Scientific Program

Conference Series Ltd invites all the participants across the globe to attend 23 rd Asia-Pacific Dermatology Conference Osaka, Japan.

Day 2 :

Keynote Forum

Tingsong Lim

Clique Clinic, Malaysia

Keynote: Injectology: bringing fillers rheology into clinic settings
OMICS International Dermatology Conference 2017 International Conference Keynote Speaker Tingsong Lim photo
Biography:

Dr Tingsong Lim Medical Director of Clique Clinic Dr Tingsong Lim has actively involved in many academic research and training in Asian facial and body aesthetics, clinical application of fillers’ rheology, facial overfilled syndrome, pigmentary disorders, laser medicine and regenerative medicine. Graduated from Tohoku University School of Medicine under the Monbusho Scholarship, Dr Lim speaks 4 languages (English, Mandarin, Malay, Japanese) fluently, and has been a frequent speaker and trainer regionally and internationally. Medical Director of Clique Clinic, Dr Lim has a private practice in Kuala Lumpur, Malaysia

Abstract:

Replenishing volume to attain a more youthful appearance has been the forefront of aesthetic medicine. Facial fillers and biostimulators to restore facial volume and contour appeals to a broad spectrum of patients, from those seeking minimal cosmetic enhancement to those seeking an effective alternative to facial surgery. As such, facial filler injections are now the most commonly performed cosmetic procedures in the Southeast Asian region. We explore the different fillers and biostimulators, their uses and the possible ways to create great artwork. With a solid understanding of the products, appropriate filler selection, prudent patient selection and proper injection techniques, facial sculpting using multiple fillers can be both interesting and satisfying. Several different fillers are categorized according to their rheology and determine the placement of the fillers according to their behaviors. Also, several different techniques are introduced to restore the structure of the deep tissues, giving supports to the retaining ligaments, SMAS complex and facial muscle support. Understanding the rheology of fillers enables injectors to create predictable and reproducible results. This is important for injectors not only getting better patient's satisfaction, but also prevents distorted faces and overfilled syndrome in the long run. Injectology is not only confined to techniques and safety of injection. Understanding the functional anatomy, deep structures and layers, danger zones and rheology of the fillers are equally important to excel in the art of fillers face sculpting these days.

 

  • New Techniques in Dermatology, Surgical Dermatology, Dermatological Disease
Location: Osaka, Japan
Speaker
Biography:

Zahra Ayu Lukita Sari has completed her Medical degree from Sriwijaya University, School of Medicine. Presently, she is a student in Dermatology & Venereology, Sriwijaya University School of Medicine.

Abstract:

Keloid is benign hyperplasia of dermal collagen which may or may not be preceded by injury in susceptible person. Keloids are refractory to treatment most of the times. Intralesional corticosteroid, topical retinoic acid, topical imiquimod cream, surgery, cryotherapy, laser and silicon sheeting are mainly used for treatment. Fractional ablative laser is a new laser treatment modality that create numerous microscopic thermal injury zone controlled width, depth and density that are surrounded by a reservoir of spared epidermal and dermal tissue, allowing of rapid repair of laser-induced thermal injury. Multiple studies demonstrate that laser pretreatment of the skin can increase the permeability and depth of penetration of topical drug molecule. Laser assisted drug delivery is an evolving technology with potentially broad clinical application. Ablative fractional laser treatment creates vertical channels that might assist the delivery of drug into skin. Combination same-session therapy with ablative fractional laser and triamcinolone acetonide offers a good combination caused assisted delivery of drug. We reported a case of keloid in child who previously had burn wound in his left arm, 14 months ago. The lesion improved in reduction of keloid size and Vancouver Scar Scale (VSS) after therapy with fractional ablative laser followed by triamcinolone acetonide application. Fractional ablative laser mediates the delivery of drugs through the microthermal zone. In this particular case, fractional ablative laser followed by triamcinolone acetonide application is well tolerated with no apparent side effects. Further studies are needed to determine the drug delivery efficacy in fractional ablative laser therapy.

Speaker
Biography:

Abstract:

Fordyce spots are heterotopic sebaceous glands that can be located at the lip’s vermilion border or the oral mucosa. Fordyce is also known as Fordyce granules or Fordyce glands, completely normal variant, harmless and painless. They occur in 70-80% adults. Clinically, Fordyce spot presents a tiny, white or yellowish and focally grouped papule. Since Fordyce spots are normal variation of anatomy, no treatment indicated but many patients with Fordyce spots have emotional stress. So far, a variety of therapeutic procedures have been reported with varying success and recurrence rate. A 29th years old male patient presented with complaints of multiple, confluents, whitish spots in the vermillion border of his lips. Dermatological examination showed multiple pin head sized, whitish to yellowish papules on the vermillion border of upper and lower lips, yellowish bunch-like lobules on dermoscopic examination. Histopathological examination results revealed Fordyce granules at labial region and there is no sign of malignancy. We offered an electrocautery for this case to minimize bleeding. Treatment of Fordyce spots can easily performed with electrocautery with good improvement and minimal side effects. After 2 weeks treatment, complete re-epithelization and no residual Fordyce spot in the treated area was observed. There is no side effect found and dermoscopic examination showed less of yellowish bunch-like lobules.

 

Speaker
Biography:

Dr Tingsong Lim Medical Director of Clique Clinic Dr Tingsong Lim has actively involved in many academic research and training in Asian facial and body aesthetics, clinical application of fillers’ rheology, facial overfilled syndrome, pigmentary disorders, laser medicine and regenerative medicine. Graduated from Tohoku University School of Medicine under the Monbusho Scholarship, Dr Lim speaks 4 languages (English, Mandarin, Malay, Japanese) fluently, and has been a frequent speaker and trainer regionally and internationally. Medical Director of Clique Clinic, Dr Lim has a private practice in Kuala Lumpur, Malaysia

Abstract:

Tear trough is the groove or valley that begins at the inner corner of the eyes, and travels down across the cheek. Together with nasojugal groove, they are often blamed for periorbital tiredness and aged appearance. However, treating tear trough with hyaluronic acid fillers is very challenging and could lead to distortion of the normal facial contour. Anatomical structure of the tear trough and nasojugal groove is being explored. Structural changes of the infra-orbital area with aging were studied and postulated. Patients previously had fillers done at the tear trough were given hyaluronidase at the tear trough. The pre- and post-treatment photos where shown to randomly selected strangers. Scores were given based on attractiveness and normality of the face. Tear trough together with nasojugal groove are both normal anatomical structure of the face. Survey showed that most examiners preferred the photos of those without fillers in their tear troughs. Treatments of tear trough with fillers could end up in alteration of facial topography. In fact, it would not improve the appearance of an aging face. The necessity of tear trough treatment might need to be reconsidered.

Alireza Nasoori

Hokkaido University, Japan

Title: Maggot therapy for wound healing
Speaker
Biography:

Alireza Nasoori is currently a PhD candidate at Hokkaido University, Japan with background on integrative medicine, tissue regeneration and wound treatment by maggot therapy.

Abstract:

Maggot therapy has proved its efficacy for treating wounds. Debridement of the wound bed is crucial for wound healing and also for preparing the wound bed before grafting. Here, we present a rapid and efficient debridement of an extensive electrical wound by the use of Lucilia sericata larvae. After about 4 times of maggot therapy, the patient could successfully receive skin autograft. For this study, we applied the larvae that were reared and disinfected in the lab. Provision of the facilities to maintain suitable conditions (such as appropriate humidity and temperature) is influential for obtaining good results from maggot therapy for wound healing.

Speaker
Biography:

Yulia Farida Yahya has completed her PhD from Airlangga University and her specialization from Hasanuddin University School of Medicine. Presently, she is the Head of Program Dermatology & Venereology in Medical Faculty of Sriwijaya University. She has published 14 papers in local and international journals of repute.

Abstract:

Acral lentiginous melanoma (ALM) is an uncommon cutaneous malignant tumor which may arise on the toe-nail and occur commonly in age 60-70 years old. ALM is a very rare disease in Asian countries, especially Indonesia and it is potentially lethal probably due to late detection. We reported a rare case in 14 years old girl with ALM, the chief complaint are hyperpigmented, thickness of 0.2 cm plaque with raised edge, irregular surface, overlying crust around lateral of left thumb nail 2×1.5 cm and black patches on nail plate 0.2×0.4 cm. The lesion is itchy sometimes, painful when stroked and odorless discharge. Past history revealed it has appeared around 6 years ago as a very small hyperpigmented papule and enlarging since 6 month ago, lymph node involvement was absent, no history of any trauma prior to the appearance of the lesion. After her first visit to our outpatient clinic, she never came again for control. A year later, she has discovered it is a malignant tumor after the tumor was amputated followed by biopsy from excised tumor by a surgeon in another hospital. Pathologic examination result was a suggestive malignant melanoma. Three months ago, she was admitted in internal inpatient ward of Mohammad Hoesin General Hospital Palembang with abdominal malignant lymphoma and treated with chemotherapy and after undergo 5 times of chemotherapy, she has passed away. In this case, due to delayed diagnosis of ALM can lead to worse prognosis, indicated the importance of earlier diagnostic, management, strict observation and routine follow-up after excision.