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November 23-24, 2012 Hyderabad International Convention Centre, India

Cosmetology & Cosmetics

83rd OMICS Group Conference

Page 85

International Conference and Exhibition on

Accepted Abstracts

Volume 1 Issue 3Page 86

Anaplastology 2012ISSN: 2161-1173, Anaplastology an open access journal

Cosmetology-2012November 23-24, 2012

Cosmetology & CosmeticsNovember 23-24, 2012 Hyderabad International Convention Centre, India


Anaplastology 2012, 1:3http://dx.doi.org/10.4172/2161-1173.S1.005

Facelift without peri-auricular insicionsAlfonso RiascosImbanaco Medical Center, Colombia

As plastic surgeons, it has always been our goal to reduce the scarring associated with facial plastic surgeries. These scars are generally done on the scalp and in both the pre- and retro-auricular areas to access the deep planes. In our patients undergoing

rhytidoplasties, we successfully eliminated these retro-auricular and pre-auricular scars. To achieve these results, we did not make peri-auricular incisions; instead, we made a superior horizontal incision in the temporal region, a wide subcutaneous dissection that goes all the way to the cervical area and used various surgical maneuvers (such as subdermal plications, structural grafting and skin tightening). By utilizing this facelift technique, we are able to eliminate the appearance of peri-auricular scars associated with facial plastic surgery, reduce complications, achieve natural-looking results and increase patient satisfaction.

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BiographyAlfonso Riascos is a Plastic Surgeon from the Brazilian Medical School with studies and Fellows around the world with professors as: Aston and Baker New York, Millard Miami, Nozaki Tokio, Pitanguy Rio de janeiro, Baroudi Sao Paulo, Montellano Rio de janeiro. Department of Plastic Surgery of the imbanaco medical center for the last 20 years in Cali, Colombia. Main papers regarding scaring and security for Plastic surgeries.

Holistic approach to management of MelasmaAtulkumar ShahAssociation of Plastic Surgeons of India, India

Melasma is increased pigmentation of facial skin that occurs specially around cheeks and in young women around pregnancy. Apart from the cheeks, bridge of the nose, forehead, chin, and upper lip are all places where melasma is likely to form. It

may also form on the forearms and neck. Chloasma is generally used to describe skin discolorations caused by hormones.Prevalence of melasma in Indian women is high compared to China, Thailand and Japan. Sun damage as well as hormonal

factors are responsible for occurring of melasma. There are several histological evidences of linkage of photo damage to development of melasma. Treatment of melasma can be targeted to the development and distribution of coloring pigments. Any substance modulating tyrosinase enzyme plays important role. Role of Adipose cell derived stem cells has surfaced recently. Antioxidants like vitamin E and vitamin C can reduce pigmentation. Last but not the least, increased turn over of the keratinocytes will help in removal of keratinocytes with the pigments in them. Hydroquinone, a close chemical structure to that of benzene is a work horse in management of hyper pigmentation. There are some natural sources of this chemical, as well as there are several other naturally occurring substances like Kojik, Azelaic and Mandelic Acids. Vitamine B 3 or niacin has a specific mode of action in treatment of melasma. Recently QSW Nd Yag, IPL and Fractional CO2 laser has shown promising results.

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BiographyAtulkumar Shah is university qualified plastic and cosmetic surgeon and holds MPhil in Cosmetology. His academic interests include medical and surgical management of pigmentary lesions including vitiligo. Currently he is Secretary of Association of Plastic Surgeons of India.







FUE future of hair transplantationBishan MahadeviaPlastic & Hair Transplant Surgeon, India

Objectives: With technology overcoming drawbacks of FUE day by day strip method with higher complication rates may not remain the first choice by doctor or patient in future is our perceptionMaterials and methods: In over 1500 cases of our strip procedure 10% of patients have experienced complications unique to FUT such as wide linear scar, stitch infection, stitch give way, longer recovery time, delayed healing, painful scar, hypertrophied scar, sensory loss, and most patients cannot flaunt short hair style, and had at least 3 weeks restricted activity after HT. In FUT there is Loss of exogen follicles in dustbin, limitation of white hair dissection, inability of selectively removing single or multi hair grafts and there is distortion of hair direction around the strip scar as well as the hairs of trichophytic closure. Subsequent stage closure becomes more difficult. FUE patients who had strip procedure before certainly appreciate the difference well because healing period is less than a week, and are mostly pain free and can do physical activity much sooner and can show off short hair style too. FUE with minimal assault can avoid such inadequacies; FUE can use donor area more uniformly and does not distort the hairs and can transfer more hairs where needed and with less follicles and can select single or fine hairs for eye brow, hair line etc. In situations such as wide or multiple scar revision, 2nd and 3rd procedure in tight scalp, limited scalp donor, people in army or professional athlete etc. only FUE is at their rescue, moreover mega sessions up to 3000 plus grafts by FUE in one day has become reality and even FUE in unshaven head has become reality and probably cost may come down with more practitioners. Increasing understanding of BHT may provide unlimited donor in future and practically there is no contraindications of FUE which may replace FUT completely in future as the increasing demand is already showing the trend world over.

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BiographyBishan Mahadevia of Ahmedabad is a Plastic Surgeon and is into Exclusive Hair Transplant Practice for last 7 years. He was MS Gold Medalist from Gujarat University and had MCh Plastic Surgeon from Bombay University. He has taken Hair Transplant fellowship from S. Korea. He is the Member of; ISHRS, AAHRS and AHRS. He has traveled to Japan, Spain Australia, US, Brazil, Bangkok, Poland and Netherlands, Bahamas and UK in pursuit of knowledge. He has done over 1800 +HT that includes over 450 FUE procedures.







Indications for and problems with Bleaching Agents: Clinical and in-vitro studiesBrita WillershausenJohannes Gutenberg University, Germany

In aesthetic dentistry, tooth whitening with different concentrations of hydrogen peroxide is a commonly performed technique which can be done at home or by means of in-office whitening procedures. Growing aesthetic awareness of the patients and

effective advertisements in the mass media has supported this trend. In all age groups, the visible area of the front teeth is of special interest, because in this particular region all discolorations, including those related to aging are considered to be especially unattractive.

Bleaching of vital and nonvital teeth has become a common treatment in the dental office. For whitening of vital teeth, external methods using carbamide peroxide and hydrogen peroxide in different concentrations for home and in-office bleaching are available. For home bleaching concentrations of 10-20% carbamide peroxide are recommended. The in-office products contain higher concentrations of up to 35% hydrogen peroxide or carbamide peroxide. In the dental office, the whitening process can be affected using different types of lamps, heat or laser beams. The effect of hydrogen peroxide or carbamide peroxide for external bleaching on human enamel is discussed controversially; some studies showed alterations of the surface structures, while others found no changes.

In this lecture, the effect of bleaching agents in clinical studies and the influence of different bleaching agents on enamel samples will be shown. In conclusion we can say that the application of bleaching agents with a neutral pH doesn’t cause any damage to sound enamel. When erosive lesions are present, bleaching should only be done with mild products.

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BiographyBrita Willershausen, DDS, has been the head of the department of operative dentistry of the university medical centre of the Johannes Gutenberg University in Mainz, Germany since 1993. She graduated in chemistry and in dentistry from the Ludwig-Maximilians University in Munich, Germany, where she also obtained her habilitation in dentistry. She has published over 200 journals in peer-reviewed scientific journals, has given as many lecture at international and national meetings, she has served as reviewer for various journals. Research Interest: Studies on tooth-coloured restoration materials, aesthetic dentistry, tooth whitening, dental erosion, cell culture studies with endodontic sealers, obesity, diabetes, cardiovascular disease.







Development of skin antiaging and natural sun blocking agent from Phyllanthus niruri extractElrashid Saleh Mahdi, Azmin Mohd Noor and Munavvar Abdul Sattar Universiti Sains Malaysia, Malaysia

Extrinsic skin aging is due to increases induction of reactive oxygen species by solar ultraviolet radiation. Reactive oxygen species inhibits collagen production and increases collagen breakdown which leads to visible wrinkle, color changes,

epidermal thinning and atrophy. The objective of this research is to develop and evaluate a photoprotective agent from extract of local Phyllanthus niruri. Nanocream loaded P. niruri was prepared by gentle shirring and dropwise titration of the aqueous phase across the emulsification pass of liquid crystal phase. The formulation was evaluated with respect to droplets size, zeta potential and rheological properties. Furthermore, in vitro release through artificial cellulose membrane filter, full thickness rat skin and UV blocking capability were evaluated. The formulation having droplets size within the nano size range and its structural and morphological characteristics was confirmed by transition electron microscope image. The formulation also shows shear thinning properties with thixotropy. Moreover, 63.03% of the total phenolic of the extract loaded the formulation was released from artificial cellulose and was scavenged 65.64 % of 2, 2-diphenyl-1-picrylhydrazyl radical activity. Furthermore, the formulation shows good permeation properties through full thickness rat skin and has high capability of UV absorption. The results reveal that the formulation could absorbed the incidence solar UV, and hence protect skin. It could penetrate the stratum corneum scavenge reactive oxygen species, enhance endogenous antioxidants and hence could reverse or reduce skin aging signs.

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Frontiers of antiaging medicine in aesthetic surgery & regenerative medicineGautham BasuConsultant Aesthetic Plastic Surgeon, Dubai

There have been significant discoveries from research in the field of antiaging medicine over the last 5-10 years which have revolutionized our thinking and treatment in Aesthetic surgery and Regenerative medicine and will prolong human life

by 10-15 years. This research covers different branches of medicine like Endocrinology, Cardiology, Neurology, Orthopedics & Aesthetic surgery and its time we base our medical treatment on “Wellness” and not on “Illness”.

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BiographyGautham Basu is a Consultant Aesthetic Plastic surgeon working in Bahrain & Dubai. After completing his MBBS from Calcutta University he went to UK and did his MS in surgery and FRCS in Plastic Surgery in UK. He pursued his Plastic surgery training in UK for 12 years and has completed a Post graduate diploma in Aesthetic surgery from UK.

He has also done the American Board exam in Anti aging and Regenerative Medicine. He currently practices Aesthetic surgery in Bahrain, Dubai, UK and Calcutta. He has several original research papers in Burns, Pediatric plastic surgery and Cosmetic surgery.







Tooth-coloured resin composites in posterior teeth: Chances and limitationsInes WillershausenJohannes Gutenberg University, Germany

Throughout the recent years, due to the aesthetic demands of the patients, resin composite has become a routine material, used even in larger cavities in posterior teeth. High demands on material properties, shrinkage stress development and handling

properties have to be fulfilled by modern restorative systems. The practitioner is also responsible for the clinical success: The larger the restoration become, the more important is the selection of the right indication for this mode of therapy, the efforts in contamination control, the proper use of adhesives and restoratives as well as visible light curing, and the maintenance and care by the patient, supporting longevity by perfect interdental hygiene. Restorations of different sizes may show different problems in the individual treatment procedure: While in a minimal-invasive Class I the most difficult issue will be the reachability of the cavity floor by adhesives and restoratives, in an extended Class II the interdental contamination control and the anatomic reconstruction by means of layering techniques will be in the main focus. Therefore, this paper will show different indications for posterior resin composite restorations, going from small highly evidence-based indications to more extended, experimental indications as the reconstruction of endodontically treated teeth. Resin composites can serve nowadays as good aesthetic universal restoratives in a variety of indications even in posterior teeth. Nevertheless, caution has to be exercised in certain extended indications, because this is not yet a standard procedure.

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BiographyInes Willershausen has completed her studies of Dentistry at Johannes Gutenberg University of Mainz Germany during 2004 – 2009. In 2009 she worked as a research assistant at the department of Operative Dentistry at the University of Mainz. Since 2010 she started studies of Medicine at Johannes Gutenberg University of Mainz. She is also Dr in Dentistry during the year 2010.

Ultrasonic liposuctionJohn T. CenicaJANCEN Cosmetic Surgery, Skin & Varicose Vein Treatment Center, Philippines

The objective is to present the role of External Ultrasonic Tumescent Liposuction as an adjunct to Traditional Liposuction. It also represents a new application of ultrasonic energy to the standard Tumescent Liposuction procedure. This is a new

technique with the potential of improving traditional Tumescent Liposuction therapy.The standard tumescent liposuction involves introduction of large amount of fluid (one (1) liter NSS, 50 cc 2% lidocaine,

12.5 cc 8.4% Sodium Bicarbonate and one (1) ampule epinephrine). Then wait for 15-20 mins. Insert a cannula through 1 or more incision at the area to be suctioned. Cannula is connected by tubing to a vacuum. The Method involves continuous movement was delivered to the target area. After completion of ultrasound, Standard tumescent liposuction was carried out.

Assessment includes Higher percentage of “liquefied fat emulsion” than Standard Tumescent counterparts, reduced the manual workload of the operating physician because of decrease resistance of moving cannula, postoperative course: 1. Less swelling / edema 2. Less post-op pain. Represents an alternative avenue for research and inquiry, a new technique which is worth investigating and it warrants expanded research into the long term efficacy and safety.

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BiographyJohn T. Cenica is the President & CEO of JANCEN Cosmetic Surgery, Skin & Varicose Vein Treatment Center, JC Laboratory Philippines (manufacturer of skin, hair & body care products), Beauty Asia Philippines and Intercen Pharma Inc. (Philippines). Board of Director for Far Eastern University Beta Sigma Fraternity Medical Alumini Association. Vice President of Midland Plaza Corporation (Philippines). National Secretary of Philippine Society of Liposuction Surgery. He is at present a Fellow of the Philippine Academy of Aesthetic Surgery. He is the Founder and Chairman Emeritus of Philippine Academy of Non-Surgical Aesthetics. National Chancellor of Philippine Academy of Medical Specialist in Aesthetic Medicine & Surgery. Fellow of The International College of Surgeons (ICS). He has owned many International & National level memberships and fellowships from reputed Organizations.







Potential role of Punica granatum (pomegranate) seed oil against UV induced oxidative stress in animalsAshawat M.SB.N. Girls College of Pharmacy, India

The present study was conducted to characterize herbal cosmetic preparation contain extract of Punica granatum seed oil, tea tree oil and Jajoba oil. Such natural oils were incorporated in aloe fresh gel cream base formula for the protection of skin

against the UV induced aging. To investigate the antioxidant activity of cream formulations the UV radiation induced oxidative stress was generated in rats and defensive measured were noted after topically applied (2.5 mg cm-2/day) for 28 days. The level of antioxidant enzymes (catalase and Superoxidedismutase), non enzyme components (Ascorbic acid level and Melanodialdehyde) was estimated. The structural changes were observed by using histological techniques. Results showed significant improvement in Superoxide dismutase, catalase, total protein and level ascorbic acid with decrease melanodialdehyde. The treatments with such natural components support the current research which seems to indicate the most therapeutically beneficial pomegranate constituents are ellagic acid ellagitannins (including unicalagins), punicic acid, flavonoids, anthocyanidins, anthocyanins, and estrogenic flavonols and flavones. An explosion of interest in the numerous therapeutic properties of Punica granatum over the last decade has led to numerous in vitro, animal, and clinical trials. Pomegranate is a potent antioxidant, superior to red wine and equal to or better than green tea.

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BiographyM.S. Ashawat has completed his Ph.D at the age of 34 years from Pandit Ravishankar Shukla University Raipur, (CG) INDIA. He is the Associate Professor of B.N. Girls’s Pharmacy, a premier Women Educational service Institute. He has published more than 26 papers in International and National reputed journals and serving as an editorial board member of repute. He is Recognize Ph.D. supervisor of Rajasthan University of Health Sciences, Rajasthan and Pacific University.







Optimization studies for the removal of dyes using agricultural waste adsorbentNarayana Saibaba K.V1 and P. King2

1GITAM University, India2Andhra University, India

Wastewater from cosmetic, textile and dye industry is one of the most serious environmental problems. Colors present in water even in small quantities can make it unusable and reduces aesthetic value of water. Dyes present in wastewater

prevent reoxygenation in water by inhibiting the penetration of sunlight and hence disturb the biological activity of aquatic systems. Moreover, most dyes are toxic and harmful to human health. Therefore, treatment or decorization of these dyes from water is very important before their discharge into ecosystems. Turning agricultural waste into a value added product to generate income is a pet dream for many farmers and industrialists. Hence, the present work is aimed to generate income to farmers from waste resource and reduce the cost of water treatment and help for environment balance.

The main objective of this work was to investigate the biosorption of dyes using agricultural waste. To achieve this, a simple, economical and green methodology has been used for the removal of acid dye from wastewater using Vigna unguiculata bean cover adsorbent. The influence of process parameters such as temperature, pH, adsorbent dosage, contact time and initial dye concentration were examined. Biosorption data was successfully described with Langmuir and Freundlich isotherms. Thermodynamics of dye removal process were studied and adsorption kinetics was also inspected using pseudo first order and pseudo second order kinetic models. Intra particle diffusion studies were also carried out using Weber-Morris model. Analysis of results was done using Artificial Neural Networks and Response Surface Methodology. Analysis of results revealed that parameters studied were influencing the dye binding behavior. Characterization of adsorbent was also done using SEM, FTIR and Nitrogen absorption method. The results obtained through these methods further concrete the results obtained from the adsorption studies experiments. In overall the results showed that adsorbent used is highly effective for the removal of dyes from waste water.

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BiographyNarayana Saibaba K.V. has completed his B.Tech in Chemical Engineering with Biotechnology as specialization from Andhra University and Masters in Chemical Engineering with Petroleum Refining Engineering as elective from Andhra University. He also completed MBA with dual specialization in HRM and Finance. He is currently pursuing his Ph.D under the guidance of Prof. P. King. He has published more than 15 papers in international journals of repute. His papers also published in the CHEMCON. Prof. P. King published more than 100 papers in reputed journals and serving as editorial board member of several repute journals.

Suture suspensions for lifting or volume augmentation in face and bodyNikolay SerdevBulgarian Society for Aesthetic Surgery and Aesthetic Medicine, Bulgaria

Scarless closed approach suture liftings present skeletal fixation with skin punctures without incisions as a first alternative to classic excision lifts. We started the anatomy study, instrument creation and thread selection in 1990 and the whole

topographic anatomy, instrumentarium and technique understanding of this new method was ready in 1993. Needle preparation and selection of threads was experimental. For threads we have performed stretch, elasticity and cut through tests. Thread long term absorption is crucial in our method. Since 1993 we have operated 5400 patients to correct early ptosis and flabbiness in areas of face and body. Our contribution is that our closed approach suture techniques lift SMAS and fascias without traditional incisions. Operations were ambulatory with excellent results, reported by the patients. The trauma is minimal and the follow-up period is no longer than 3 days with fast, sometimes immediate return to work and social life. There are no visible scars; the needle perforations on the skin are not visible after days.

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Volume 1 Issue 33






Ayurvedic cosmetology and its practicesNarendra Singh LodhiMedical Officer, India

As ayurveda the concept of beauty has an age old origin. Skin - Twacha is the term for skin in Ayurved. Skin is a cover of the exposed parts of the body. The sense of touch speeds over the entire body through skin. Healthy person with a well-formed

flesh which is firm, the skin is correspondingly firm, glowing. Hair is also a part of beauty of the human beings. Mind is also closely related with hair hence mental tension is the commonest cause of hair fall. Acharyas of ayurveda state that the function of ayurvedic herbs is to purify blood and eliminate vitiated doshas (vata, pitta, kapha) from the body as they are mainly responsible for skin disorders and other diseases. As ayurveda believes that all living beings have the panchamahabhoota as it is components, same is for skin. It is the seat of sparshan indriya (a tactile sensory organ). Skin is also the dwelling of Bhrajaka pitta and regulates the temperature of the living body and absorbs all local medicinal applications. The complexion (chaaya) and lusture (prabha) of our skin is also conferred to the skin. According to Acharya Sushruta “As the heating of milk forms a layer of cream on the milk surface, in a similar manner in the embryonic stage, dhatus form the different layers of the skin on our body.” Various herbs for which description and usage in many forms (lepa, abhyanga, gandusha, combined drug) can be found in ayurvedic inscriptions like Chandana, Nagkesara, Padmaka, Yastimadhu, Manjistha, Sariva etc. Various other aspect of Cosmetology in Ayurveda will be presented in full paper. In this way Ayurveda has a very precious knowledge regarding cosmetology which is very useful even in day to day practices.

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BiographyNarendra Singh Lodhi completed his M.D. (Ayu.) in year 2010. Presently working as Medical officer in Madhya Pradesh.

Ayurvedic therapy for skin diseasesD.SheelaVaidyaratnam Ayurveda College, India

Ayurveda perspective in treatment of skin diseases mainly focus on Body purificatory measures ie.Sodhana therapy.This helps to expel the metabolic waste from the body through natural orifices and makes the tissues healthy. Cause of the skin

diseases are due to improper food, habits and the environment .According to Ayurveda skin is comprised of seven layers and malfunctioning of each layer is responsible for specific diseases.Purificatory methods needs a preparation of the body .For this medicated ghee is administered in high doses with due care. Then therapeutic emesis in medical supervision is adviced. After this purgation is also done.Special skin care includes medical paste application(Lepanam),medicated oil application.Thakradhara,and Shashtikalepam.The process may be repeated in chronic skin diseases like Psoriasis.Proper food care and regular bathing and body massage are recommended for prevending the relapses.

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BiographyD.Sheela, Vice Principal & Hospital Suptd.,Vaidyaratnam Ayurveda College, Ollur, Thrissur, Kerala, completed graduation in Ayurveda from the reputed Kottakkal VPSV Ayurveda College and Post graduation from Govt. Ayurveda College, Trivandrum and working as faculty since last 31years.She is the Chairperson Board of Studies Ayurveda Calicut University. She is a resourse person for many faculty improvement programme in various universities and published more than fifty articles in journals and presented papers in national and international seminars.







Polyphenols can regulate signaling cascades to stop conversion from normal to cancer cellsSoraya L. Valles, Diana Aguirre-Rueda, Patricio Paredes and Anna Gil-BisquertUniversity of Valencia, Spain

Polyphenols, such as curcumin, stevia, genistein and resveratrol, has been demonstrated to be effective inhibitors of tumor promotion in mouse skin carcinogenesis with antioxidant properties. We report that polyphenols induce cell shrinkage,

chromatin condensation, DNA fragmentation, and cytochrome C induction, characteristics of apoptosis, in immortalized mouse embryo fibroblast NIH 3T3, mouse sarcoma S180 and human hepatocellular carcinoma Hep G2 cells. Many cellular and biochemical effects of polyphenols in mouse fibroblast cells have been reported, such as inhibition of protein kinase C (PKC) activity induced by phorbol 12-myristate 13-acetate treatment, inhibition of tyrosine protein kinase activity, and inhibition of arachidonic acid (AA) metabolism. Our data indicate that phenolic compounds can trigger signal transduction pathways linked to apoptosis, such as caspases, p53, and bcl-2 genes. This programmed-cell death may be considered actually one of the important targets in a preventive approach against cancer. How flavonoids do regulate and control the intracellular signaling cascades considered as relevant targets in a cancer preventive approach remains to be elucidated. The results suggest that, in some immortalized and transformed cells, blocking the cellular signal transduction might trigger the induction of apoptosis; also polyphenols can regulate signaling cascades to stop conversion of a normal cell to a malignant one.

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BiographySoraya L. Valles has PhD studies in Biochemistry, Molecular Biology and Biomedicine in the University of Valencia in 1996. Actually is chief-lab of Neuroscience group and has research and academic duties such as Assistant professor at Department of Physiology, School of Medicine, and University of Valencia. She is a member of the Biochemistry and Molecular Biology Spanish and Internationally Society. She also is professor of the international master degree in “Neuroscience and biotechnology”, grant from the EEC (European Economic Community). She is currently interested in neurodegeneration and neurogenesis.

Ayurvedic cosmetology concept & practiceSusmita Priyadarshinee OttaAyurvedic Research Institute for Mother and Child Health Care, India

Cosmetology is the art or practice of the beautification of the skin, hair, or nails. In Ayurveda beauty is not just about carefully applied make up. Though there are various herbs to improve the texture of the skin and hair, Beauty according to Ayurveda

is the result of a radiant inner self. This radiance is caused by a healthy “ojus” the subtle quality of vigor & vitality which is the superfine essence of seven dhatus. Skin, hair, nails are the sub elemental factors & in turn get the nutrition from the elemental factors, so called Dhatus. Skin being derived from paternal factor is the largest covering organs that protects & get influenced by various external and internal factors. Hence, any change in bio-humors, hormones, dirt, dust, exposure to sun & winter leave impression over skin, which impact on healthiness & happiness. Beautiful body and relaxed mind is everybody's choice for this modern era. From the ocean of Ayurveda, the intellect ancient science, these are few fables collected here. Care of body from tip of the toes to top of the crown makes a person not only looks good but also feels good. That is the promising steps of beauty care with herbal formulations.

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BiographySusmita Priyadarshinee Otta has completed her M.S. (Ayu) in the subject of Obstetrics and gynecology (Prasuti and streeroga) in 2001 from Utkal University, Bhubaneswar, Odisha and worked as a recognized post graduate teacher in Rajiv Gandhi University of Health Sciences, Bangalore, Karnataka. More than 10 theses are submitted to RGUHS under her guidance. She has published so many papers in reputed journals and presently serving as Research officer(Ay), Ayurvedic research Institute for Mother and Child Health Care, Poojapura, Thiruvananthapuram – 695012, Kerala.(under C.C.R.A.S., dept. of AYUSH, ministry of Health & family welfare, govt. of India, new Delhi.)







Study of psycho-social aspects of hairlossViral DesaiSarla Hospital, India

Hair loss is one of the most common complaints in patients attending doctor’s clinic. Whether its male pattern baldness or female pattern, hair loss spares no caste, creed or ethnicity. It not only affects the physical being of the individual, it also

affects the psychological domain such as self confidence. Considering how lifestyle factors influence hormonal levels greatly, it could be presumed that lifestyle and behavioral patterns may contribute to the occurrence and severity of hair loss. This view is supported by various studies in male subjects with Androgenetic Alopecia (AGA), where a majority of them reported that hair loss affected their personal attractiveness and social life. Low self-esteem and loss of self-confidence have also been reported. There was a greater degree of psychological impact of hair loss among younger men and those with earlier onset hair loss. Since adolescents and young adults meet with the challenge of fitting in with their peers, an additional stress of hair loss could be a burden to their coping abilities. Thus to ascertain the degree of psychological adversity we decided to study the psychological impacts on individuals attending the clinic for hair loss treatment by putting forth certain questionnaire. To study the psychological aspects of patients attending the clinic for hair loss treatment. To study their willingness to take up medical or surgical treatment after an explanation. A group of 300 patients were taken in this study. Each one was given a set of questionnaire encompassing their lifestyle patterns and behavioral changes to hair loss focusing on personal and social well being. All patients requiring only medical treatment were excluded from the study.

According to the study, maximum of the patients visiting the clinic with complaint of hair loss was between the ages 21 to 25 years(37%) and minimum (3%) were between 36 to 40 years with 94% of the total comprising of males and only 6% females. Their professional domains ranged from actors, businessmen, doctors engineers and students. According to our study, the maximum population belonged to business class (25%) and service class people (24.33%). When enquired about their effect of hair loss on daily life, majority of them suffered from psychological stress (35.33%). All of them had taken some form of treatment in the past, which consisted of using cosmetic products(60%), laser comb(8%) or application of minoxidil (17%). 9% had even had FUT procedure before and the remaining 3% had done hair weaving. When asked about satisfaction rate 44% were very disappointed and 40% were disappointed. The main reason for hair consultation was for their personal reasons (45%) followed by psychological with aesthetic (25%) and health reasons (19%) When asked about the factors which held them back from getting a treatment for their hair loss majority of them were apprehensive about the final outcome after the treatment(67%). 14% of them rated the treatment as too costly and 10% regarded the procedure as invasive. Among the patients under study, majority of the patients communicated with DHI through friends and relatives followed by search engines and website When given a treatment option after consulting about 80 percent of them took up medical therapy despite knowing the pros and cons of the same due to various reasons (majority being concerned about the cost of the procedures).60% of the patients willingly took up surgical treatment. Out of the 60% of patients who took up surgical options 97.7% opted for minimally invasive surgery i.e. DHI and only 2.22% opted for more invasive techniques like Strip or FUE. The patients who did not opt for any surgical treatment were given a set of questionnaire to understand the reason for the same. Out of 66 patients who had hesitations in going ahead with the procedure 51.5% had a reason for un affordability, 25.75% were not interested and some of them were awaiting results of their known people(7.57%) and others are waiting for their own hair pattern to be defined(15.15%).

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Autologous fat grafting to cranio-maxillofacial region for facial asymmetry or cosmetic enhancement: Experience in 87 patients with long-term follow upX.N. Yang, J. Yuan, Y. Zhang, M. Wei, H.J. Wang and Z.L. QiShanghai Medical College of Jiao Tong University, P.R. China

Autologous fat grafting is gaining widespread acceptance to correct the soft-tissue defect and any other cosmetic contour deformities in the cranio-maxillofacial region. The purpose of the study was to review our experience of autologous fat

grafting and evaluate clinical outcomes or aesthetic results. From 2001 to 2011, there are 87 patients—which include 42 cases with hemifacial atrophy, 27 with hemifacial microsomia, 18 with temporal or other region hollowing in face—who underwent autologous fat grafting. Each case was injected with autologous fats between 2 and 5 times with an average 3.7 times. Autologous fat grafts, mostly harvested from the lower abdomen or anteromedial thigh, were washed with normal saline and then precipitated for injection. The maximal amount of fat grafts was 60ml for one time. The data of preoperative and postoperative photographs taken by facial circular scanning camera was analyzed by computers. And clinical outcomes were assessed objectively by comparing data of changing of transplanted fat grafts amount. All patients were followed from 1 to 10 years with an average of 3.3 years. 79 patients (90.8 %) were very satisfied, 7 patients (8.1%) were satisfied, and 1 patients (1.2%) were unsatisfied. 28.6~37.2% of the total was absorbed in the first month after injection, 2%~4.5% in the second month and the maximal amount of absorption was more then 50%. The absorption was found especially in some regions with more muscle movement or strong skin tension, for example lips, chins and zygomatic ligament attachment regions.

Autologous fat grafting can be a very beneficial, minimally invasive procedure for facial asymmetry or cosmetic enhancement in many patients who desire such a procedure. The transplanted fat can survive well in the cranio-maxillofacial region and multiple injections may be required to achieve optimal outcome. There is still a requirement to establish a definitive guideline for standard application of this technique.

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BiographyXiaonan Yang is working at department of Plastic and Reconstructive Surgery since 2011, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. From 2007 to 2011 he worked at department of Plastic and Reconstructive Surgery, Tianjin Plastic Surgery Hospital (Tianjin Stomatological Hospital), Tianjin, China. He also worked at department of Plastic and Reconstructive Surgery, First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi Province, China from 2004 to 2007.

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