6 Innovations to Know About From 2021’s Biggest Aesthetic Meeting

The year 2020 was like no other for the regenerative industry. With lockdowns imposed to curb the COVID-19 pandemic, cosmetic surgeons and clinics could not conduct procedures for months. Neither could plastic surgeons hold in-person meetings, spend time together, learn from each other, and share knowledge on innovative techniques.


But the demand for cosmetic treatments was never curtailed by the lockdowns. On the contrary, many Americans felt compelled to recommit to improving their appearance and wellbeing.

Unimpeded growth and popularity

When the lockdowns were lifted, the demand for cosmetic treatments skyrocketed, partly due to patients who had missed their appointments, but also because of many first-time patients interested in undergoing cosmetic enhancements. 2020 gave us the “Zoom Boom” and a rise in the demand for treatments.

The trend is set to continue in 2021, with millions of people in the United States reportedly interested in improving their appearance.

Takeaways from the 2021 Aesthetic Society Meeting

With the lockdowns lifted, the top aesthetic experts recently gathered in Miami for the 2021 Aesthetic Society Meeting—their first in-person conference since the COVID-19 pandemic hit the globe. The meeting provided doctors an opportunity to understand how each of them has coped with the pandemic, reflect on the positive changes they have implemented since the pandemic struck, and build on techniques that are working.

So what are the biggest takeaways from the conference? And what can prospective patients expect for the future of cosmetic surgery?

1. Combination therapies
The 2021 Aesthetic Society Meeting affirmed the combining of surgical and non-surgical technology as the future of plastic surgery. The doctors agreed that blending surgical and non-surgical techniques allows for more efficient treatment plans, ensures natural-appearing revitalization, improves the overall result, and minimizes bruising and swelling after surgery.

For instance, with the rise in global obsession with eliminating dark circles, enhancing cheekbones, uplifting eyebrows, reducing wrinkles, and overall smoothing of facial skin, the 2021 meeting asserted the need to make facial injections a core part of cosmetic therapy going forward.

So it was agreed that when developing personalized treatment plans, surgeons should couple invasive with non-invasive treatments. Mainly, they should consider dermal fillers and botulinum toxin type-A, which are among the most sought-after procedures.

The other non-invasive treatment that is going to be part of combined therapies moving forward is laser resurfacing. Lasers are a non-surgical add-on to plastic surgery procedures that already require a considerable recovery period, such as facelifts or eyelid surgery. Apart from enhancing the facelift result by boosting the texture of newly lifted skin, laser during surgery prevents extra downtime.

After surgery, most patients tend to stay out of sight for at least a week. Hence, adding deeper laser resurfacing, which leaves the skin red and raw, saving the patient from two rounds of downtime. Post-operation, they stay home and recover from both the surgery and the laser treatment simultaneously.

2. Fine-tuning of Rhinoplasty

The 2021 Aesthetic Society meeting recommended various techniques to enhance the outcomes of rhinoplasty. For example, the conference affirmed the value of frequent pairing of lip fillers and nose jobs.
When paired, tweaking the lip shape helps balance the new proportions of the face and gives better rhinoplasty results. Also, an injection around the mouth is quite painful, so doing it when the patient is under anesthesia helps prevent extra discomfort.

Another recommendation from the meeting is the preservation of the natural dorsum to reduce the nasal hump. The technique may not manage most noses, but it simplifies the rhinoplasty procedure in many minor or uncomplicated humps. And while the practice is more than a century old, it has recently been applied by only a few practitioners—hence why it was given prominence during the meeting to renew it.

3. Refining Botox technique

Botulinum toxin injections are always the number one non-invasive treatment. However, the existing brands have usually required retreatment every 3-4 months. There is a new toxin (doxibotulinum Toxin A), expected to get FDA approval in 2021, which promises a longer-lasting effect.

With this in mind, the 2021 Aesthetic Surgery Meeting encouraged surgeons to continue finding creative ways of coupling Botox and invasive cosmetic procedures. The experts considered the possibility of using topical Botox, but because the information on the technique is still inadequate, it was agreed that there is still a need for more data before implementing it.

4. Using fat grafting with other procedures

The conference recognized the increasing value of nano-fat grafting in combination with other procedures to boost volume. For instance, the meeting encouraged doing breast augmentation with breast implants and fat grafting.

Plus, fat grafting can be done as part of the facelift procedure. A good example is when treating festoons under the eyes—which cannot be corrected by traditional lower blepharoplasty or facelift alone—due to the need for mid-lifting.

5. Safety of breast implants

The 2021 Aesthetic Society Meeting discussed the issues facing breast implants, particularly breast implant illness and BIA-ALCL. The surgeons agreed on the need for excellent, well-designed research to deliver true, evidence-based answers to the questions on breast implant safety.

The conference acknowledged ongoing studies by leading surgeons and scientists around the world. It also encouraged plastic surgeons to continually use information from these studies to deliver safe, effective breast implant surgery.

6. Updated safety protocols post-pandemic

The meeting was an opportunity for surgeons to compare their safety protocols. The experts were able to look at various measures, including masks for staff, patients, and visitors, facility cleaning and disinfection, hand sanitizer usage, screening of patients for COVID-19 symptoms, and visitor restrictions.

There were also discussions on special floor markings and furniture arrangements to encourage social distancing and keep patients with respiratory issues away from the rest.

The need to vaccinate all staff members and use e-visits and e-check-ins to limit exposure was highlighted. In the end, the conference affirmed the value of keeping some of the positive changes in place post-pandemic.

At Politis Plastic Surgery, we are proud of our unparalleled commitment to innovative cosmetic and restorative procedures. We have been ahead of the curve in using the latest technology and techniques and already offer the procedures highlighted during the 2021 Aesthetic Society Meeting.

Dr. Effie Politis and her extraordinary team offer safe, high-quality, and compassionate care. You can be confident that you will enjoy the best possible aesthetic outcomes from our unique blend of surgical and non-surgical treatments.

Dr. Effie Reacts to Chicago-Based Influencer’s Botched Botox

Last April, Chicago-based influencer and blogger, Whitney Buha, shared about an unfortunate experience with a cosmetic procedure gone wrong.

What exactly happened and what can be done about it?

I shared my thoughts about it in this quick video.

Also, I talked a little bit of what I do with regards to using Botox in my own practice.

What do you think about this incident? As a fellow plastic surgeon, as a patient, or as someone who is considering this procedure?

Why do women undergo breast explantation?

Hi everyone it’s Dr. Effie Politis and I’d like to talk about a great article on the April edition of the PRS called

“Contemporary Strategies in Breast Explantation Surgery”. So what is explantation surgery? It is a surgery in which someone proceeds with removing their implants and not replacing them. I’m seeing quite a few patients that are interested in the surgery for various reasons. We all know that implants are man-made devices.

The first reason that women would opt to undergo the surgery is because of implant rupture.

I tell women that breast implants are not a one and done device. They are prosthetics that are placed in your body, so you need surveillance and you likely will need one or several surgeries in the future if you opt for breast implants. There is a small chance of them rupturing, we can discuss more on the differences between saline and silicone ruptures in the future. 

Is breast implant associated with ALCL

This is a rare lymphoma associated with texture implants, which I do not use, so it’s not really an issue with my practice but I do see patients with prior history of textured implants. 

Is breast implant illness?

This is a large topic that’s often discussed on social media. It’s the name given to patients for a wide range of symptoms. The current data shows there’s no cause and effect relationship between implants and the symptoms. However we certainly are proponents of what women want to do with their body, so if they want their implant removed they certainly have the right to have that done. However, the data based on long term studies does not show whether explantation surgery reliably reduces these symptoms. 

The last reason why women want their implants removed is for non-medical reasons, like the effects of aging, weight changes, pregnancy and shifting perspectives in aesthetic beauty. 

As we know there is a movement towards a smaller breast. So women seeking explantation surgery just need to be aware of the risk and benefits and any adjunct surgeries that can be done to enhance their breast. We look at each woman on an individual basis. It’s a woman’s choice to have her implants removed and we consider the patient’s risk profile, patient preference as well as safety when guiding them on whether explantation surgery is the right surgery for them. I would advise you all to always consult with a board-certified plastic surgeon with a specialty in breast surgery when considering these types of procedures. You can always DM me or look at my website, I’ll have more information. Thank you so much 

Lip Restoration and Shaping

On achieving lower facial optimization This patient displays typical age-appropriate changes in lips: maxillary retrusion leading to lack of bony support, elongation of upper lip unit, loss of philtral definition, architectural changes (loss of fascia/ligamentous support), deflation of the vermillion, as well as dynamic peri-oral rhytids. I typically have patients animate and evaluate them while talking. I also evaluate their lip tooth ratio while in repose and while smiling. I evaluate the chin and mentalis muscle as well as mandibular support. The correct analysis helps me make recommendations for surgical correction versus volumetric enhancement. This patient passed my criteria for volumetric enhancement with filler to restore youthful contours and ratios. This patient received only I cc Revanesse Versa lip filler. I like this filler because it is prehydrated, meaning, less swelling and a softer appearance. I also like RHA2 in lips and Restylane Kysse for my younger patients. If I need more border definition I often go to a Restylane Refyne or Defyne. Sometimes I combine fillers to optimize different rheologic properties. I massage lips and apply moisturizer. Expect bruising and swelling to subside at 5-7 days. More to come on surgical correction or lip lift

Renuva a Great Alternative to Autologous Fat Transfer

Renuva is great alternative to autologous #fattransfer and #facial-rejuvenation . Given the well documented fat loss starting in our late 30’s and accelerated in the 40’s and 50’s… this is a good volumizer that recruits your own fat cells into a honeycomb lattice that lasts! Your own fat is recruited over 3 months to replace the shelf fat in syringe. No downtime and great for those with #fillerfatigue or those wanted a more lasting, natural look. What’s better than recruiting your bodies own fat? Call or DM our office for more info!

What is PRF Treatment?

PRF is now one of the most highly sought out cosmetic non-surgical procedures.

It is an all-natural solution that can treat areas in the face that show the first signs of aging, like under-eye hollows, deflated cheeks, and scalp for hair restoration.

This has platelets, fibrin, and white blood cells, which help achieve wound healing, collagen production, and improved overall elasticity.

As for its benefits, I will talk about it more in a future post!

Stay tuned!

And if you have some questions, comment them down below, and we will address them in our next post!

If you are interested in this procedure,
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Call us: (813) 542 – 2587⁣⁣⁣⁣⁣⁣⁣⁣
Check our website: politisplasticsurgery.com⁣⁣⁣⁣⁣⁣
Visit us: 5016 West Cypress Street, Suite 200, Tampa, FL 33607

What Are The Signs You Have Capsular Contracture?

Capsular contracture develops in one or both breasts and can occur at any time, either in the weeks following breast implant surgery (this occurs most often) or, in some cases, years later. Its signs and symptoms often develop gradually over time, making it difficult to identify the complication early if you aren’t sure what you are looking for.

Early signs of capsular contracture may include a firm or tight sensation, pain, or asymmetry.

As the condition worsens, you may notice more obvious symptoms, including:

  • Breast pain
  • Asymmetry
  • Firmness
  • Tightness
  • Round or ball-shaped breast
  • High-riding breast
  • Misshapen breast

If you start to notice any signs that you suspect are associated with capsular contracture or another breast implant complication, call your surgeon right away to be evaluated and learn your options.

Facial Treatment Guide: What Are My Options?

Here is a facial treatment guide with the options that you can avail in Politis Plastic Surgery.

A lot of the areas shown in the diagram can be treated with fillers. I use a wide range of fillers for different reasons. I have put HA filler to reflect hyaluronic acid-based fillers.

I use a variety of fillers, including the Restylane products, Juvederm Rep products, and a newer one called RHA1/2/3 made by Teosyal. I am using Radiesse more than sculptors as my biostimulator of choice.

I use Kybella to remove/treat submental fat, and also jowl fat, as well as other areas of the body with excess fat.

In addition, I’ve added neurotoxins to a lot of areas. I like to use neurotoxins in conjunction with a filler for myomodulation. This is a multi-modal approach to relax the vector of pull on the muscle which then can help optimize facial shaping with the fillers.

I also want to note that the RHA filler line is known for a layering effect. This means that the rheology or physics behind the fillers allow them to be layered on top of each other for optimal facial shaping. We also use Versa filler quite a bit for lips augmentation, chin, and nose-shaping.

Again, here are the products mentioned above:

FILLERS:

NEUROTOXINS: (General term for Botox which is a brand)

Saline vs Silicone Breast Implants

Hey everyone, it’s Dr. Effie Politis and I just want to compare and contrast saline versus silicone implants, as we know women often undergo breast enhancement surgery to get a breast volume and shape that is more proportional to their body.

So, let’s start out with saline implants: We all know that saline is a fluid that is placed in a silicone shell. It is an “uncontrolled” type fluid, so it doesn’t have a lot of structural support. So it often causes rippling and wrinkling and it stretches out women’s lower-poles.

The advantage of a saline is that if you have a rupture or a tear, your breast will deflate and you can just look in a mirror and see that almost immediately in your body [it] just resorbs the fluid.

Silicone implants that are now in the market are medical grade and they are very cohesive, so they have a nice gel-to-shell ratio and they really help your breast tissue respond nicely. I do enjoy the feel of a silicone implant on my patients because it almost acts as one with their breast tissue. It also provides better structural support in the long term.

However, the issue with silicone implants is that we don’t often recognize a tear. This is why you have to be aware of your body. You have to follow-up with your plastic surgeon at regular surveillance intervals. If you do feel like there is a compromise, most women complain of some breast pain [or] perhaps some scarring around the implant, and we have some imaging modalities to diagnose this, please call our office or DM me on social media if you have any issues with your implants as I am a plastic surgeon with an expertise on breast surgery. Thanks so much.