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- Professor, Yeungnam University School of medicine

• Title : [Keynote Speech] Current Status and Challenges of Regenerative Medicine in Anti-Aging Aesthetic Medicine
• Date : Dec 2(Sat), at 11:00
• Room : 321

• Title : [Fat & Stem Cell] Exploring Autologous Cells in Anti-Aging and Aesthetics: Recent Trends in Japan
• Date : Dec 2(Sat), at 14:00
• Room : 322

[Current Status and Challenges of Regenerative Medicine in Anti-Aging Aesthetic Medicine]

In the field of anti-aging medicine, the primary approach to maintaining and improving appearance is typically through aesthetic surgery or dermatological approaches. However, with a growing trend among patients seeking less invasive treatments, the concept of regenerative medicine is starting to be introduced.
According to a 2021 nationwide survey of cosmetic medical procedures in Japan, 88.5% of all aesthetic procedures are non-surgical treatments, with approximately 3.2% falling under the category of regenerative medicine, which has been showing an increasing trend year by year.
Regenerative medicine can be broadly divided into two categories: those involving cell-based therapy (ex: cultured fibroblasts, adipose stem cells) and those involving the administration of cell-derived extracts (ex: secretome derived from adipose stem cells, umbilical cord stem cells). In recent years, the number of treatments based on the latter approach has been rapidly increasing. Exosomes, a topic frequently discussed recently, are one of these approaches.
However, due to the nature of aesthetic medicine, which is primarily based on elective procedures, and the difficulty of conducting clinical research with invasive interventions, treatments are often implemented without sufficient evidence. Many uncertainties remain about how these treatments work. Additionally, there is a lack of administrative infrastructure to keep up with the pace of regenerative medicine research.
This presentation aims to explore the current state and challenges of regenerative medicine in the field of anti-aging cosmetic medicine.

[Exploring Autologous Cells in Anti-Aging and Aesthetics: Recent Trends in Japan]

The Act on Securing Safety of Regenerative Medicine, enacted in Japan in 2013, lays out the requirements that medical institutions must adhere to when offering regenerative medicine treatments involving cells. The law classifies regenerative medicine technologies into three categories based on the level of medical risk, and the treatments subject to the law fall into one of these categories.
In the field of anti-aging medicine, many treatments are offered as either Category 2 or Category 3 regenerative medicine. For example, the use of cultured cells and any cell therapy for non-homologous use falls under Category 2, while the use of freshly isolated cells for homologous purposes falls under Category 3.
However, it is important to note that these treatments are established based on legal regulations designed to ensure safety, and they do not guarantee efficacy. Therefore, there are instances where treatments lacking sufficient evidence may be administered.
In this presentation, I would like to provide an overview of the current status and trends in anti-aging medicine in Japan using the latest cell-based therapies.

International Committee Chair, Japan Society of Aesthetic Plastic Surgery

• Title : [Invited Lecture] Two Decades Journey of Fat Grafting for Facial Rejuvenation: 5000+ Cases Review
• Date : Dec 1(Fri), at 14:20
• Room : 321

• Title : [Breast] Autologous Fat Grafting in Aesthetic Mammoplasty: Personal 500+ Cases Review for How I Do It
• Date : Dec 2(Sat), at 9:30
• Room : 322

• Title : [Live Surgery] Micro-Autologous Fat Transplantation for Facial Recontouring and Rejuvenation
• Date : Dec 3(Sun), at 09:00
• Room : V Plastic Surgery Clinic

[Two Decades Journey of Fat Grafting for Facial Rejuvenation: 5000+ Cases Review]

In 1893, Dr. Neuber from Germany documented the initial human fat grafting procedure. The enduring popularity of fat grafting can be attributed to its simplicity of fat harvest, the ample availability of graft material, and the absence of transplant rejection. Nevertheless, the predictability of fat survival and retention rates remains uncertain, with potential complications including abscesses, cysts, nodulation, and the risk of neurovascular injury. A notable advancement emerged in 2007 with Lin and colleagues proposing micro-autologous fat transplantation (MAFT). Their subsequent utilization of the innovative MAFT-GUN instrument has highlighted its indispensable role in facial and body recontouring and rejuvenation, effectively illustrating the efficacy of the MAFT technique.
The comprehensive solution for addressing facial aging in Asian individuals underscores the practicality of implementing the MAFT and MAFT-GUN techniques in a clinical setting. We present findings from a substantial dataset encompassing over 5,000 cases of facial recontouring and rejuvenation. This dataset delves into the nuances of fat preparation, processing, refinement, and transplantation, providing a thorough understanding of the procedure.
Detailed accounts of pre-operative, intra-operative, and post-operative management shed light on the precise methodology employed by the authors. The culmination of this research entails a long-term follow-up study, which offers insights into the enduring effects of facial recontouring and rejuvenation across various facial areas, including the forehead, temple, periorbital region, cheeks, nasolabial groove, nasal dorsum, lips, and chin. In some instances, additional procedures, such as lower blepharoplasty for the lower eyelid, rigottomy, and threading, may be necessary to achieve optimal outcomes.
We welcome further conclusions and discussions, as they are instrumental in advancing the field of regenerative medicine in the forthcoming era, focusing on autologous fat grafting by the MAFT technique as a pivotal technique.

[Autologous Fat Grafting in Aesthetic Mammoplasty: Personal 500+ Cases Review for How I Do It]

The aesthetic refinement of the female breast has long been recognized as emblematic of beauty and a significant determinant of self-esteem. Consequently, augmentation mammoplasty ranks among the foremost aesthetic surgical procedures globally. Dr. Neuber introduced the concept of fat grafting in 1893, and within two years, Dr. Czerny employed lipoma tissue for breast reconstruction. Over subsequent decades, the application of fat grafting in breast surgery has encompassed natural breast augmentation, breast reconstruction, correction of breast asymmetry, revision surgery, remediation of post-lumpectomy defects, and minimal enhancement.
 In 2007, Lin et al. introduced Micro-Autologous Fat Transplantation (MAFT) as a clinical modality. Notably, numerous successful outcomes and academic publications have substantiated the viability and significance of MAFT in facial recontouring and rejuvenation. Building upon the principles of MAFT, the innovative surgical instrument known as MAFT-GUN has afforded surgeons the capacity to meticulously and precisely deliver minute fat parcels. This advancement has bolstered fat survival and retention rates while mitigating potential complications.
 Over the past decade, the authors have executed more than 500 cases of aesthetic and reconstructive breast surgery utilizing the MAFT technique, conducted under total intravenous general anesthesia. The forthcoming presentation will provide comprehensive surgical details of this evolving approach. Amidst ongoing debates surrounding strategies for aesthetic and reconstructive mammoplasty, a decade of clinical experience comprising over 500 cases underscores the potential of MAFT as a viable alternative for augmentation mammoplasty.

- Fat Transplantation and Body Sculpture Summit of Taiwan Society of Aesthetic
and Plastic Surgery 2021 - present
- Director of Charming Institute of Aesthetic & Regenerative Surgery (CIARS)
2006 - present
- Olympiad Award Winner – titled: A Decade Journey of Fat Transplantation for
Facial Rejuvenation – ISAPS Olympiad Athens World Congress 2023, Athens,
Greece.

• Title : [Eye Master Course] Systematic Approaches for Ideal Aging Upper Blepharoplasty In Case of Supratarsal Depression and for Lower blepharoplastry in asymmetrical condition
• Date : Dec 2(Sat), at 9:00
• Room : 321

• Title : [Live Surgery]
  Aging upper blepharoplasty in case of supratarsal depression
• Date : Dec 3(Sun), at 10:00
• Room : V Plastic Surgery Clinic

• Title : [Live Surgery]
  Lower blepharoplasty using SOOF lift in case of asymmetrical condition
• Date : Dec 3(Sun), at 13:00
• Room : V Plastic Surgery Clinic

[Systematic Approaches for Ideal Aging Upper Blepharoplasty In Case of Supratarsal Depression and for Lower blepharoplastry in asymmetrical condition]

As we age, the skin loses its elasticity and the skin sags downward under the influence of gravity. The skin of the upper eyelid also loses its elasticity and sags downward, gradually obscuring the field of view, resulting in more wrinkles on the forehead. Naturally, the upward and downward movement of the eyebrows increase, and the amount of the eyebrows becomes severe.
If the orbital fat is low, the possibility of supratarsal depression increases. Lesser the orbital fat the stronger the adhesion between it and the posterior septum. When the eyes are opened under these conditions, the force of the levator palpebrae superioris is transmitted to the posterior septum and the orbital fat is pulled back. This results in a remarkable supratarsal depression. In particular, when the power of the levator palpebrae superioris becomes weak, the problem is exacerbated because the power of the frontalis tends to compensate the power of opening the eyes. The loose upper eyelid skin adheres closely to the contour of the sunken eye, so it does not look saggy. However, when the levator function improves and the supratarsal depression disappears, the skin sagging of the upper eyelid becomes severe. As a result, the need for skin excision increases when double eyelid surgery is performed on an eye with supratersal depression. For this reason, there is a high possibility that additional brow lift surgery will be required.
I would like to analyze the factors that affect the results of upper blepharoplasty and explain the importance and priority of each factor. Based on this, I would like to suggest a systematic approach so that the results of upper blepharoplasty for the elderly look natural. In addition, I will explain the role of each tissue while conducting live surgery for the eye with supratarsal depression.

[Lower blepharoplasty using SOOF lift in cases of asymmetrical condition]

If you take a picture of your face from the front without lighting it, you can see the high and low contours of the facial bone and how the left and right skin sagging is processing. The factor that has the greatest influence on the shape of the lower eye is the development of the maxilla and cheek bones. Therefore, the left and right difference of the lower eyelid is mostly affected by the structural difference between the maxilla and cheek bones. In particular, it is most affected by the difference of the highest protruding position and bony volume of the maxilla and cheek bones.
Changes in the central midface that occurs with aging happen in the tear trough, Indian groove, deep nasolabial fold, and additional drooping of the jowls. If there is a difference in the structure of the lower eyelids, the degree of sagging of the lower eyelids will also be different. In addition, if the left and right lower eyelid conditions are different, the difference between the left and right will never be solved if the same operation is performed.
Lower blepharoplasty is the way to solve central midface aging. Therefore, I would like to propose a surgical method that can resolve a significant part of the difference between the left and right lower eyelids by modifying the lower blepharoplasty using SOOF lift.

- Director, Dr. Byun’s Plastic Surgery Clinic
- Former President, Aesthetic Plastic Surgery
- Former Research fellow MASS General Hospital, Plastic Surgery

• Title : [Breast] Augmentation Mastopexy : Technical Refinements
• Date : Dec 2(Sat), at 9:50
• Room : 322

[Augmentation Mastopexy : Technical Refinements]

Augmentation mastopexy is one of the most complex and challenging procedure in aesthetic breast surgery that demands careful planning and execution. This is because when mastopexy and augmentation are performed together, they lead to opposing forces, which should be balanced carefully to avoid complications. This presentation addresses some of the key issues and principles in augmentation mastopexy.

- Member, International Confederation for Plastic, Reconstructive and Aesthetic Surgery
- International Member, American Society of Plastic Surgeons

• Title : [Fat & Stem Cell] Facial Contour Refinement using In Vivo Bone Tissue Engineering Technic
• Date : Dec 2(Sat), at 14:20
• Room : 322

• Title : [Live Surgery] Fat & Stem Cell
• Date : Dec 3(Sun), at 09:00
• Room : V Plastic Surgery Clinic

[Facial Contour Refinement using In Vivo Bone Tissue Engineering Technic]

It has been more than 25 years since the introduction of classic tissue engineering concept in 1996 by Charles Vacanti. In this presentation, I’d like to introduce a new concept of hard tissue engineering in which omit or bypassing in vitro tissue engineered construct (TE construct) forming process.
Completing TE construct before in vivo implantation has long been accepted as an essential process for successful tissue engineering. However, this process has been a big hurdle for clinical application of tissue engineering not only by increasing total cost but also confronting the FDA regulations. To make matters worse in clinical situation, TE construct which is a large avascular vulnerable cell-tissue mass, will confront a problem related with its vascularization and survival. I certainly believe that we could make a better result by directly placing SVF cells & scaffolds for hard tissue engineering into adequate biologic space within human body.

This new concept provides us great benefit to avoid government regulation and to reduce total engineering cost. Another advantage of the new concept is natural vascularization into the engineering hard tissue. With this new concept, we could increase clinical outcome by reducing risks of partial absorption or complete collapse of implanted TE construct. I’ve already applied this technic for animal experiments for more than 10 years and very successful result had been confirmed.

Subsequently, clinical application has been performed for facial bone contour augmentation in 19 patients during last 3 years. Safe & satisfactory bone augmentation was possible in every patient without any failure and the results are remarkable. This new concept will open a new chapter for the clinical application of tissue engineering. Further research and refinement are needed.

- Founder and the First President of Asian forum for Fat & Stem cells
- Former Board member of ISPRES (International Society of Plastic and Regenerative Surgeons)
- Former President of Korean Society for Lipoplasty and Adipose Stem Cell

• Title : [Fat & Stem Cell] Complications Related with Facial Fat Graft
• Date : Dec 2(Sat), at 15:50
• Room : 322

[Complications related with facial fat graft]

Fat injection on the face is one of the commonly used cosmetic procedure for facial augmentation and rejuvenation. Autologous fat graft as a soft tissue filler has many benefits. The fat is abundant and could be harvested easily from multiple sites without any serious morbidity. And there are many renewable inexpensive resource when you need it. It is a non-allergenic autogenic graft that does not result in the severe side effects or potential risks that come with allogenic fillers.
Even it is a very safe technique, it has relatively minor complications such as hematoma, visible lump with uneven contour, chronic swelling and calcification. Sometimes it also have a serious potentially fatal complications, such as skin necrosis, infection, central retinal artery occlusion, and cerebral infarction. In addition to common infection such as Staphylococcal organism, Atypical mycobacterial infection is more common than our considerations.
Nowadays, the ocular swelling after facial autologous fat injection is increased and it turned into periorbital lipogranuloma with pain, foreign body sensation, hardness and ptosis. The ocular swelling after forehead fat grafts will be last several weeks and some of them developed as intraocular granuloma formation. The incidence of it is increased as many as the incidence of facial fat graft especially, forehead and upper lid fat graft. It has more incidence in using cryopreserved fat that act as foreign body even it is autologous one.
There are many lumps after fat injection after sunken eyelid correction. It also increased in numbers.
The author want to share the experiences and discuss about some experiences of complications after fat graft and cure it.

- President, Korean Association of Laser Plastic Surgery
- Former Vice President, Korean Society of Plastic & Reconstruct. Surgery

• Title : [BL Sessions] Facial Contouring Surgery
• Date : Dec 1(Fri), at 9:00
• Room : 321

[Facial Contouring Surgery]

In general, facial contouring surgery means facial bone surgery, but there are many cases that facial contour surgery is not adequate or suitable enough.
Therefore, it is important to apply the proper surgical techniques depending on patient's condition and needs.
I will present the surgical methods and applications of facial liposition, face lift, and facial bone contouring surgery.

- Former section chief of plastic surgery at Daegu Fatima Hospital
- Regular member of International Confederation for Plastic, Reconstructive and
Aesthetic Surgery (IPRAS)
- Regular member of Korean Society for Lipoplastic Surgery and Adipose-
derived Stem Cell
- Member, Korean Society of Plastic & Reconstruct. Surgery

• Title : [V Session] Injectable Aesthetic Procedures (Filler, Toxin, and Skin Booster) : Beyond Ordinary Satisfaction
• Date : Dec 1(Fri), at 11:10
• Room : 321

• Title : [Botulinum Toxin, Filler & Thread Lift] Actual practice for thread-lifting and injectables
• Date : Dec 2(Sat), at 16:30
• Room : 321

• Title : [Live Surgery] Actual Practice for Thread-lifting and Injectables
• Date : Dec 3(Sun), at 15:00
• Room : V Plastic Surgery Clinic

[Injectable Aesthetic Procedures (Filler, Toxin, and Skin Booster) : Beyond Ordinary Satisfaction]

Minimal invasive surgery is currently the most popular field in the field of cosmetic surgery.
Especially, Botulinum toxin, Filler, and skin booster Injection is the most commonly performed minimal invasive procedures.
One of the key treatments is Filler, Botulinum toxin and Skin booster.

Among them, Korea stands out in the filler, toxin and skin booster market as well as surgery in the cosmetic plastic surgery field. Compared to the past, the proportion of Injectable Aesthetic Procedures presentations at the conference has become very high. In the past, Injectable Aesthetic Procedures have tended to be treated around specific areas for the purpose of volume replacement.

I would like to introduce various performance technique, which are commonly performed in Korea, using filler and botulinum toxin and Skin booster.

I'm sure it will help your hospital in a simple and immediate way.

- Chairman & Director. V Plastic Surgery Clinic
- Advisor professor of Medical school, Catholic Medical Center of Dae-gu
- Academic board of Scholarship Committee of Korea Plastic Research Society of
Botulinum toxin, Filler and thread
- Academic board of Scholarship Committee of APAAC(Asia Pacific AntiAging
Course)

• Title : [Breast] Framing and Mapping for Reduction Mammoplaty
• Date : Dec 2(Sat), at 9:00
• Room : 322

[Framing and Mapping for Reduction Mammaoplaty]

Compared to other cosmetic breast surgeries, breast reduction surgery has various, complex, and unestablished surgical plans and designs. The author tries to explain the process of setting the goal and direction of surgery in a large framework and specifying it.

When undergoing surgery, you must first decide the size, shape, and position of the breast.

1. Most patients complain of pain and movement restrictions in various areas due to the weight of their breast and want breast size as small as possible. However, the size of the breast should be determined in consideration of the patient's wishes and balance with the entire body. Too much small breast is not recommended for obese patients.
2. The shape of the breast is determined based on the shape of the preferred upper pole. If we make a large amount of reduction, the protrusion of the upper pole would be decreases, and if patients want a protruding upper pole, we may have to make a redistribution of breast tissue.
3. The position of the breast is determined in consideration of the current position of IMF and nipples, and the vertical position difference between the nipple and IMF should be determined in consideration of the breast volume..

The surgical design and procedures are as follows.

1. Postoperative nipple positioning: The decision is made in consideration of the relative vertical position in the upper body and the breast volume which we want to make thgroug the operation.
2. Calculation of surplus amount of skin : Skin surplus is calculated by dividing it by vertical and horizontal elements, vertical skin surplus is again divided into upper portion and lower portion in the standard of nipple and horizontal surplus is also divided into inner portion and outer portion of the nipples.
3. If vertical skin incision is necessary, move the nipple and breast tissue to the postoperative nipple position and breast volume that you want to make after surgery, and draw the medial and lateral vertical incision line.
4. Considering the location of IMF t, vertical scar method is designed if it is necessary to move the IMF to upward position, and inverted T scar method is designed when a lot of skin resection is necessary in the lower pole.
5. Breast tissue resection: Basically, the lower and outer parts are resected a lot, and the upper and inner parts are cut so as not to be excessively resected. If you want a lot of reduction, make the remaining tissue a little thinner.
6. If the amount of tissue in the upper breast needs to be supplemented, rearrange the resecting tissue by leaving and rearranging the part of it .
7. The internal tissue of the breast should be shaped that the shape of the breast can be maintained without any support of skin envelop.
8. To suture the skin.

The plan, design, and surgery of breast reduction have many considerations and variables, so it is necessary to organize the order and method of this process more systematically, and I think that stable surgery results can be obtained through this.

- Director of THE Plastic Surgery Clinic
- Adjunct professor, Asan medical center
- Director, Academic relations committee of The Korean society for aesthetic plastic
surgery
- Expert commissioner of High Court of Justice, Korea

• Title : [Fat & Stem Cell] SVF SVF( stromal vascular fragment) assisted Lipoinjection for Facial Plastic Surgery
• Date : Dec 2(Sat), at 14:40
• Room : 322

[SVF(stromal vascular fragment) assisted Lipoinjection for Facial Plastic Surgery]

Stromal vascular fragment is a heterogeneous population of freshly isolated cells from adipose tissue after collagenase digestion and high-speed centrifugation. It contains a lot of cells include mesenchymal stem cells (stromal cells) , pericytes, smooth muscle cells, T cells etc. About 15 to 30 % of the SVF made up of stem cells (adiposed derived stem cells : ASC) and they play a positive role in the wound healing and antiaging through neovascularization, anti apotic effect, anti innflamatry effect. The wound healing effect of ASC has the same effect on damaged dermal collagen of photo-damaged skin. Thus ASC ameliorates skin aging from photoaging and improves skin wrinkles. And also it is known that they increase fat graft survival. Now days fat graft, with the addition of SVF, is used as a very common technique to increase graft survival. (cell assisted lipoinjection : CAL)
Stem cells also contribute to the smoothness and reduction of the scars, such as the release of various growth factors and normalization of the arrangement of collagen.
Based on such theory & experimental study, I would like to discuss the indications, methods, and results of clinical application of fat graft with SVF.

- Professor, Yonsei University, College of Medicine, Department of Plastic &
Reconstructive Surgery
- Director of International Confederation of Plastic Surgery Society
- Former Chairman of Board Director, Korean Society of Plastic & Reconstruct.
Surgery

• Title : [Botulinum Toxin, Filler & Thread Lift] Sono-anatomy for BoFilTh on Temple and Facial Artery
• Date : Dec 2(Sat), at 14:00
• Room : 321

• Title : [Live surgery] Live injection using sono guide for temple hollow
• Date : Dec 3(Sun), at 10:00
• Room : V Cosmetic & Plastic Surgery Hospital

[Sono-anatomy for BoFilTh on Temple and Facial Artery]

Anatomy of the Temple:
Skin, sub-galeal plane, superficial temporal fascia, innominate fascia, superficial temporal fascia, temporal fat pad, buccal fat pad with arteries and veins can be identified using sonography.
The temple, also known as the temporal region, is located on the sides of the head, just above and slightly in front of the ears. It is a complex area anatomically, with various structures, including bones, muscles, nerves, and blood vessels. Understanding the anatomy of the temple is essential for medical professionals, particularly surgeons, who may perform procedures in this region.
Temporal Bones: The temple is primarily formed by the temporal bone, which is a paired bone on each side of the skull. The temporal bone consists of several parts, including the squamous part, petrous part, mastoid part, and tympanic part. The squamous part forms the flat, curved region on the side of the head, and it contains the temporalis muscle attachment site.
Temporalis Muscle: This muscle is one of the key muscles involved in chewing (mastication). It originates from the temporal bone and inserts into the mandible (jawbone). Contraction of the temporalis muscle allows you to close your jaw and perform biting and chewing actions.

Fat Pads: As mentioned in your previous query, the temple region contains fat pads, which are collections of adipose tissue. There are different fat pads within the temple, including the deep, intermediate, and superficial temporal fat pads. The deep temporal fat pad extends from the buccal fat pad into the temple region. The intermediate temporal fat pad is located between layers of deep temporal fascia. The superficial temporal fat pad is often considered synonymous with the subcutaneous fat in the temple area.
Superficial Temporal Artery: This artery supplies blood to the temple region. It is a branch of the external carotid artery. The pulsations of the superficial temporal artery can often be felt just in front of the ear.
Temporal Branch of the Facial Nerve: This branch of the facial nerve (cranial nerve VII) innervates some of the muscles in the temple region and is involved in facial expressions.

Connective Tissues: The temple region is also associated with connective tissues, including the temporoparietal fascia. This fascia is a connective tissue layer that covers and separates various structures in the temple area.
In summary, the temple region is a complex area of the head with various anatomical structures, including bones, muscles, blood vessels, nerves, fat pads, and connective tissues. It is involved in important functions like chewing, facial expressions, and the overall aesthetics of the face. Knowledge of temple anatomy is crucial for medical professionals, especially when performing surgical procedures or addressing conditions affecting this region.
In conclusion, a comprehensive understanding of the facial artery's intricate course and the nuanced terminology surrounding temple fat pads is essential for cosmetic or plastic surgeons. The facial artery's tortuous path through the neck and face, along with its relationships to adjacent structures, underscores its significance in various medical interventions. Similarly, clarifying the nomenclature and composition of temple fat pads aids in improving the accuracy of anatomical descriptions and surgical procedures in this region. Future research may continue to refine our knowledge of these anatomical features, contributing to advancements in clinical practice and patient care.

Facial Artery:
The facial artery, a vital component of the circulatory system, plays a crucial role in supplying blood to the face and surrounding structures. Understanding its intricate anatomical course is essential for various medical and surgical procedures. In this presentation, I delve into the detailed sono-anatomy of the facial artery, elucidating its path from the neck to the face, while also exploring temple region for injectables.
The facial artery originates within the carotid triangle, emerging from the external carotid artery, slightly above the lingual artery. As it begins its journey, it is protected by the ramus of the mandible. It follows an oblique course, passing beneath the digastric and stylohyoid muscles, forming an arch over them as it enters a groove on the posterior surface of the submandibular gland. The facial artery then ascends, crossing the antero-inferior angle of the masseter muscle, and proceeds forward and upward across the cheek to the angle of the mouth. Finally, it ascends along the side of the nose and terminates at the medial commissure of the eye, where it assumes the name of the angular artery. The tortuous nature of the facial artery is remarkable, allowing it to accommodate various neck and facial movements, such as swallowing and mandible, lip, and cheek motion. I will show you sono-anatomy of facial artery
The path of the facial artery undergoes notable changes in depth and relation to surrounding structures as it progresses. In the neck, it initially lies superficially, covered by the integument, platysma, and fascia. It then passes beneath the digastric and stylohyoid muscles and partly under the submandibular gland but remains superficial to the hypoglossal nerve. In its course over the face, it becomes more superficial, lying immediately beneath the dilators of the mouth. Along this route, it is covered by integument, cheek fat, and, near the angle of the mouth, by the platysma, risorius, and zygomaticus major muscles. It rests upon the buccinator and levator anguli oris muscles and may pass over or under the infraorbital head of the levator labii superioris muscle. The anterior facial vein typically takes a more direct course across the face, maintaining a considerable interval from the facial artery. In the neck, however, it lies superficial to the artery. Additionally, branches of the facial nerve cross the artery from behind forward, highlighting the intricate relationship between neurovascular structures in this region. Notably, the facial artery engages in anastomosis with several other arteries, including the dorsal nasal artery originating from the internal carotid artery, which is significant for vascular supply redundancy and collateral circulation.

- Director, Kim Jong Seo plastic surgery Clinic
- President, Botulinum Toxin-Filler-Thread Academic Association for the Korean
Plastic & Reconstructive Surgeons
- Former professor, Inje university Hospital

• Title : [Botulinum Toxin, Filler & Thread Lift] What you need to know about thread lift
• Date : Dec 2(Sat), at 14:20
• Room : 321

• Title : [Live Surgery]
  1. Press Sculpting Cog Thread Lift: PDO & PCL
  2. Jamber Thread
  3. Rhinoplasty Using Lifting Thread
• Date : Dec 3(Sun), at 13:00
• Room : V Cosmetic & Plastic Surgery Hospital

[What you need to know about thread lift]

1. Principles of thread lift

1) reposition of sagging tissue
2) fixation of lifted tissue
3) Collagen Synthesis and Adhesion

2. For thread lift, it's a best result in supine position

3. Understanding the material of thread lift
Prolene, PDO, PCL, PLLA

4. Understanding how to fix thread lift
1) Cogged or Barbbed thread
2) Embedding method

5. Understanding the Development of Designs and Structures of thread lift.
1) development of Barbbed or Cogged thread
2) development of Embedding thread lift

6. Understanding the changes of tissue and lift thread

7. combined procedures for synergistic effects

8. Growth potential of thread lifting market

- Former Director, Korean Plastic & Reconstructive Surgeons
- Director, Kang Nam Plastic Surgery Clinic, Osan

• Title : [Botulinum Toxin, Filler & Thread Lift] Thread using rhinoplasty by PCL, Jamber combination
• Date : Dec 2(Sat), at 14:40
• Room : 321

Conventional nasal aesthetic surgery to correct Asians' low and short noses has used synthetic materials such as silicon and Gore-Tex for decades. However, as the demand for aesthetic improvement with fast recovery increases, many minimally invasive methods have been introduced, one of which is nasal plastic surgery using threads. Initially, non-absorbable materials were also used, but with the introduction of using PDO, nasal plastic surgery using various absorbable materials became common. After that, with the introduction of HA filler combined therapy, nose plastic surgery using PCL thread, which is resistant to moisture, was developed in the face of the limitation of PDO that absorbs quickly. It can be said that the concept of creating a new tripod by focusing on nose tip molding, one of the disadvantages of nose plastic surgery using threads, has been applied to the nose plastic surgery using PCL thread to overcome its limitations. In addition, it was possible to obtain non-invasive and excellent results by reproducing nose tip plastic surgery compared to traditional cartilage graft by applying volume to the tip of the nose. It is known as TAPSKo® (Thread Aesthetic Plastic Surgery Ko) in the meaning of thread using aesthetic plastic surgery nose job.
According to the result of four years of long-term follow-up, PCL scientifically matches the absorption pattern to develop a support, securing a nose bridge height and maintaining the projection at the tip of the nose similar to that of conventional surgical ways. Furthermore, histologic evaluation shows collagen deposition along the PCL and its long term biodegradation which has longevity evidence in terms of Scaffold. Using PCL threads are concluded as one of the best way of effectively making a new tripod by minimal invasive rhinoplasty.

- Chairman, Kangnam Samsung Plastic Surgery Korea
- Former Director, Korean Association of Plastic Surgeons
- Active member of Korean Society of Plastic and Reconstructive Surgery(KSPRS)
- Active member of Korean Society of Aesthetic Plastic Surgery
- International Member of American Society of Plastic Surgeons(ASPS)
- Active member of Plastic Surgery Research Council

• Title : [Botulinum Toxin, Filler & Thread Lift] Facial rejuvenation using fine braided & press cog type PDO threads
• Date : Dec 2(Sat), at 15:30
• Room : 321

[Facial Rejuvenation Using Fine Braided & Press Cog Type PDO Threads]

Background : Thread lifting is currently one of the most commonly used minimally invasive options in facial rejuvenation procedures. In particular, the absorbable polydioxanone (PDO) thread effectively strengthens the contours of the face due to its collagen-stimulating properties, corrects the shape of a round and saggy face, and increases skin elasticity, while enabling relatively short downtime due to its minimally invasive properties.

Purpose : This study evaluated the efficacy of PDO thread with combination of cog type and press cog type thread (Ncog & Nfix) and cog type thread (Ncog) alone, Secondarily, it was conducted to evaluate the effect and safety of applying very fine braided type PDO threads(N-scaffold) additionally to the aged lower eyelid.

Method : A total of 30 patients with slightly sagging facial skin who had undergone thread lifting using a PDO thread were targeted.
The subjects were divided into two groups of 15 in each group. The first group performed only midfacial thread lifting using PDO cog thread ("non-SCA" group), and the second group performed midface thread lifting with twisted PDO thread to improve tear trough deformation ("N-SCA(Scaffolds) group). The results were subjectively based on patient satisfaction, and pre- and post-operative photo evaluations were conducted by an objective evaluator.
Result; The average age of the subjects was 51.8 years (range 65-34 years). There was a statistically significant difference between preoperative and postoperative results with an average of 1.94±0.43 points (p<0.05). Also, the combination of Ncog and N fix showed slightly better results than Ncog alone. As for patient satisfaction, all patients were satisfied with the clinical results.
According to Barton's grading system, after 7 months of treatment, there was a statistically significant difference of 1.733±0.74 in the non-SCA group and 0.733±0.83 in the N-scaffold group (p<0.05). According to the patient's self-satisfaction evaluation, there was a significant difference after 7 months of treatment: 2.86 ± 0.84 in the "non-SCA" group and 3.76 ± 0.90 in the "N-scaffold" group, p < 0.05. Complications such as persistent swelling, hematoma, skin irregularity, and infection were not observed during the follow-up period.

Conclusion : It was confirmed that the PDO thread is effective in rejuvenating aged skin, increasing and supporting soft tissue elasticity, and is a safe procedure with relatively few complications. In thread rejuvenation of the mid-face, in particular, when thin twisted PDO thread (N-scaffold) was applied to the aged lower eyelid, effective wrinkle and skin improvement effects were confirmed for a certain period of time.
 
References
Khan G, Ahn KH, Kim SY, Park ES. Combined press cog type and cog PDO threads in comparison with the cog PDO threads in facial rejuvenation. J Cosmet Dermatol. 2021 Oct;20(10):3294-3298.
Khan G, Kim BJ, Kim DG, Park ES. Retrospective study of the absorbable braided polydioxanone threads' usefulness in the aged lower eyelids' rejuvenation. J Cosmet Dermatol. 2022 Nov;21(11):5952-5956.
Ha YI, Kim JH, Park ES. Histological and molecular biological analysis on the reaction of absorbable thread; Polydioxanone and polycaprolactone in rat model. J Cosmet Dermatol. 2022 Jul;21(7):2774-2782.

- Director of Academic Affairs Committee, Korean Society of Plastic & Reconstruct.
Surgery
- Chief, Professor, Plastic Reconsructive & Regenerative Surgery Soonchunhyang
University Bucheon Hospital

• Title : [Botulinum Toxin, Filler & Thread Lift] Non-surgical Nose Lift using by Molding Barb Thread
• Date : Dec 2(Sat), at 15:50
• Room : 321

Thread procedure for aesthetic purpose is getting popular and a lot of thread have been launched in Korean market. And many surgeons have suggested their own procedure to maximize the result.
Today, I hope to introduce the different area in the thread lifting. There are lifting threads for non-surgical nose surgery. There are two types and I would like to show my technique with concepts.

- Former Director, Korean Association of Plastic Surgeons
- MD. PhD., Catholic University of Korea
- Member, Korean Academic Association of Breast Surgery, KSPRS
- Member, Academic Affairs Committee, Korean Society of Plastic and
Reconstructive Surgeons (KSPRS)
- Director, Graceonyoung Plastic Surgery Clinic

• Title : [Botulinum Toxin, Filler & Thread Lift] Hydro-lifting using HA fillers : What is it?
• Date : Dec 2(Sat), at 16:10
• Room : 321

[Hydro-lifting using HA fillers : What is it?]

Traditional facial lifting surgery, a large, hard-to-reach surgery which only some
courageous people can be received. To a thick-skinned, square-skinned Asian,
It is true that consequences of satisfaction after operation is weak.
For this reason, Surgical facial lifting couldn’t be active in Asians and as an
alternative, non-surgical and non-invasive methods are active under study.
Recently, it has been implemented in Eastern countries, Non-surgical, non-invasive
and easily accessible to both physicians and patients.
There's a new concept of facial lifting Hydro-lifting using of 5R's of combination
procedures are Introducing.
This method is
1. By increasing the volume by NASHA itself injected into the skin and by hydrophilic
characteristics Replace by hydration of the skin,
2. Skin contracture by injection in a thread-like, non-gravity direction Redrape,
3. Resurface by multiple puncture and collagen remodeling by NASHA itself.
As a result, lifting was observed with improvements in Skin Texture, Tone, and
Color.
4. If you inject Botox additionally, it also has the effect of Relax and becomes 4 R’s.
5. Recent injections of PRP and Stem Cell combine the concept of Regeneration

- Director of ChoSooYoung Cosmetic Clinic
- Former President, Botulinum Toxin-Filler-Thread Academic Association for the
Korean Plastic & Reconstructive Surgeons
- Former Plastic surgery doctor of Jaesaeng laser and cosmetic clinic
- Prepresident of the The botulinum toxin-filler-thread academic association for
the korean plastic & reconstructive surgeon

• Title : [V Session] 30 Years Evolution of Ptosis Blepharoplasty
• Date : Dec 1(Fri), at 10:30
• Room : 321

[30 years evolution of ptosis blepharoplasty]

Introduction: The optimal surgical approach for blepharoptosis is dependent upon many factors, the most important being levator function. However, the preferred approach in severe blepharoptosis remains a matter of concern

Material and Methods: From1985 to 1990 I used fascia lata suspension and maximal levator resection for severe ptosis. From 1991 I started to use frontalis muscle flap and I changed to frontalis myofascial flap at 1992. I found that orbicularis oculi muscle flap is more easier and safe procedure and I used that one from 1993. Muller's muscle plays an important role in maintaining the position of the upper eyelid. The muscle itself has power to elevate the upper eyelid about 2 mm as showing 2 mm drooping of the upper eyelid in Horner's syndrome. From 2005 I was going to use Muller-aponeurosis flap. I also found that silicone rod suspension is very effective in children and old patients who difficult to do big operation use it from 2010. Follow up period was from 6 months to 18 years (average follow-up of 23 months). A total of 182 cases (240 eyelids) underwent advancement of the Muller's muscle-levator aponeurosis composite flap. We investigated 130 patients with levator function between 2 and 4 mm who underwent corrective surgery for blepharoptosis.

Results: In operative results, majority of patients was restored to accetpable range of eyelid height in primary gaze after first Muller's muscle-levator aponeurosis composite flap operation but remaining 18 cases had minor revisions to make symmetrical and desired eyelid height.

Conclusion: Now, I use frontalis muscle flap in adult and Muller-aponeurosis flap in any age. Muller's muscle-levator aponeurosis composite flap procedure is simple and physiological procedure with no or minimal sacrifice of the Muller's muscle, yielding acceptable results in conginital ptosis.

- Director, V Plastic Surgery Clinic
- Catholic University Hospital of Daegu 1988-2020
- Former National Secretary of Korea of ISAPS (International Society of Aesthetic
Plastic Surgery

• Title : [V Session] Breast Surgery 12 Years Experience: The Journey for Best Practice
• Date : Dec 1(Fri), at 10:50
• Room : 321

[Breast Surgery 12 Years Experience: The Journey for Best Practice]

The process of gaining experience and improving skills in breast augmentation surgery means the process of lowering side effects.
You will be able to lower the side effects of breast augmentation surgery by fully understanding the characteristics of breast prostheses, precautions during surgery, and the pros and cons of each breast prostheses.
In particular, it is important to reduce the various causes of capsular construction.

- Director, V Plastic surgery clinic, Korea
- Board certified plastic surgeon, Korea
- Adjunct Professor of Plastic and Reconstructive Surgery, Medical College of
Daegu Catholic University, korea
- Member, Korean Society of Plastic & Reconstruct. Surgery

• Title : [Cadaver Workshop] Sinus Graft, Face Lift and Cadaver Dissection
• Date : Dec 1(Fri), 08:00
• Room : Keimyung Univ. School of Medicine

- Director, V Plastic Surgery Clinic
- Member, Korean Society of Plastic and Reconstructive Surgeons
- Member, Korean Soicety for Microsurgery
- Member, International Society of Plastic Regenerative Surgeons
- Member, American Society of Plastic Surgeons

• Title : [International Sessions] Application of Platelet Rich Plasma in Aesthetic Medicine
• Date : Dec 1(Fri), 16:10
• Room : 321

[International Sessions] Application of Platelet Rich Plasma in Aesthetic Medicine

PRP is the abbreviation of platelet-rich plasma. Centrifuge method
extracts platelets and plasma concentrates from autologous blood, rich
in various growth factors, for example: vascular endothelial growth
factor (VEGF), fibroblast growth factor (FGF), platelets Derived growth
factor (PDGF), epidermal growth factor (EGF), connective tissue growth
factor (CTGF), keratinocyte growth factor (KGF), etc.
PRP treatment uses a variety of growth factors to participate in cell
differentiation, tissue, and angiogenesis to regenerate and repair
damaged tissue.
PRP new injectable cosmetic treatment method，
It injects PRP autologous plasma rich in various growth factors into the
superficial dermis to stimulate the production of large amounts of
collagen, elastic fibers, colloids, etc., and promote the growth and
rearrangement of multiple skin tissues.
This can achieve the purpose of comprehensively improving skin
condition, tightening and lifting facial skin, reducing wrinkles, depressed
scars, restoring skin rejuvenation, and delaying skin aging.

- The Second Affiliated Hospital of Shantou University School of Medicine,
Guangdong, Plastic and Burn Cosmetic Surgery-work
- Regular member of the Korean Association of Plastic and Aesthetic Surgery
- Member of the Medical Cosmetology Professional Committee of the Chinese
Association of Integrative Medicine
- Director of the Accurate and Digital Branch of the Chinese Association of
Plastic Surgery and Aesthetics

• Title : [Fat & Stem Cell] Trinity Rejuvenation Treatment (Combination Treatment with SVF, Fatgraft and Fractional Laser) for Aging Face
• Date : Dec 2(Sat), at 16:10
• Room : 322

[Trinity Rejuvenation Treatment (Combination Treatment with SVF, Fatgraft and Fractional Laser) for Aging Face]

Introduction:
primary components of aging are sagging, deflation and wrinkling of the facial skin. Rejuvenation treatment targets and improves these three components.
Even in an aged face, the midface ages mostly by deflation and not by sagging. As a result, it is possible to rejuvenate the face effectively without surgical procedures such as facelift.
SVF is involved in the wound healing process, recovering wounds quickly, minimizing redness and preventing excessive scarring as a result. Using this SVF's ability, SVF therapy was added to the combined procedure of laser treatment and Fatgraft to restore facial aging.

Method
Trinity Rejuvenation, which consists of Fat Graft, Fractional Laser
(Ultrapulse CO2 laser or Picosecond Nd-YAG Fractional laser) and SVF. These three procedures conducted simultaneously replace volume to the face, heals wounds across the face and regenerate collagen to minimize time to recovery and improve deflation and wrinkling of the face. The intensity of each of the three procedures can be customized for each patient.

Result
Fatgraft could restored the deflation of the central part of the face and a powerful CO2 fractional laser could induced collagen regeneration in the dermis. Simultaneously, SVF induced minimize laser stimulation.
4mm penetration means that the laser is able to penetrate all layers of the facial skin and help stimulate the SVF that’s conjointly used to rejuvenate the skin. Therefore the rejuvenate benefit can be obtained both in the skin layers and SVF.

Conclusion
In conclusion, Trinity rejuvenation that utilizes UltraPulse, Fat graft and SVF is a good solution for aging face caused by deflation and wrinkling. When administering the trinity rejuvenation, usage of UltraPulse SCAAR FX targets the subdermal layer of the skin to activate the SVF, which modulates collagen regeneration, while Fat graft restores volume and reduce wrinkle. Based on my experience, 3% density is the most optimal parameter for using the SCAAR FX mode in UltraPulse.

- Chief Director of TAE plastic surgery clinic, Busan, Korea
- Director, Korean Society of Plastic & Reconstruct. Surgery
- International Member of American Society of Plastic Surgeon
- Vice President of Korean Society of Laser-plasty surgeon
- Member of Korean Association of Fat & Stem cell

• Title : [BL Sessions] Non-surgical periorbital rejuvenation
• Date : Dec 1(Fri), at 9:20
• Room : 321

[Non-surgical periorbital rejuvenation]

Everyone goes through the process of aging. The process of aging appears throughout the face. Among them, the skin around the eyes is thinner than other areas, so fine wrinkles, hollowness, tear trough and fat bulging appear particularly well. To solve this problem, lower blepharoplasty has traditionally been carried out a lot. However, these days, non-invasive methods with short recovery periods are preferred. This presentation introduces the improvement of under-eye wrinkles, fine wrinkles, and fat bulging using threads. Multiple braided strands of PDO threads can be placed in front of orbital septum to give more volume or compression to orbital fat, and fine wrinkles can be improved using multiple mono PDO threads under dermis. If it is difficult to improve alone, HA filler can be used together. Compared to lower blepharoplasty, there is definitely a limit to its effectiveness. However, I think it can be a good alternative if the patient does not want surgery or if aging is not severe.

- Member, Korean Society of Plastic & Reconstruct. Surgery
- Director, BL plastic surgery and Dermatology

• Title : [Breast] Exploring Augmentation Mastopexy: the Culmination of Aesthetic Breast Surgery
• Date : Dec 2(Sat), at 10:10
• Room : 322

[Exploring Augmentation Mastopexy : the Culmination of Aesthetic Breast Surgery]

Augmentation mastopexy is a surgery that is applied when breast volume is insufficient and breast ptosis is present, and it is a surgery that performs breast augmentation and mastopexy at the same time. It requires detailed planning according to the amount of breast parenchyme and the degree of ptosis of the breast, Augmentation mastopexy often needs to change the operative design during surgery, and the results can vary a lot depending on the doctor's experience and know-how. It is also important to properly secure the pedicle to prevent blood circulation problems of the nipple-areolar complex. Because it is such a complex and difficult field, it deserves to be called the culmination of aesthetic breast surgery.
I would like to present my opinions on controversial topics in the planning and implementation of augmentation mastopexy, such as decision of surgical methods according to the degree of breast ptosis (crescent / periareolar / vertical / inverted-T), materials for breast augmentation (implant / fat graft), pocket plane (subfascial / dual plane), incision for implant surgery (periareolar / IMF / axilla), operation sequences (augmentation first / mastopexy first) and share my experience and know-how through surgical videos and case reviews.

- Former Professor, Gangnam Severance Hospital
- Director of JW Plastic Surgery Center, Seoul, Korea
- Chairman, Seoul Breast Meeting (SBM)
- Board Member, Scientific Committee, The Korean Academic Association of
Aesthetic and Reconstructive Breast Surgery
- Active Member, The International Society of Aesthetic Plastic Surgery (ISAPS)

• Title : [Fat & Stem Cell] Regenerative Rejuvenation (Enhanced Facial Rejuvenation through Adipose Stromal Vascular Fraction Cells and CO2 Fractional Laser Treatment Following Face lifting)
• Date : Dec 2(Sat), at 15:30
• Room : 322

[Regenerative Rejuvenation]
(Enhanced Facial Rejuvenation through Adipose Stromal Vascular Fraction Cells
and CO2 Fractional Laser Treatment Following Face lifting)

Introduction

Facial rejuvenation surgeries, encompassing procedures like face lifting, fat grafting, laser treatments, botulinum toxin injections, and filler applications, have been cornerstones in the field of cosmetic surgery.
The face lifting remains the gold standard for rejuvenating the aging face. Nonetheless, a persistent concern among patients is their perceived lack of a more youthful appearance following conventional facelift surgeries. This study delves into the root causes of this issue, highlighting the critical factors of inadequate facial volume restoration and the failure to address skin quality and fine wrinkles. In response, this research advocates a paradigm shift towards a regenerative approach as the foundation for all facial rejuvenation surgeries, with a specific focus on the utilization of adipose stem cells or vascular fraction cells.

Method

It was performed on 87 patients from 2006 to 2023, and the patients' ages ranged from 54 to 73 years old.
After face lifting, the author collected about 100ml of adipose tissue from the patient's abdomen and thighs, and then The authors obtained SVF by enzymatic isolation from the patient's the adipose tissue. After CO2 fractional laser treatment on the skin, we performed intradermal injection of SVF. If necessary, fat grafting was performed simultaneously on the patient's face.

Results

All patients were fully satisfied. There were no specific side effects.
Even though face lifting corrected ptosis caused by aging, the patient thought he did not look young. In particular, fat grafting was used in thin patients to compensate for this to some extent, but there were limitations. After performing regenerative rejuvenation using SVF, it was seen that not only wrinkles but also skin quality improved, greatly increasing patient satisfaction.

Conclusion

In the field of plastic surgery, rejuvenation should be based on regeneration. After face lifting, regeneration using SVF increased patient satisfaction.
The findings of this research emphasize the promising role of adipose stem cell-based regeneration in reshaping the landscape of facial rejuvenation surgery. By integrating these innovative techniques, patients can anticipate results that are not only more natural and enduring but also more satisfactory, ultimately leading to a genuinely youthful and revitalized appearance. This paper represents a significant step forward in the quest for effective and holistic facial rejuvenation procedures.

- CEO, Director, IDEA Plastic Surgery
- President, Asian forum of Fat and Stem cell(AFS)
- Former Vice President, Korean Association of Plastic Surgeons
- Former President, Korean Society for Lipoplastic Surgery for KPRS

• Title : [BL Sessions] An Approach to Selection of Face-Lift Techniques for Different Types of Faces: An Analysis of 1000 Asian Patients over 9 Years
• Date : Dec 1(Fri), at 9:40
• Room : 321

[An Approach to Selection of Face-Lift Techniques for Different Types of Faces: An Analysis of 1000 Asian Patients over 9 Years]

Background: A face-lift or rhytidectomy is the procedure most directly associated with rejuvenation. There are several surgical techniques for face-lifts, but criteria for the selection of techniques, based on the patient’s face shape, are lacking. In this study, we report on our experience with specific indication criteria for each technique and the consequent achievement of good outcomes.

Methods: From 2015 to 2023, one surgeon (senior author B.S.G) performed face-lifts on 1,000 patients. Three different superficial musculoaponeurotic system (SMAS) techniques (SMAS dissection, SMASectomy, and SMAS plication) were applied depending on the degree of sagging of the patient’s lower face, lateral facial profile, and SMAS mobility and condition.
SMAS dissection was considered for the improvement of a square face, sagging jowl face, and marionette's lines. SMAS plication was applied with patients with prominent zygomas or thin skin, or insufficient lateral mid-face volume. SMASectomy was applied with patients with convex lateral facial profiles or when the SMAS was too thin or damaged. Patient postoperative satisfaction was surveyed using the FACE-Q score one year post-surgery.

Results: Most of the patients attained natural-looking and long-lasting aesthetic outcomes and exhibited high satisfaction. Complications such as wound dehiscence, infection, hematoma, and skin flap necrosis were very rare.

Conclusions: Establishing criteria for the selection of face-lift surgical techniques based on the degree of lower face sagging, lateral facial profile, and SMAS mobility and condition led to good outcomes.

- Director, Plastic Surgeon in BL Plastic Surgery Hospital
- Member, International Confederation for Plastic, Reconstructive and Aesthetic
Surgery
- Former Clinical Professor of Plastic Surgery in Kyungpook National University
Hospital

• Title : [International Sessions] Mechanical analysis of the depressed deformity of the nasal floor triangle of the Asian nose and exploration of repair methods
• Date : Dec 1(Fri), at 15:30
• Room : 321

[Mechanical analysis of the depressed deformity of the nasal floor triangle of the Asian nose and exploration of repair methods]

Background: To explore the mechanical principles of common mid facial depressions in Asian nose and effective methods for improving mid facial depressions in rhinoplasty. The fundamental reason for the depression in the middle of the face is the depression at the bottom of the nasal base. The depression of the nasal floor triangle is related to the support of the entire nasal tip and columella, and analyzing its mechanical basis is more helpful in identifying the causes of Asian nasal deformities that accompany the depression in the middle of the face, and thus finding more reasonable treatment methods. This article analyzes the nasal floor triangle from the perspective of mechanical support for the first time, providing a reliable solution for the treatment of Asian nasal deformities accompanied by central facial depression.

Method:

1. The classification and mechanical manifestations of the nasal floor triangle;

2. Analysis of key support points and improvement methods for the sagittal triangle of the nasal floor;

3. Analysis of key support points and improvement methods for the coronal triangle of the nasal floor;

4. The role of autologous rib cartilage in reconstructing the mechanical foundation of the nasal floor triangle

Result: Through a retrospective analysis of Asian nasal deformities accompanied by concave midface, a biplane mechanical support point for the nasal floor triangle was found. By optimizing the support system and improving mechanical balance, a new type of support system for autologous rib cartilage combined with correction of concave midface was designed, effectively enriching and supplementing the the tripod theory of DALLAS rhynoplasty

- Shanghai Jiaotong University Medical College Affiliated Ruijin Hospital, China
- DALLAS aesthetic surgery hospital, Kunshan. Jiangsu, China

• Title : [International Sessions] Chinese Individualized Correction in Secondary Blepharoplasty
• Date : Dec 1(Fri), at 15:50
• Room : 321

[Chinese Individualized Correction in Secondary Blepharoplasty]

Background:
High crease correction is difficult to achieve in secondary blepharoplasty.
Currently, patients tend to have more precise requirements for crease-lowering
procedures, such as low in-fold or low out-fold creases.

Method:
The surgical plan of secondary blepharoplasty is determined by detailed preoperative communication with the patient in the following aspects.
1. To clarify the shape of the postoperative double eyelid (‘‘infold,’’ ‘‘on-fold,’’ and ‘‘out-fold’’) ---There has been published SCI papers
2. According to the relaxation degree of upper eyelid skin, determine whether the high incision scar is preserved.
3. Determine whether the upper eyelid tissue fullness is sufficient? Whether it is necessary to fill the upper eyelid with fat to increase the fullness of the upper eyelid. -- There are Chinese papers
Based on the above preoperative communication, the surgical plan is as follows:
1. secondary blepharoplasty without retaining high scar
2. secondary blepharoplasty without retaining high scar + autofat filling of upper eyelid
3. secondary blepharoplasty with retention of high scar
4. secondary blepharoplasty with retention of high scar + autologous fat filling upper eyelid

Results:
For the patients with high and deep out-fold double eyelid, the natural double eyelid with ‘‘infold,’’ ‘‘on-fold,’’ and ‘‘out-fold’’ could be obtained according to their individual requirements, and the satisfaction rate was high.

- Ph.D Southern medical University
- Guangzhou Yanmeihui Medical Beauty Clinic 2017 - present
- Guangzhou Beisheng Medical Beauty Clinic 2015 - 2017
- Shenzhen Meiyuan Medical Beauty Clinic 2013 - 2015