World Congress on
Dermatology and Dermatologists

Biography:

Dr Ungku Mohd Shahrin B Ungku Mohd Zaman is a fully registered Medical Doctor with Malaysia Medical Council ( MMC ) in 1996, and started to focus on Aesthetic Medical Practice treatment in 2003.

He went to several countries to pursue his training and knowledge in Aesthetic Medical Practice such as USA, Italy, Bulgaria, France and Korea as Aesthetic Medicine is not really being practiced in Malaysia at that time.

He earns his Fellowship from the American Academy of Restoration & Aesthetic Medicine ( AARAM / USA ) in year 2006. He is active in giving presentation and training to doctors locally and internationally especially in Aesthetic Medical Practice topics.He was being appointed by Ministry of Health, Malaysia to be one of the members in Aesthetic Medical Practice committee in preparing the new Aesthetic Medical Practice Guidelines for Medical doctor in Malaysia.He practices Aesthetic Medicine at Laserlipolisis & Aesthetic Clinic ( Mediceuticel Clinic ) since 2003 until now.

Abstract:

Background: Malaysian is a country comprise of three major ethnicity namely Malay, Chinese and Indian. Based on their cultural , society, belief and background, they do have specific aesthetic priorities. There are possibility of different aesthetic preferences in between the three ethnicity. However, a common perception is that expectations from cosmetic or aesthetic procedures have been generalised by the service provider regardless they are medical professionals or from cosmetic background. This investigation aimed to identify where a difference in aesthetic values exists between various ethnicity. Methods: A total of 235 subjects were chosen, which consist of 150 Malay ethnicity, 62 Chinese ethnicity and 23 Indian ethnicity, age 18 to 62 years residing in Malaysia. The ratio of male to female was 1:3.27 (55:180) . The investigation based on a picture and a structured questionnaire survey regarding facial aesthetics. Preferences regarding the forehead, periorbital region, nose, lip, cheekbone and overall facial features were surveyed. Result: Significant differences in preferred beauty features were identified, especially with regard to forehead slope, Cheek bone height and chin shape. There were a significance difference in cheekbone height preference where Malays preferred high cheekbone as compare to Chinese and Indian. On the chin shape, Chinese and Malay in favour of straight chin (from lateral view) as compare to Indian ethnicity. Mostly Indian prefer convex chin shape. Shape of eye brow preference differ significantly as the Malay and Indian prefer Eyebrow peak at Lateral Limbus (LL), in contrast, the Chinese ethnicity desire Straight Line (SL) eyebrow shape. A significant difference also was identified in the desired size of lips. Most of the Malay subjects preferred fuller lips as compare to Chinese and Indian ethnicity preferred thinner to medium lips. Conclusion: Aesthetic practitioners should be sensitive to different ethnic concepts of beauty and appreciate a range of values rather than assume that all Malaysian have similar aesthetic preferences.

Biography:

Doctor Izabela is an international expert in the field of Cosmetology, specialist in the field of Aesthetic, Medical and Therapeutic Cosmetology. A long-term internship, a trainer, as well as an academic teacher, including post-graduate studies for doctors.n 2011-2015, dr ZaÅ‚Ä™ska served as the Dean and Rector in non-public higher education institutions related to cosmetology. She is a co-creator of the Kosmociutyków line of the British Body Empire.

Dr Izabela ZaÅ‚Ä™ska is also a specialist working on a daily basis at the Youth Clinic in Krakow and a network of medical clinics. in the UK. This is a Woman, from which each of us can take an example - the author of numerous publications and popular science and expert articles related to her professional specialization.

Abstract:

Acne vulgaris is one of the most common skin concerns to visit a skin clinic.

Additionally to young adults, middle-aged adults became patients. In some cases, acne vulgaris is shown uninterruptedly from adolescence, in others it appears at the end of adolescence and is characterized by specific localization of efflorescence in the lower parts of the face. The skin lesions most frequently occur in age of 25.

The aim of this study is to show the effects of ferulic acid and d`Arsonal treatments of acne vulgaris on the number of skin eruptions in adult women.

The study group of 60 women was randomly assigned to two groups. The first group was treated with ferulic acid for 6 minutes. A course of five treatments was scheduled and performed once a week. The participants of other group were treated with high frequency d`Arsonwal for 6 minutes and similarly to the first group it was repeated five times, once a week. At the time of the initial consultation and later at every visit, skin eruption were counted and pictures taken.

The study shows significant results of both:  ferulic acid and high-frequency d’Arsonval treatments on the skin affected with acne vulgaris eruptions. Regardless of the time of appearance of skin lesions, their type and age of participants, statistically significant reduction in the number of  skin eruptions was observed.

The individual treatment plan in case of acne vulgaris diagnosing should be obtained for each patient and preceded by a thorough skin analysis of possible reasons by possible diagnostic tests and interviews.

Biography:

Ibrahim El achkar completed his studies from Saint Joseph University of Beirut and Paris University School of Medicine. He invented “EL ACHKAR Bone Injector” which is used in facial plastic surgery and his research is published in the British Journal of Oral and Maxillofacial Surgery and The European Journal of Facial Surgery. He is a member of the French Society of Aesthetic Surgery, the French Society of ENT and head and Neck Surgery, The Lebanese Society of ENT and Head and Neck Surgery, The International Society of Lipolysistherapy, and The International ReCon Surgical.

Abstract:

Natural sculpturing of the nose is the goal of every rhinoplasty surgeon; in this study we expose the indications of Liquid Rhinoplasty.

Between January 2013 and 2016 around 500 Liquid Rhinoplasty .

In this study we discuss the use of fillers in the treatment of the:

• Dorsum
• Tip
• Mid third
• Columella
• Several other parts of the nose
• Secondary Rhinoplasty
• Touch up Rhinoplasty

The use of fillers (depending on the indications) in primary and secondary rhinoplasty provides an outcome of a natural nose shape.

Biography:

Shadi Khawadeh is a Dermatologist, skin surgeon and laser specialist, Plastic surgeon Assistant at Medicines san frontiers in Jordan. He has done American Diploma in Aesthetic medicine

Abstract:

Biography:

Uzma Rajar is currently working as an Associate Professor in the Section of Dermatology at Isra University Hospital Hyderabad. She holds a MBBS degree from Liaquat University of Medical & Health Science, a Liaquat University of Medical & Health Science, D.D.Sc in Dermatology from University of Wales (U.K), and a M.Sc in Dermatology from Cardiff University. She has done her internship in the Dermatology Department at LUMHS Hospital.

Abstract:

BACKGROUND: Skin hyperpigmentation lesions are of multiple types and include; melasma, solar Lentigines, nevi, macules, café-au-lait spots, and ephelides (freckles), etc. Post inflammatory hyperpigmentation also occurs in conditions such as surgical trauma, physical trauma, acne, atopic dermatitis, contact dermatitis, lichen planus, psoriasis, drug eruptions, and etc. During clinical approach to skin hyperpigmentation, one must considers about an increase in melanocytes, increase in melanin pigment production, and/or some other pigment, endogenous or exogenous, which is being deposited in skin.

OBJECTIVES OF STUDY:

• To evaluate clinical presentation of melasma with other hyperpigmentary disorders of skin
• To compare histopathological features of melasma with other hyperpigmentory disorders of skin

SUBJECTS AND METHODS: A Prospective, observational study was conducted at the outpatient department of Dermatology Department Isra University Hospital Hyderabad from July 2014 - December 2014. A sample of 87 subjects was selected according to non-probability simple random sampling as per inclusion and exclusion criteria including 43 melasma and 44 other skin hyperpigmentary disorders. Detailed clinical examination was performed prior to the biopsy to mark the biopsy site. Aspirin and non-steroidal anti-inflammatory drugs were stopped at least 5 days before biopsy. A single strand or in some cases >one punch biopsies of skin were obtained and sent for histopathological evaluation. All the clinical and histological data were entered in proforma designed for the study. Collected data was analyzed on SPSS version 21.0. (IBM, corporation, USA) P-value of significance was taken at 0.05.

RESULTS:  Mean ± SD age of study subjects was noted as 39.51± 9.32 and 39.50± 9.21 years in melasma and other skin hyperpigmentory disorders respectively. Female population predominated in the present study. 37 (42.5%) were male and 49 (56.3%) were female. Common presenting features were the hyperpigmentaion, skin peeling, itching, erythema and telangiectasia. Hyperpigmentaion, itching and erythema were the common presenting complaints. Telangiectasia was noted in 3 male in melasma and 1 female in other skin hyperpigmentory disorders. Of 43 melasma patients (Group A), the hyperkeratosis was noted in 3 male patients only (X²=48, p=0.0001). Parakeratosis and acanthosis were noted in female melasma patients. While hyperkeratosis, parakeratosis and acanthosis were noted in female patients of other hyperpigmentory disorders (Group B) (X²=38, p=0.0001).

CONCLUSION: Common presenting features were the hyperpigmentaion, skin peeling, itching, erythema and telangiectasia in melasma and other hyperpigmentary lesions. Hyperpigmentaion, itching and erythema were the common presenting complaints. Telangiectasia was noted also. Histopathological findings suggested no major differences in the melasma and other hyperpigmentary disorders.

Biography:

Gaurav Singh, MD, MPH, is training in general dermatology, cosmetic dermatology, and surgical dermatology at NYU Langone Health in New York, USA. He has presented to local, state, national, and international audiences on many topics including management of skin malignancies. He is also involved with the hospital’s Patient Safety Council, and takes pride in providing safe, effective, and compassionate care to all his patients.

Abstract:

Basal cell carcinoma (BCC) is the most common cancer in the world and is increasing in incidence. Current standard of treatment includes cryosurgery, electrodessication/curettage, topical immunomodulators, Mohs micrographic surgery, and surgical excision. This review discusses the evidence behind treating BCC with laser devices. 595nm wavelength PDL laser and long-pulsed 1,064nm Nd:YAG laser are promising. In one cohort, 92% of BCCs less than 1.5cm in size demonstrated complete response to PDL, whereas only 25% of BCCs larger than 1.5 cm demonstrated complete response. 90-95% of patients in another study remained tumor free for 21 months after treatment with PDL. Long-pulsed 1064nm Nd:YAG demonstrated complete histologic clearance after one treatment in 92% of non-facial BCCs less than 1.5cm in size in a group of ten patients. Ablative CO₂ lasers have also been successfully used. A prospective trial with 140 patients of superpusled CO₂ laser demonstrated 100% histologic cure and 0% clinical recurrence at 3 years. In another study, curettage followed by 2-4 passes of super-pulsed CO₂ laser achieved 94% cure with 1 session. An analysis of the ablation depth of CO₂ laser found that increasing ablation depth from the upper, middle, and lower dermis resulted in clear margins of 40%, 66%, and 93%, respectively. Er:YAG may also be used. One treatment with Er:YAG resulted in histologic clearance in 92% of superficial nodular BCCs at one year in 20 patients. In summary, vascular-selective and ablative devices such as the 595nm PDL, 1064nm Nd:YAG, CO₂, and Er:YAG lasers, may be used as alternative or adjunctive therapy to treat BCC. Additional work is needed to determine long-term recurrence rates, outcomes, and device parameters. For now, these lasers should be limited to use in select patients (i.e. poor surgical candidates) and tumor characteristics (i.e. superficial, less than 1.5cm in size, on the trunk/arms/legs).

Biography:

He is Assistant Director at The Humanitarian Clinic : Skin, Hair And Laser Centre, Mumbai and Hon. Consultant at Brahma Kumari’s Global Hospital & Research Centre, Mumbai. He has done his M.B.B.S from M.G.M Medical College, Navi-Mumbai and M.D. with 1^strank, distinction and gold medal from Katihar Medical College, Bihar. His  research work was on “Cytodiagnosis of Common Viral Cutaneous Disorders”. He has conducted workshops in Dermatosurgery and presented 8 papers and 2 posters on Tzanck Smear, Autologous PRFM in Non Healing Ulcers, CPC in Leprosy and Post-kala Azar Leishmaniasis at various state and national conferences and has received a gold medal for best poster on leprosy. He has 14 publications in indexed journals and is principle and co-author of 6 chapter’s in the “Textbook of Dermatosurgery and Cosmetology”. His field of  of interest are Dermatosurgery, Laser Medicine, Dermatohisthopathology and conducting skin rural OPD.

Abstract:

Hypertrophic Scars(HS) and Keloids are exuberant forms of scar formation due to increased collagen synthesis. Acne Keloidalis nuchae(AKN) is a chronic progressive keloidal scarring process on the nape of the neck. All of them are difficult to manage due to their high recurrence rates and there is no single effective modality or protocol for their treatment. Multiple modalities have to be combined to achieve good results.

In this study, 79 cases of keloid, 24 cases of HS and 17 cases of AKN were treated. HS were treated mainly with intralesional steroids(ILS) with or without Inj.5 flurouracil(5FU). In some cases, this was also combined with LN2 cryosurgery(intralesional or roller) and silastic gel sheeting(SGS) under pressure dressing(PD).Repeat cycle was carried out in 4 of the 24 cases after 6-8 weeks.

Keloids and AKN were treated with combination regimen of surgical(Scalpel excision, autoflap, radiosurgical excision,CO2 laser excision,LN2 Cryo-Spray/Probe/Roller) and ILS/ ILS+ 5FU.This was followed by SGS and PD. Procedures were repeated at intervals so as to achieve complete resolution.

Most of the Patients were followed up for 11/2 -2 years. All the 24 hypertrophic scars flattened out fully. 51 cases(63%) of keloid showed complete regression with flattening. Of the 17 cases of AKN,11 showed complete healing with no recurrrence.

Side effects and complications seen were-1)secondary infection - 5, 2)transient hyperpigmentation which disappeared in 3 months - 63, 3)depigmentation-35, 4)hypopigmentation-20, 5)atrophic scarring -23,6)recurrence-22.

Hence in conclusion, it was found that extensive flat keloids responded better to cryoroller with ILS+5FU; whereas bulky keloids regressed with debulking(intralesional cryo, radiosurgical excision, autoflap) followed by ILS with SGS under PD. AKN disappeared completely on punch excision/radiosurgical excision with ILS. 

Biography:

Ahmed F. Farag currently working as Faculty of Medicine Department of Dermatology, Venereology & Andrology, , Suez Canal University, Ismailia, Egypt.

Abstract:

This work aimed at exploring the effect of cigarette smoking on semen parameters and sperm chromatin condensation comparing to non-smokers, also drawing comparisons among light, moderate, and heavy smokers, 95 infertile Egyptian patients living in Suez Canal region and Sinai were studied after taking an informed consent. The patients were divided into two groups; infertile non smokers (45) and infertile smokers (50). Smokers were divided into subgroups according to number of cigarettes smoked per day as mild (≤10), moderate (11-20) and heavy smokers (≥21). History, clinical examination, semen analysis and sperm chromatin integrity assay by aniline blue staining were carried out. The semen parameters were measured using computer assisted semen analysis technology and compared with the World Health Organization (WHO 2010) criteria.

Results: A highly statistically significant decrease in sperm count (p=0.006), sperm progressive motility (p=<0.001), percentage of normal forms (p=<0.001) and sperm viability (p=0.002) was found in smokers as compared to non smokers. The semen volume was slightly but not significantly decreased in smokers than non smokers (p=0.301). The percentage abnormal sperm chromatin condensation was highly significant (p=<0.001) in smokers as compared to non smokers. These parameters were worse in the heavy smokers.

Conclusion : Cigarette smoking is one of the environmental factors that can affect male fertility by decreasing the semen quality especially sperm count, motility, viability and  percentage of normal sperm cells and affecting sperm chromatin condensation and consequently increasing the percentage of immature sperms. These abnormalities were also related to the amount of cigarettes smoked per day and duration of smoking.