Day 2 :
Southern Illinois University School of Medicine, USA
Time : 10:00-10:40
Adolfo Napolez M.D. graduated from Southern Illinois University School of Medicine followed by a General Surgery Residency at West Penn Hospital in Pittsburgh, Pennsylvania, and followed that up with a Burn Surgery Chief Residency at Cook County Hospital in Chicago, Illinois and finally a two year Fellowship in General Cosmetic Surgery, highlighting Asian Cosmetic Surgery. He is a member of the American Academy of Cosmetic Surgery, American Society of Cosmetic Breast Surgery, as well as a member of the California Academy of Cosmetic Surgery. Dr. Napolez has published articles in 5 different Medical Journals, as well as a chapter Author in a textbook on Asian Facial Cosmetic Surgery. He has twice been selected as one of America’s Top Surgeons in Cosmetic Surgery, as well as a Top Doctor in Plastic Surgery Practice Magazine.
The double eyelid procedure is one that is potentially fraught with unfavorable results as well as numerous complications due to the fact it is a procedure based predominantly on symmetry, precision and tissue characteristics with errors measured in millimeters. Coupled with significant expectations often times unrealistic from the patient’s perspective. Who may routinely view a normal, expected outcome as an unfavorable result. Potentially unfavorable results can range from crease size dissatisfaction, relapse to a single eyelid, asymmetry, multiple creases as well as high or thick fold. Whereas, possible complications can range from ectropion, ptosis, ocular injury, hypertrophic scarring, milia as well as suture granuloma. There is probably no other facial cosmetic surgical procedure that is more dependent on exactness and precision, coupled with patient expectations and visibility then the double eyelid operation.
Dr. Ruemmelein AG - House Of Skin & Laser Medicine, Switzerland
After completing my residency as a dermatologist and allergologist at the University Hospital Hamburg-Eppendorf, Germany, with internships at Stanford University, Palo Alto and the Mayo Clinic, Rochester, USA, I worked two years in a large group practice in Frankfurt. From 1998 to 2008 I run my own private practice near Frankfurt. After moving to Switzerland, I worked at the University Hospital Zurich for 8 years, where I directed the clinic for Aesthetic Dermatology and Laser Medicine for 3 years. Since April 2014, I dedicated myself exclusively to the work in my own clinic. I am licensed for laser treatments and accredited by the Laser Commission as a training center. Aesthetic and laser medicine have become my main topics in recent years. My clinic offers the full range of state-to-the-art laser devices that are used in dermatology. As President of the Swiss Society for Medical Laser Applications (SGML) I take responsibility for the Swiss Laser Congress.
Improving the final results of tattoo removalIntroduction: Tattoo removal with q-switched laser systems, recently with picosecond lasers, has become daily business in laser clinics. The more we do the more we become aware of problems. The mayor problem is to achieve the complete removal with no residual scarring. While patients five years ago asked for the number of sessions needed, now they ask for the risk of scarring and incomplete removal. The aim of this case study is to evaluate a new standard procedure for tattoo removal treatment.
Material and Methods: We treated 20 patients between 10/2013 and 10/2015 with mono coloured black tattoos of different size. The treatment was always performed in the same way:
1. After application of an anaesthetic ointment the tattoo is treated with a q-switched NeoDym YAG laser biggest possible spot and lowest energy that leads to whitening of the colour. In our system this is mainly 8mm spot, 1.6 J initially. The dosage is adjusted each session up to the reaction of the colour.
2. During the treatment and after the treatment the tattoo area is cooled with air cooling.
3. 15-20min after the first treatment a second treatment is performed with slightly higher energy.
4. Directly afterwards the whole tattoo field is treated with an ablative CO2 fractionated laser 120 micrometre spots, 30watts,
40mJ, medium density.
5. After the treatment we apply a bandage with hyaluronic acid ointment what is continued by the patient for one week.
6. Week 2-8 the patient applies a scar ointment.
7. The next treatment is performed after 8 weeks.
Results: During this period, we finished up 18 out of 20 patients. The treatments were tolerated very well. There were no cases of infection, blistering or prolonged healing period. The results were excellent: 16 patients had total clearance of the tattoo without
scarring, 2 patients had less than 10% residual colour.