王修含醫師香港IMCAS國際演講:
英卡思國際整形美容暨皮膚抗衰老大師課程(IMCAS, International Master Course on Aging Skin)
2014年第八屆IMCAS Asia英卡思亞洲年會
August 1-3, 2014 Hong Kong Convention Center
時間:2014年8月1-3日
地點:香港 Convention and Exhibition Center
講師:皮膚科 王修含 醫師 (王修含皮膚科診所院長、台大醫院皮膚部兼任主治醫師)
時間:August 1, 2014 8:58
地點:Room 3
時間:August 1, 2014 9:58
地點:Room 2
時間:August 2, 2014 12:34
地點:Room 1
詳細資訊:
http://www.imcas.com/en/asia2014/schedule/lecture/id/13203
IMCAS Asia 2014 / Program
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Speaker
Name : WANG Shiou Han
Specialty : Dermatologist
Country : Taiwan
Session
Congress |
IMCAS Asia 2014 |
Title |
session 20 (View) |
SubTitle |
safety and efficacy in skin tightening |
Lecture
Title |
optimized techniques for skin tightening with nonablative monopolar radiofrequency |
Number |
13203 |
Date |
August 2, 2014 12:34 PM |
Abstract
Laser and light based therapies have the important roles in the aesthetic applications. But they are limited in the penetration depth, and may cause post-inflammatory hyperpigmentation for dark skin types. Radiofrequency penetrates much deeper to dermis and subcutis without injury of superficial skin structure to achieve satisfied facial rejuvenation and can be used for all skin types.
Monopolar radiofrequency (MRF) can reach deep soft tissue, and superior to the bipolar or “multipolar” counterparts. MRF is usually designed with a special capacitive coupled electrode membrane to make the energy disperse across the surface for volumetric bulk heating of deep soft tissue. With this design, RF can prevent the heat just limited on the contact surface and the risk of epidermal injury.
With the thermal effect, MRF can make the collagen contraction immediately and further stimulate more new collagen deposition (neocollagenesis). Edge effect is the nature of RF system which may cause uneven energy spreading of the treated surface. By some patented design, this effect can be adjusted. If we treat with some special techniques, the edge effect can be further minimized to get safer and more predictable therapeutic results.
By analyzing the heat transfer model of MRF, a partial differential equation composed of heat generation, conduction and convection can be obtained from Fourier’s law of heat conduction and Newton’s law of cooling. According to this equation, we can maximize the therapeutical safety and efficacy by controlling the generated heat and superficial skin cooling.
In previous study, multiple-pass, low-fluence settings are able to produce similar collagen contraction as single-pass, high-fluence technique. However, it was also well known that the exposure time should be tenfold for every 5 degree Celsius decrease in temperature to achieve the similar amount of collagen fibril alteration. With the safety monitoring of patient feedback on heat sensation, we can achieve the best results by using multiple-pass, high-fluence parameters with the aid of some concept of thermodynamics, such as “quasistatic” process.
With the analysis of mechanics, the delivered RF energy can be released in some vectors to cause immediate collagen contraction which can facilitate skin tightening right away, and further neocollagenesis will make the therapeutic effect better.
Putting the optimized techniques mentioned above together, the MRF can be much safer and more effective. We can have immediate off-table and long lasting skin tightening results.
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Conflict of interest disclosures
Did you receive any funding to support your research for this TOPIC?
no
Were you provided with any honoraria, payment or other compensation for your work on this study?
no
Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
no
Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
no
Please state all other financial and/or personal relationships that can be relevant to your lecture:
this work was not supported by any direct or non direct funding. it is under the author's own responsability
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