In the field of plastic surgery liposuction succeeded in becoming the most frequently performed cosmetic surgery procedure during the last decade in both man and women. First liposuction was described with curettage technique and then dry, wet and superwet techniques performed as suction assisted liposuction (SAL). The first aim with liposuction is removing excess fat and making body smaller. On the other hand in last year’s everything was changed and liposuction techniques are become different due to understanding fat anatomy under the skin. In order to get better results all innovative plastic surgeons need more superficial liposuction with less complications, so more dynamic liposuction or liposculpture techniques was essential. When we want to get shaping on the body we have to do more superficial liposuction. In this point plastic surgeons needs to get experience about dynamic zones, transition zones, positive and negative spaces. These zones provide us as a key what will be going and what will be left. Advanced body liposculpture provides more attractive and more successfull results. As we are aware the ideal male body form is V shape therefore this technique focused to succeed this body form. In order to achieve the ideal body form, deltoids, pectorals, latissimus, abdominal rectus muscle and external oblique muscles are the most important dynamic parts. Between this muscle groups have transition and negative zones. Also we have positive zones that fat stays above the muscles. Some surgeons keep the fat on positive zones and thinks they can achive more definition, this however is not the case. In order to achive permanent, attractive and naturel results most important part of surgery is patient selection. Even if you use the best technique you cannot achive best results if your patient is not eligible. Patient selection depends on the BMI, degree of skin excess, skin elasticity, patient's sportive history. Between December 2010- August 2018, More than 1300 Patient have undergone liposculpture. 40% cases were male and 60%Cases were female. In these cases advanced liposculpture procedure was performed to 70% male patient. All patients satisfied with aesthetic results of their liposculpture within the time of follow-up. Seroma rates were %7, unsatisfied definition rates were %1 due to patient selection, hematoma rates were %1, and skin necrosis did not occurred.

Nanotechnology and nanomaterials based products are finding their way from electronics to medicine and now sets a multi-trillion industry. This transformation is also finding its applications in the field of cosmetics by taking the name of nanocosmetics. A variety of products including moisturizers, hair care products, makeup and sunscreens has used nanotechnology. Currently, research focuses on delivery of functional cosmetics using delivery systems such as liposomes, niosomes, solid lipid nanoparticles, nano structured lipid carriers, nanocrystals, Nanoemulsions and many more. A brief review of latest findings on delivery systems will be presented in this lecture. More precisely, discussing on potential next generation cosmetic delivery agents that can provide enhanced skin hydration, bioavailability, stability of the agent and controlled occlusion. Specific information on potential risks caused by the nanomaterials both to human life and also to the environment and regulations are part of discussion. Depending upon the availability of time, some other concerns may come under discussion like the type of nanomaterials used, as well as stability, potential for skin absorption, route of exposure, and how they are formulated in cosmetic products.

Introduction:  

Acne   scarring   is   often   an   unfortunate   and permanent complication of acne vulgaris. It has high prevalence, significant impact on quality of life and therapeutic challenge.

As  a  standard  protocol,  right  side  of  the  face  was microneedling with PRP (Group A) and left side of microneedling alone (Group B). The patients were

1wk for any side effects. A total of four similar sittin at intervals of 4 weeks each .

Results:

Mean age of patients was 25 years ,13 (43%)

group A had excellent response as compared to 6 (2 in    Group    B    according    to    physician    assessm satisfaction  was  more  in  Group  A    compared  to

11(36%) patients had more than 75% improvement in compared to 1 (3%) patient in Group B

Discussion:   

Acne   scars   management   is   challen patients as well as for the treating physician. In our results  was  better  with  microneedling  with  PRP. multiple  sessions  with  results  improving  with  ever does  not  ensure  100%  results  .  In  group  A  skin  ap firmer   and   smoother.   Hence   PRP   with   microneed economical and more promising in acne scars with acceptance.

Plasma electro-surgical devices have long been used for coagulation, cutting tissue, drying, and burning. Notwithstanding all the advantages, these technologies cause tissue warming, and their effects are mostly thermal. Recently, significant progress made in atmospheric pressure plasma science and engineering (CAP), by which the temperature of the CAP is controlled and works at temperatures below 40 ° C. In the past decade, an innovative new field has emerged from the combination of plasma physics, life science, and clinical medicine, which is

known as plasma medicine (Heinlin J Isbary G Stolz W Morfill G Landthaler M et. al., 2011; Isbary et al., 2011). Thanks to these modern systems and plasma-medicine, the use of plasma in the human body is made possible. The purpose of this field is to employ the effects of cold plasma by managing the interaction between plasma elements with particular structural elements and features of living cells. Recent advances in comprehending the phenomena of the physical plasma, along with the development of new plasma sources, have opened a new way to cold atmospheric plasma healing, particularly in skin infections. The active components of the plasma such as molecules, atoms, ions, electrons and photons, reactive species, UV, and heat enable, control and catalyzes the reactions and complicated biochemical methods. Thermal and non-thermal (cold) plasma is now extensively used in medicine. It has very high potential in dermatology, for example, in wound healing, disinfection, sterilization, the treatment of various skin infections, or tissue recovery, and ultimately skin rejuvenation. This review is a general overview of the potential of plasma therapy in medicine, including recent research on skin diseases and interactions of plasma and living tissue (Choi et al., 2017) .

Thanks to both better understanding of plasma phenomena and the development of new plasma sources in the past few years, plasma medicine has become an innovative research field with a high potential for healing. While thermal plasma is used in various medical fields (for example, to burn and sterilize medical devices), current research focuses mainly on the use of non-thermal plasmas. Experiments show that Cold-Air Plasma (CAPs) allows efficient, non-contact and painless disinfection, even in microscopic openings, without damaging healthy tissues. CAP can affect the biochemical processes. In the skin, new horizons open for wound healing, tissue regeneration, treatment for skin infections, and possibly other illnesses. The first clinical trial demonstrates the efficacy and tolerability of plasma in the treatment of chronically infected wounds (Gentile, 2018; Heinlin et al., n.d.). An important task is the introduction of plasma into clinical medicine and simultaneously examining the mechanisms of plasma action at the cellular level.

Autonomic nervous system (ANS) plays a role in the intrinsic skin ageing and it could be minimal compared to external factors induced, especially sun exposure. Most of the cutaneous vascular functions controlled by ANS such as the local blood flow and the loss of fluid through sweat. A recent hypothesis about a possible relationship between wrinkles and ANS activity and reversible wrinkling of the skin in response to water immersion is a marker of the limb sympathetic function. Factors that increase sympathetic activity such as stress, smoking and amphetamine may induce skin wrinkling. Heart rate variability (HRV) is the indirect measures of global ANS activity like high frequency [HF], low frequency [LF], LF/HF ratio. Facial xerosis was related to a decreased HF component that means impairment of parasympathetic autonomic activity. It might be associated with a decrease sweat production and stimulate vasodilatation which in turn leads to skin xerosis. Application of local and systemic administration of drugs and medical devices which electrically modulate autonomic nervous system activity and prognosis of skin ageing.

Skin is the outermost part of our body which is continuously exposed external assaults especially UV radiations. Prolonged exposure of unprotected skin to ultraviolet radiation (UVR) includes inflammation, premature photoageing, DNA damage, photocarcinogenesis, and immunosuppression. Five most significant signs of aging skin are; wrinkles, dark spots and uneven skin tone, sagging, dry skin and open visible pores. Sunscreen will continue to be an important component of Photoprotection. The active ingredients in topically applied sunscreens generally fall into two categories: organic or inorganic. Among inorganic actives, nanosized TiO 2 and ZnO are being used since 1980. These first generation nano sunscreens shown various disadvantages which will be discussed in this talk. The current sunscreens on the market are more aesthetically acceptable and superior to older generation sunscreens due to more advanced nanoparticle technology. Emphasis of discussion will be on encapsulation efficiency, stability and degradation in blood circulation, endocytosis by target cells, endosomal escape, delivery efficiency, and toxicity of nanoparticles. To overcome these obstacles, many types of nanocarriers are proposed; broadly into three categories; (i) lipid-based nanoparticles, (ii) polymer-based nanoparticles, and (iii) inorganic nanoparticles.

Objectives: (1) Know different nose and chin parameters contributing to the facial profile harmony. (2) Detect the specific facial imbalance of the nose and chin in any patient who is seeking correction of facial profile. (3) Apply different surgical techniques for chin advancement with the least complications and best results.

The chin like the nose is in a prominent position on the face and plays very important role in facial profile. The important relationship between the nose and chin may be ignored by many patients who are seeking rhinoplasty and may be underestimated by facial plastic surgeons who perform rhinoplasty This is the task of a facial plastic surgeon to mention this relationship and emphasize its importance for the patient. It is estimated that approximately one fifth of patients requesting rhinoplasty have an underdeveloped mandibular symphysis with normal occlusion (Angle, class I) can benefit from chin augmentation. The relationships between the nose and face were formulated by many authors considering the nasofrontal angle, nasolabial angle, nasofacial angle, and nasomental angle as important aesthetic parameters. Each facial component affects the perception of the balance of the other facial components. An underdeveloped chin with deficient projection will stimulate the image of an over projected nose. For this reason, we evaluated nose-chin proportions and nasal projection before and after genioplasty in rhinoplasty patients. In this presentation different nose and chin parameters contributing to the facial profile harmony will be described. Chin analysis will be discussed according to the most consistent methods. Surgical techniques for osteoplastic chin advancement will be demonstrated. All procedures were performed under general anesthesia with intraoral incision. After exposing the mentum, mental nerves were explored. After markings 5mm below the mental nerves, horizontal osteotomy was performed for chin advancement at the extent which was estimated on preoperative evaluation. The advanced segment was fixed in place with titanium plates or screws. Genioplasty could be performed in patients with chin problems during, before or after rhinoplasty to make a beautiful profile. Our experience with osteoplasty showed satisfactory results with no significant complication.