Asia-Pacific Dermatology and Cosmetology Conference August 16-17, 2018 Tokyo, Japan

Biography:

Dr. Jaime S. Schwartz MD, FACS, is a board-certified plastic surgeon, a member of the American Society of Plastic Surgeons, and a diplomate of the American Board of Plastic Surgery. He is widely known for fixing some of the most complex breast surgery problems in the industry and is considered the surgeon that other plastic surgeons turn to for education on aesthetic and reconstructive surgery. After completing his 6-year plastic and reconstructive surgery residency at Georgetown University Hospital, he was given a fellowship in advanced breast and body aesthetics at the internationally renowned Cleveland Clinic, where he held an appointment as a clinical instructor. Some of Dr. Schwartz’s accomplishments include developing U.S. National Guidelines for breast surgeries and creating the LipoLift® procedure (featured on The Doctors TV show).

Abstract:

Dr. Schwartz created the LipoLift® breast procedure to provide patients with a safer, less-invasive, breast lift and reduction option. As the pioneer of the LipoLift® technique, Dr. Schwartz has given lectures across the United States and even appeared on television programs like The Doctors TV show to discuss this revolutionary procedure.

Similar to a traditional breast reduction, the LipoLift® can make the breasts smaller, but it differs in its ability to leave more of the natural blood and nerve supply intact. The LipoLift® procedure uses liposuction of the lower and outer portions of the breasts, eliminating the parts of the breast that most women are dissatisfied with—the sides and bottom—while preserving upper-pole fullness. This technique allows Dr. Schwartz to blend and remove axillary and lateral tissue while at the same time effectively moving tissue from the bottom to the top, which makes the breasts more attractive.

LipoLift® is minimally invasive, p andatients typically don’t lose any nipple sensitivity with LipoLift®, and most state that they even have hypersensitivity of the nipples following surgery. LipoLift® is ideal for improving breast symmetry, as the technique provides far greater precision than other breast techniques, which allows Dr. Schwartz to make subtle changes that dramatically impact the appearance of the breasts.  This advanced technique is less invasive, safer if someone needs a revision breast reduction, and just as effective as other breast lift and reduction techniques.

Biography:

Dr. Clemens Esche is a board-certified dermatologist who graduated from The Johns Hopkins dermatology program and held faculty appointments at the University of Pittsburgh, the Mayo Clinic and at The Johns Hopkins University.

Dr. Esche has received more than 10 academic awards for his pioneering research and has authored more than 70 publications. He is a thought after keynote speaker and will deliver keynotes at the 2nd Euro-Global Congress on Melanoma and Skin Diseases on August 31th, 2017, in London, UK, and at the 13th International Conference and Exhibition on Cosmetic Dermatology & Hair Care on October 26th, 2017, in Paris, France.

Dr. Esche was recognized with the Patient’s Choice Award in 2013 and became the National Winner of the Doctor’s Choice Award in 2014 and again in 2015. Dr. Esche has been featured in Marquis’ Who’s Who in Medicine and Healthcare and in Marquis’ Who’s Who in America. He serves on the Editorial Board of the Journal of Surgical Dermatology and of the Journal of Procedural Dermatology.

Dr. Esche treats adult, pediatric and cosmetic patients and specializes in minimally invasive cosmetic procedures with little to zero downtime. Dr. Esche takes a holistic approach to improve the overall appearance as opposed to just focusing on certain lines and wrinkles. Convinced that ‘less is more’ Dr. Esche strives to achieve the most natural result possible.

Abstract:

Inflammation is the single greatest reason for acne scar development. Consequently, the extent of scarring is associated with acne severity and delay in treatment. Each scar is different and therefore requires a customized approach.

Acne scars are currently classified into 3 different types: 

(i) atrophic, (ii) hypertrophic and (iii) keloidal

A net destruction of collagen in the dermis results in atrophic nscarring. It can be further classified as ice-pick (narrow and deep, 60%), boxcar (1.5-4 mm wide, 25%) or rolling (15%). Less commonly, there is a net gain of collagen that results in hypertrophic or keloidal scars.

Ice-pick (deep pit) scars are frequently the most severe, and, unfortunately, represent around 2/3 of cases. 

Fraxel or CO2 laser treatment have been considered the gold standard until recently . However, fractional radiofrequency and also the Chemical Reconstruction of Skin Scars (CROSS) technique tend to be superior to even the most advanced fractional laser for the treatment of ice pick and deep scarring. They also tend to work well for boxcar and deep rolling scars. Four treatments at monthly intervals will serve many patients well. 

An added benefit is the shorter recovery time compared with Fraxel laser. TCA CROSS involves a high-strength TCA peel (50-100%) applied to the base of the scar to ablate the epithelial wall and to promote dermal remodeling. The degree of clinical improvement is proportional to the number of sessions.

Hypertrophic and keloidal scars can be injected with corticosteroids, 5-fluorouracil, bleomycin or verapamil. Alternatives include silicone dressings and cryotherapy. Freezing from within with cryoshape is advocated periodically.

Numerous 2017 publications challenge the cosmetic procedural delay following oral isotretinoin therapy. An algorithmic approach summarizes the updated recommendations.