Dermatology and Aesthetic Congress - July 23-24, 2018 Kuala Lumpur, Malaysia 20th World - OMICS International
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JULY 2018 | Volume 9 | ISSN: 2155-9554
Journal of Clinical & Experimental Dermatology Research
1858th Conference
Proceedings of
20th World
Dermatology
and Aesthetic
Congress
July 23-24, 2018 Kuala Lumpur, Malaysia
conferenceseries.com
1858th Conference
20th World Dermatology
and Aesthetic Congress
July 23-24, 2018 Kuala Lumpur, Malaysia
Keynote Forum (Day 1)
Page 21
Ramamurthy, J Clin Exp Dermatol Res 2018, Volume 9
conferenceseries.com DOI: 10.4172/2155-9554-C3-073
20th World Dermatology and
Aesthetic Congress
July 23-24, 2018 Kuala Lumpur, Malaysia
Ramamurthy
Aesthetic Academy Asia, Malaysia
Pain management in aesthetic medicine
M anaging pain in aesthetic medicine takes a different leap when compared to general medicine or surgery, where some
level of pain or discomfort has already set in. Pain in an aesthetic medical procedure is multifactorial; it depends on
the type of procedure (botulinum toxin, fillers, threads, lasers, radiofrequency, infrared and chemical peel), site of treatment
(face, body, bony area and hairy area), type of pain–nociceptive, neuropathic or inflammatory and patient’s threshold to
pain. To some, the psychological pain of what may go wrong can be more than the physical pain caused by the procedure.
There is also the proportion of pain to skin color in laser related procedures. It is well known that anxiety and fear also play
an important role in aesthetic procedures. Managing pain is just as much about managing expectations and it starts during
consultation. Giving an insight to the pain and describing the sensation helps to prepare the patient. A holistic approach
will be to provide a soothing ambience, clinical hypnotherapy and engaging all the senses - sight, hearing, smell, taste and
touch, which are proven adjuvants in minimizing pain. Thereafter, simple and easily available approach will be to use ice
cubes, cold sprays, ice gels, topical anesthetic cream, etc. Pharmacological pain relief can be classified into non-sedative and
sedative options, with proper monitoring and emergency facilities required for the later. With so many options available,
the physician’s suggestion for pain management must be discussed with the patients and must not be carried out without
their consent. Additionally, the choice of pain management must not interfere with the treatment outcome, such as using
sedation when the patient’s input is important during augmentation procedure. Other options include regional blocks, field
blocks, use of tumescent and the correct concoction. Every physician will use his / her favorite formula. Pain management
agent for Lasers will be different compared to pain management in injectables. We reviewed over 250 journals in aesthetic
medicine which has some suggestion in pain management and narrowed it down to 10 best pain management practices,
for selected procedures. The objective for today’s aesthetic professionals must be to minimize the fear of pain, as well
as effectively reducing the physical pain that ensues. With so many techniques and pain relief formulations available in
aesthetics, the old saying, ‘No pain, No gain’ should not have a place in aesthetic clinics. The best practitioners need to keep
their pain management protocol under review, operate a feedback system with patients, learn from individual experiences
and adapt to tailor future pain management strategies.
Biography
Ramamurthy has completed his Medical studies in India in year 1996 and has pursued his Diploma in Dermatology (Cardiff - 2000), Fellowship in Laser Surgery
(Bangkok - 2002) and Certification in Pain Management (Paris - 2003). After being appointed as the Vice President of Association of International Certified
Aestheticians in 2012, he was awarded the Letter of Credentialing and Privileging (Aesthetic Medicine) from the Ministry of Health in 2013 and currently Heads the
Asia Academy of Aesthetic Medicine. He has been lecturing in several universities in Malaysia. He is also the key Opinion Leader for several renowned aesthetic
pharmaceuticals companies.
dr@aestheticacademy.asia
Journal of Clinical & Experimental Dermatology Research Aesthetic Meeting 2018 Volume 9
July 23-24, 2018
Page 22
Kong Chee Kwan, J Clin Exp Dermatol Res 2018, Volume 9
conferenceseries.com DOI: 10.4172/2155-9554-C3-073
20th World Dermatology and
Aesthetic Congress
July 23-24, 2018 Kuala Lumpur, Malaysia
Kong Chee Kwan
University of Malaya, Malaysia
Essentials of facial local flaps in respecting aesthetic units when reconstructing skin lesions
T he principle of facial aesthetic units is essential in designing local flaps for facial coverage. Local flaps are routinely
done for skin lesions that are too big to be closed primarily. The ideal local flap for reconstruction is the one that can
be designed within the same aesthetic unit as that containing the lesion. Scars are best concealed by placing incisions along
aesthetic margins. When a defect involves two or more aesthetic units, it is better to compartmentalize the reconstruction.
Each skin flaps are planned to reconstruct the separate components of the defect that are located within separate aesthetic
units. This may provide similarity of skin quality but, more essentially, places scars in the aesthetic margins. It is often
beneficial to extend the primary defect by increasing the defect to an aesthetic margin or even to extend the defect to occupy
an entire aesthetic unit. Reconstruction of the defect with a local flap will then position a border of the flap in an aesthetic
unit for improved scar concealment. Several case studies will be presented with this idea in mind.
Biography
Kong Chee Kwan has served as a General Surgeon at the Ministry of Health Hospitals before underwent sub-specialist training and board certified as a Plastic
and Reconstructive Surgeon. Consequently, University of Malaya appointed him as a Senior Lecturer and Clinical Specialist in the Department of Surgery. He has
trained many general surgeons as well as plastic surgeons in the country. He has published numerous papers in reputed journals and has been serving as an
Editorial Board Member of Medical Journal of Malaysia.
kcheekwan@um.edu.my
Notes:
Journal of Clinical & Experimental Dermatology Research Aesthetic Meeting 2018 Volume 9
July 23-24, 2018
Page 23conferenceseries.com
1858th Conference
20th World Dermatology
and Aesthetic Congress
July 23-24, 2018 Kuala Lumpur, Malaysia
Keynote Forum (Day 2)
Page 35Ananda A Dorai, J Clin Exp Dermatol Res 2018, Volume 9
conferenceseries.com DOI: 10.4172/2155-9554-C3-073
20th World Dermatology and
Aesthetic Congress
July 23-24, 2018 Kuala Lumpur, Malaysia
Ananda A Dorai
Plastic Surgeon, Malaysia
Lipoabdominoplasty: A safe and effective technique
L ipoabdominoplasty is a technique which combines liposuction with abdominoplasty in a single operation. It is a safe
and effective technique which delivers excellent aesthetic results. Lipoabdominoplasty has minimal morbidity and offers
excellent patient satisfaction. A retrospective study was conducted from January 2015 to March 2018 (39 months) on all
lipoabdominoplasty cases. A total of 26 cases were identified. There were 21 (80.7%) female and 5 (19.2%) male patients.
Mean age was 40.38 years with a range from 19-64 years. Mean Body Mass Index (BMI) was 28.7 (range from 21.5-38.9).
Mean volume of fat aspirated was 1451.9 cc (range 100-3950 cc). A total of 5 (19.2%) cases had seroma post operatively
which was treated conservatively by aspiration. Three cases of seroma had BMI of more than 35. There was no seroma in any
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