical INTRAcel, TRI-BEAM, Cellec Jeong Woo Medical Book Medcial Books Johnson & Johnson MedicalCompanies-Mentor Mentor JOYMG Affinite JW Phamaceutical Ellanse KCC Korean College of Cosmetic Surgery KL Global Auriderm XO cream La Belle Vie Co., Ltd Hair mineral analysis, Salivary Oxidation/Reduction Potential Monitoring Meter Lead M Hair Transplantation Instrumen 184

187 Exhibition Company List Company Name Tel Fax Product LG Life Science Ltd YVOIRE LitePharm Tech Co., Ltd Anti-Oxidant Injection MDI Medical Loupe, Ellman, Headlight Medicalland Korea Cannula, Liposuction System & Instrument, Surgical Instrument Meditech Co. Ltd Surgical Laser MEGEN Pureform, Surgiform, Hexaplast Mira Corp Smart PReP 2 N Finders RE, PDO thread NBC International Japan [Beam on] [Beam on Body] [Beam on Twin] Oracle dermatology Clinic Dermatology Regenbogen Holdings Omega Lifting SJ aloe Cosmetics Stryker Drill, Endoscope Sunghwan E&B VIVACE Wales Korea Pharm Co., SM Cream 30g, 500g, 20g Ltd. YB Medical cannula, Surgical Instruments YCELL BIO MEDICAL PRP Kit 185

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189 Memo 187

190 초록집 2013 아시아국제미용의학포럼제1회아시아안티에이징 재생의학학술대회한국미용외과의학회춘계학술대회 Congress Book 2013 International Meeting of Asia Forum for Aesthetic Surgery & Medicine[AFAS] The 1st Congress of Asia Anti-Aging & Regenerative Medicine Korea Academy of Aesthetic Surgery & Medicine[KAAS] Date: April 6-7, 2013 Venue: COEX Grand Ballroom(1F), Seoul, Korea 2013년 4월발행발행인 : 임종학 (Lim Jonghak) 편집인 : 정광섭 (Jung Kwangseup) 발행처 : 한국미용외과의학회 Korea Academy of Aesthetic Surgery & Medicine[KAAS] Tel: Fax: kaaskorea@daum.net Website: ( 우편번호 ) 서울시강남구테헤란로 88 길 10, 206 호 ( 대치동, 신안메트로칸 ) Office address: (Postal code ) No. 206 (Daechi-dong, ShinAn MetroKhan) 10 Teheranro 88-gil, Gangnam-gu, Seoul, Korea < 비매품 > 188

191 Up-coming Congress 2014 International Meeting of Asia Forum for Aesthetic Surgery & Medicine The 3rd Congress of Asia Anti-Aging & Regenerative Medicine Korea Academy of Aesthetic Surgery & Medicine Date: March 29-30, 2014 Venue: COEX Grand Ballroom(1F), Seoul, Korea Invitation We would like to welcome you all to attend our 2014 International Meeting of Asia forum for Aesthetic Surgery & Medicine[AFAS], the 3rd Congress of Asia Anti-Aging & Regenerative Medicine and Korea Academy of Aesthetic Surgery & Medicine[KAAS] held in Seoul, Korea on March 29-30, This conference is an academic festival to give all of participants an opportunity to share new technology, knowledge and information in the field of aesthetic surgery and medicine as well as to enhance friendship. We would like to invite you to the festival where you can feel to the fullest the spring of Seoul in harmony of antique ancient palaces and parks, and nice buildings. Thank you. Call for abstracts 1) The presentation topics should be related to aesthetic surgery, aesthetic medicine and etc. 2) an abstract in English to KAAS secretariat 3) The abstract includes title of presentation, author, institution, address, address, telephone & fax number, mobile phone number, abstract text(limited to 500 words), attaching the presenter s photo. 4) The abstract submission deadline is on December 26, ) Official languages are Korean, English and Chinese. *There will be simultaneous interpretation in Korean, English and Chinese. 6) The time allotted to a free scientific paper is 20 minutes including 5 minutes of questions and answers. 5. Registration 1) the registration form including your name, institution, address, phone & fax number, address, name of your accompanying persons if you have ones. 2) Registration fee Early bird, before February 14, 2014 On/After February 14 and on site in cash Doctor KRW150,000 KRW200,000 Accompanying person KRW100,000 KRW120,000 3) Registration fee includes participation in the scientific sessions, Exhibition, lunch, coffee break and welcome party. 4) If you completed registration by or fax before February 15, you can pay early-bird registration fee on site. Secretariat Tel: , Fax: HYPERLINK mailto:kaaskorea@daum.net kaaskorea@daum.net Website: kaas.ne.kr Address: (Postal code ) No. 206 (Daechi-dong, ShinAn MetroKhan) 10 Teheranro 88-gil, Gangnam-gu, Seoul, Korea 191

192 The Original, Reliable and Safe Anytime Anywhere Reliable HA material approved by European Directorate for the Quality of Medicines and its drug master file is submitted to US FDA. and have 0.3% lidocaine which relieve pain during procedure. Optimal package for ease of use with unique syringe design and Terumo thin-wall needles tekim@lgls.com