Dublin LIft IMCAS
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It concludes that although fractionalised CO2 laser resurfacing is recognised as the gold standard procedure for tissue that has lost its elasticityit has adverse risks and does not adequately address the problems associated with chronological aging. He addresses the requirement to apply adjunct methods such as plasma rich platelets to address nasolabial or marionette lines and volume deficits resulting from the loss and repositioning of facial fat. It establishes the benefit of using other facial rejuvenating therapies including microneedling, PRP growth factors, 633 nm light to limit the depth of laser penetration and decrease the risk of scarring and permanent pigmentary alteration. The novel technique is called the DUBLiN facelift as an acronym of the procedures involved: Dermaroller, UltraPulse laser, Blood growth factors, Light (near-red 633 nm), and Neurotoxin.
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Dublin LIft IMCAS
- 1. Multiprocedural Synchronous Facial Rejuvenation Introducing the DUBLiN method Dr. Patrick J. Treacy Medical Director Ailesbury Clinics Ltd
- 3. PIGMENTATION THREAD VEINS SKIN CANCER Title PHOTOAGEING FINE RYTHIDS SALLOW SKIN COARSE COARSE RHYTIDS RHYTIDS
- 4. SKIN LAXITY SKIN LAXITY EPIPHORA WRINKLES WRINKLES Title CHRONO AGEING FAT FAT PROTRUSION PROTRUSION ECTROPION ENTROPION
- 5. Treating Facial Ageing A great variety of stand alone facial rejuvenation treatments are presently available including Botox©,Dermaroller©, RioBlush©,Radiofrequency Devices Syneron Polaris©RF, Thermage© InfraRed Titan©, CO2 fractionalised resurfacing AFX© SmartXide© Fraxel Repair©,
- 6. SKIN LAXITY PIGMENTATION WRINKLES Title COLLAGEN FAT PROTRUSION TEAR TROUGH WRINKLES
- 7. PIGMENTATION PIGMENTATION FINE RHYTIDS Positive FAT FAT PROTRUSION PROTRUSION Title CO2 COARSE COARSE RYTHIDS RYTHIDS FRSL SALLOW SKIN THREAD VEINS THREAD VEINS
- 8. Patient CM 2 passes under R eye with obvious reduction in rhytides and neocollogenesis
- 10. Volume loss Volume loss Cheek Augmentation Negative Marionette Marionette Lines Lines Title CO2 FRSL Nasolabial Nasolabial Lines Lines Eyebrow Height Youthful Look Youthful Look
- 11. Botox CO2 Laser Although, many feel that ultrapulsed fractionalised CO2 laser skin resurfacing is the best treatment option for photo aged facial skin, could we improve on this modality. Fibroblast Stimulation New Collagen
- 12. The DUBLiN method uses different methods and technologies in order to activate fibroblasts and direct them towards neocollogenesis. It also uses low level pulsed lasers to reduce skin laxity, accelerate growth factors and cause tightening.
- 13. The DUBLiN method incorporates D Dermaroller U Ultrapulse Laser B Blood Factors Li Light – 633nm N Neurotoxin
- 14. Induction of FIBROBLASTS A fibroblast is a type of cell that synthesizes the extracellular matrix and collagen, the structural framework (stroma) for animal tissues, and plays a critical role in wound healing. Fibroblasts are the most common cells of connective tissue in animals.
- 15. Comparative study over three months • Over 3 months, 15 patients (Group 1) received FLSR at normal settings • Results were compared to 29 patients (Group 2) received low energy FLRS + adjunctive treatments • Both group received BTXA one week prior to other treatments
- 16. Group 2 received a 3-phase combination multi-rejuvenation technique over 3 weeks. • Phase I included Dysport® at dilution 3.5:1 in 3 areas • Phase 2 introduced intense fibroblast stimulation and modification through microneedling, PRP growth factor induction and near-red phototherapy. • Phase 3 included low–level (CO2) Ultrapulse laser with settings (Energy) 100 mJ (Rate) 14w CPG 3/5/2 and adjunct near-red 633nm phototherapy.
- 17. PHASE 2 multi-combination technique PRP Growth Factor Signals Fibroblast Title Generation Dermaroller Dermaroller Near Red Light 633 Near Red Light 633
- 18. PHASE 2a fibroblast activation PRP Growth Factor Signals Fibroblast Title Activation Dermaroller Dermaroller Near Red Light 633 Near Red Light 633
- 19. PHASE 2b fibroblast stimulation PRP Growth Factor Signals Fibroblast Title Stimulation Dermaroller Dermaroller Near Red Light 633 Near Red Light 633
- 20. DERMAROLLER
- 21. BLOOD FACTORS Platelet Derived GF Connective Tissue GF Keratinocyte GF Title COLLAGEN Transforming GF-B Fibroblast GF Vascular Endothelial GF
- 22. GROWTH FACTORS The efficacy of certain growth factors in forming collagen and healing various injuries is the theoretical basis for the use of PRP in tissue repair. The platelets collected in PRP are activated by the addition of thrombin and calcium chloride. This induces the release of these factors from alpha granules
- 23. LiGHT 633nm Migrating cells exert forces against the substrate to move forward. These forces are part of the contraction phase of migration in which the rear of the cell is detached from the substrate and the body of the cell is moved forward.
- 24. PHASE 2 Co2 Laser Collagen Title Synthesis Post NTa Post NTa Near Red Light 633 Near Red Light 633
- 25. ULTRALASE LASER Laser specialists non-sequential fractionalised CO2 laser ablation is the most effective modality for repairing photo damaged skin The benefits are more precise control of ablation depth, faster recovery time and reduced risk of post procedural problems
- 27. WSRS = Wrinkle Severity Rating Scale 5 Extreme Extremely deep and long folds, detrimental to facial appearance. 2-4mm Visible V-shaped fold when stretched Unlikely to have satisfactory correction with injectable implant alone. 4 Severe Very long and deep folds; prominent facial feature. Less than 2mm visible fold when stretched. Significant improvement is expected from injectable implant. Moderately deep folds. 3 Moderate Clear facial feature visible at normal appearance but not when stretched. Excellent correction is expected from injectable implant. Shallow but visible fold with a slight indentation; minor facial feature. 2 Mild Implant is expected to produce a slight improvement in appearance. 1 Absent No visible fold, continuous skin line.
- 28. GAIS = Global Aesthetic Improvement Scale 5 Very Much Improved Optimal cosmetic result for the implant in this patient. 4 Much Improved Marked improvement in appearance but not completely optimal for this patient. A touch-up would slightly improve the result. 3 Improved Obvious improvement in appearance from the initial condition, but a touch-up or re-treatment is indicated. 2 No Change The appearance is essentially the same as the original condition. 1 Worse The appearance is worse than the original condition.
- 29. DUBLIN Lift Periorbital Area
- 33. Wrinkle Severity Rating Scale % Patient satisfaction BTX
- 34. Wrinkle Severity Rating Scale % Patient satisfaction PRP