Programm

Professor Peter Bjerring, MD, Dr.Sci.(Med) is a Danish dermatologist, serving as Professor and Senior Consultant at the Department of Dermatology, Aalborg University Hospital, Denmark. He has published more than 250 scientific papers and has given more than 500 lectures at international congresses and scientific meetings. He is Past President of European Society for Lasers and Energy-based Devices, Past Vice President of European Society for Laser Aesthetic Surgery, and Fellow of AAD, EADV, and ASLMS.

Vascular tumors and malformations often occur in children. Management depends on type and stage of development. Today multimodal treatment possibility under discussion in multidisciplinary teams are recommended. Laser treatment is an accepted part of this discussion. Laser techniques and parameters be adapted to treatment goals. In tumors the aim is to induce regression in vascular malformation goal is to destroy the pathologic vascular structure. The author will present the applied ND:YAG 1064 nm laser techniques from the perspective of a pediatric surgeon. Intracutaneous and subcutaneous lesions (deepness 1-8 mm) were irradiated directly, with ice cooling or in contact impression technique. Voluminous subcutaneous lesions (deepness > 10 mm) were treated interstitially or intraluminal. Affected mucous membranes were treated through endoscope in air or in water.

This talk will present the guidelines on medical laser applications, which will come into effect in Germany (Leitlinien). An overview of requirements and best practice, and an assessment by Prof. Baron, who was part of the team that worked out the guidelines and legal requirements.

Prof. Dr. med. Jens Malte Baron was born in Berlin, Germany in 1969. He studied Human Medicine in the medical school RWTH Aachen University and finished his postgraduate studies at the Ernst-Moritz-Arndt-University in 2013, where he received the Diploma in Aesthetic Laser Medicine (DALM). Since 2006 he is Professor for Dermatology and Venerologie at the RWTH Aachen University.

My favorite laser system is KTP emitting a wavelength of 532nm. This wavelength is able to treat a wide spectrum of indications. Therefore this laser presents the best price-performance ratio for dermatological practice.

Picosecond lasers have been widely used in dermatology centers for more than 5 years. Results, advantages and disadvantages of the use of picosecond lasers are presented.

The desire for a youthful appearance and thus for healthy, wrinkle-free skin is constantly growing, and with it the need for effective treatments. Fractional laser therapy has emerged as an important treatment option since the early 2000s. Depending on whether it is used ablative or non-ablative, the degree of skin damage can be controlled and thus the effect and downtime adapted to the patients need.
One of the latest technologies for collagen stimulation and thus skin tightening is microneedle radiofrequency. Significantly shorter available, the experience as well as studies are much less than fractional laser therapies.
Both treatment approaches have specific advantages and are suitable for different treatment goals. For example, tissue tightening of the jawline is a good treatment indication for radiofrequency microneedling therapy as shown by our latest data from a prospective treatment study. In contrast, perioral wrinkles can be treated effectively with fractional CO2 laser therapy. The differences and experiences for the selection of the optimal therapies will be discussed in this session.

PD Dr. Katharina Herberger heads the Department of Laser and Aesthetics in Dermatoogy at the University Medical Center Ham-burg-Eppendorf. Beside the whole spectrum of dermatological laser therapy and aestetics, her focuses are clinical, translational as well as health care research in the field of laser dermatology and wound healing. In 2015 she was given the Venia legendi, she is involved in teaching in the field of human medicine and since 2019 she is a lecturer at the University of Greifs-wald in the post-graduate laser diploma program (Diploma of Aestetic Laser Medicine, D.A.L.M).

Microfocussed Ultrasound and Radiofrequency are both technologies, which claim to induce skin tightening without a surgical approach.

The Microfocussed Ultrasound treatment in the aesthetic world is always a noninvasive treatment, with no downtime so far. It induces a wound healing process in our patient`s skin and subcutaneous tissue by implementing thermal coagulation points thru focusing the Ultrasound waves. The clinical outcome for our patients is very much dependent on the way the treatment is performed, depending on the amount of spent Microfocussed Ultrasound lines as well as on the skills the person who is performing the treatment. Radiofrequency introduces a heat cloud into the skin and subcutaneous tissue, which denatures, depending on the temperature reached and the time exposed some collagen fibers and introduces their recovery, which leads to an activation of fibroblasts, thickening of collagen and specially of the skin and also the subcutaneous tissue. Invasive RF procedures are single treatments with a higher invest in the single use probe as a disposable and a visible outcome earliest after 2-3 month after the wound healing process has started, comparable to the Microfocussed Ultrasound technology.

In this lecture the differences between these technologies will be shown, their differentiation in indications discussed, as well as the latest scientific papers presented.

Dr. Sonja Sattler graduated 1993 from the Johann-Wolfgang-von-Goethe University in Frankfurt/ Germany. She became an expert on minimal-invasive aesthetic surgery and is known for All Energy Based Devices, Rejuvenation of Face and Body including liposuction, Cellulite, and Vaginal Rejuvenation. In 1996 she founded the international renowned Rosenpark Klinik with her husband, Dr. Gerhard Sattler, later Rosenpark Research, Rosenpark Studio and BELLARI followed.  Since 2004 Dr. Sonja Sattler organises as Associate Executive Director of the International Society for Dermatologic Surgery (ISDS) semiannual, internationally renowned conferences for the advanced training of dermatologists and surgeons. Since 1998 Dr. Sonja Sattler is initiator and organiser of the biennial International Live Surgery Symposium for Dermatologic Surgery in Darmstadt.

Laserlipolysis is based on fat melting and established as a minimal invasive method for body contouring. The quality of oily fat after Laserlipolysis was estimated as poor because fat cells were destroyed by high Laser energy. For the first time, Laser supported liposuction is developed with the use of ring fibers integrated into cannulas.  

Data have shown that laser harvested fat contains a high amount of viable small fat cells and stromal vascular fraction cells (SVF). This mixture shows a high quality and seems to be suitable for lipotransfer.

This specific lipotransfer is launched as “Beautifill” in USA since 2019. It aims to influence skin epigenetics by means of SVF.

Dr. Michael Radenhausen (Dermatology FMH/D) is specialist for skin surgery, aesthetics and laser medicine. He is leader and founder of the Skin and Laser Center in Bern since 2005 and president of interdisciplinary college at Klinik Siloah since 2017. Furthermore, he is acting as entrepreneur, board member, consultant and speaker for more than 15 years.

Lasers can induce a variety of complications, including erythema, burns, scars, blisters, infections, and pigmentary changes. To minimize the potential risk of laser treatments, a fond knowledge of proper endpoints and warning signs is required. In order avoid such complications, a structured approach will be proposed, helping the treating physician to achieve the optimal result.

Dr. Elisabeth Roider is an attending at the Department of Dermatology at the University Hospital of Basel. Here, she focuses on laser medicine and aesthetic dermatology. With a strong scientific focus and a postdoctoral training at the Harvard Medical School, she aims to structure and improve current aesthetic dermatology practices.

You can look forward to the following 5 tips:

Comfortable mouth and nose protection with FFP2 level:

Surgical masks just more expensive than in the past? Headache (O2 deficiency) from N95 respirators? The tip comes from allergology, particle retention capacity of 0.3 micrometers and bigger, water vapor permeable, washable and reusable, made in Germany.

How to safely treat tattoos with gel layer:

A simple aid from the grocery store provides optimal protection of the epidermis, the practitioner and the lenses in the handpiece from particle detonation while simultaneously cooling.

Wet ablation with Er: YAG laser:

Tissue ablation of smaller tumors with the Er: YAG laser often results in deeper erosions at the edges. If the objects to be ablated and the surroundings are repeatedly wetted with water, the surroundings are protected from excessive ablation.

If there is superficial bleeding:

Smaller superficial bleeding can be stopped with Policresulen without major chemical burn damage. The active ingredient is routinely used in gynecology and has no contraindications.

Eye protection:

Various sizes and shapes for covering the eye socket can be found in the cutlery drawer in the coffee corner. To further reduce the reflection, it can be sandblasted.

Optimally cooled:

There is an efficient and inexpensive alternative to cold packs from the freezer, moist compresses and cold air blowers that the patient can take home.