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Future of plastic surgery Z. Kruppa plastic surgeon Medisch Esthetisch Instituut Amsterdam

Future of plastic surgery Z. Kruppa plastic surgeon Medisch Esthetisch Instituut Amsterdam. Club of Amsterdam Amsterdam Fashion Institute 22 January 2009. Future of plastic surgery. Plastic surgery. Improvement of the quality of life

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Future of plastic surgery Z. Kruppa plastic surgeon Medisch Esthetisch Instituut Amsterdam

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  1. Future of plastic surgeryZ. Kruppa plastic surgeon Medisch Esthetisch Instituut Amsterdam Club of AmsterdamAmsterdam Fashion Institute 22 January 2009

  2. Future of plastic surgery

  3. Plastic surgery • Improvement of the quality of life • Reconstructing the functional integrity • Restoring the aesthetic appearance • Refined techniques and instruments • Construction and creativity

  4. Plastic surgery

  5. Technical innovations • Tissue transfer

  6. Tissue transfer • Lipofilling – fat transplantation • Natural and long lasting • No allergic reactions • No foreign body reaction • Additional improvement on the donor site • Rejuvenating effect of the harvested stem sells (?) • Combination with other techniques • Applications: • Facial rejuvenation • Breast enlargement • Body contouring

  7. Technical innovations • Tissue transfer • Transplantation

  8. Transplantation

  9. Transplantation

  10. Transplantation

  11. Transplantation

  12. Technical innovations • Tissue transfer • Transplantation • Stem cells

  13. Stem cells • Multipotencial cells are able to transform to any tissue cell • Stem cell harvesting: • Embrional stem cells (destruction of human embryos, immunological rejection) • Genetic induction or reprogramming (the details of the regulation are quite unknown) • Patients own stem cells – umbilical cord (limited number)

  14. Development Tissue repair Cancer

  15. Stem cells - application • Tissue repair • Cardiac muscle (heart infarct) • Diabetes (insuline producing islet cells) • Neurodegenerative diseases (Parkinson, Alzheimer) • Brain and spinal cord damage

  16. Technical innovations • Tissue transfer • Transplantation • Stem cells • Tissue engineering

  17. Tissue engineering Human cells and biomaterial Substitution of organ transplantation Arteficial heart valves, pancreas, kidney, liver, cartilage and bones Possible combination with cloning and stem cells No immune reaction – no need for immunosuppression

  18. Tissue engineering

  19. Technical innovations • Tissue transfer • Transplantation • Stem cells • Tissue engineering • Genetic engineering

  20. Genetic engineering Modification of the human DNA Changing or replacing the information Production of lacking hormones, growth factors, structural elements

  21. Technical innovations • Tissue transfer • Transplantation • Stem cells • Tissue engineering • Genetic engineering • Cloning

  22. Cloning

  23. Technical innovations • Tissue transfer • Transplantation • Stem cells • Tissue engineering • Genetic engineering • Cloning • Scarless healing

  24. Scarless healing

  25. Scarless healing

  26. Technical innovations • Tissue transfer • Transplantation • Stem cells • Tissue engineering • Genetic engineering • Cloning • Scarless healing • Injectables and biomaterials

  27. Injectables, biomaterials

  28. Injectables, biomaterials • Requirements for the fillers • Safe • Reliable • Natural • Predictable volume • No long term side effect • Long lasting

  29. Technical innovations • Tissue transfer • Transplantation • Stem cells • Tissue engineering • Genetic engineering • Cloning • Scarless healing • Injectables and biomaterials • Lasers

  30. Lasers • Selective destruction of various cells • Tattoo removal • Epilation • Scar treatment • Vascular malformations • Collagen induction • Photo-rejuvenation

  31. Lasers - future • Fractional treatment • Rejuvenation with less side effect.

  32. Lasers - future

  33. Technical innovations • Cloning • Scarless healing • Injectables and biomaterials • Lasers • Meso-therapy • Tissue transfer • Transplantation • Stem cells • Tissue engineering • Genetic engineering

  34. Meso-therapy • Local application • Higher concentration • More effective • Less complication

  35. Meso-therapy Lipolysis, cellulite Wrinkles, stretch marks Hair loss, alopecia Muscle and joint pain

  36. Meso-therapy • Future improvements: • Needleless mesotherapy • Electrophoresis • Jet-peel

  37. Moral considerations New fields in aesthetic surgery New age groups in plastic surgery

  38. Thank you for your attention!

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