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Mesotherapy Workshop

Mesotherapy Workshop. Alta A. Smit, MD. Mesotherapy pharmacology. Pharmacokinetics Route of administration Intradermal Time of absorption Very slow Up to 7 days. Mesotherapy. Materials and methods. Manual technique 1, 3, 5 and 10 cc measured ring syringe

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Mesotherapy Workshop

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  1. Mesotherapy Workshop Alta A. Smit, MD

  2. Mesotherapy pharmacology • Pharmacokinetics • Route of administration • Intradermal • Time of absorption • Very slow • Up to 7 days Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

  3. Mesotherapy Materials and methods

  4. Manual technique 1, 3, 5 and 10 cc measured ring syringe Needles: 27 or 30 gauge, ½ inch Advantages Practical Works in difficult areas Lebel needles Disadvantages More costly Imprecise dose Painful Mesotherapy: Materials and methods Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

  5. Assisted technique French Pistor Gun Needles: 27 or 30 gauge, ½ inch Advantages: Adjustable Precise dose Disadvantages Painful Mesotherapy: Materials and methods Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

  6. Quantity 0.3-0.5 cc per injection Distance Every 2 cm Acupuncture points Frequency 1 to 2 times a week for 10 weeks Maintenance Monthly Additional therapies Massages Manual lymph drainage Mesotherapy: Materials and methods Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

  7. Anti-aging mesotherapy • Lebel needle • 30 gauge, 4 mm • Perpendicular to skin • Intradermal Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

  8. Needles: 27 or 30 gauge, ½ inch Incorrect injection for skin Perpendicular to skin Goes to sub- cutaneous cellular tissue (hypodermis) Anti-aging mesotherapy Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

  9. Needles: 27 or 30 gauge, ½ inch Correct injection 45-degree angle Intradermal Anti-aging mesotherapy Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

  10. Mesotherapy Facial Refresh

  11. Anti-aging mesotherapy • Glavella • Insulin syringe • Four units per point • Placenta compositum • Cerebrum compositum Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

  12. Anti-aging mesotherapy • Front lines • Insulin syringe • Three units per point • Cerebrum compositum Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

  13. Anti-aging mesotherapy • Crows feet • Insulin syringe • Three units per point • Placenta compositum • Cerebrum compositum Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

  14. Anti-aging mesotherapy • Eyebrows • Insulin syringe • Two units per point • Placenta compositum • Cerebrum compositum Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

  15. Anti-aging mesotherapy • Lower eyelids • Insulin syringe • Two units per point • Placenta compositum Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

  16. Anti-aging mesotherapy • Upper nose • Insulin syringe • Three units per point • Placenta compositum Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

  17. Anti-aging mesotherapy • Perioral • Insulin syringe • Two units per point • Placenta compositum • Cerebrum compositum Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

  18. Anti-aging mesotherapy • Lower jaw • Insulin syringe • Three units per point • Placenta compositum Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

  19. Anti-aging mesotherapy • Neck • Insulin syringe • Two units per point • Placenta compositum Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

  20. Mesotherapy: Materials and methods • Cranial application • Hair loss • Selenium-Homaccord • Alopecia • Cutis compositum • Dandruff • Graphites-Homaccord Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

  21. Mesotherapy: Materials and methods • Abdominal application • Overweight • Hepar compositum • Thyreoidea compositum Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

  22. Weight control program • Obesity • Treatment • Strumeel drops • Thyreoidea compositum • Chakra point • Hepar compositum • ST 36 • Lymphomyosot • SP 6 Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

  23. Weight control program • Endocrine classification • Hypophysis • Apple shaped • Thick trunk • Thin extremities • Treatment • Placenta compositum • Glavella • ST 23, 25, 27 Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

  24. Weight control program • Endocrine classification • Pancreas • Pear shaped • Increased abdominal fat • Treatment • Syzygium compositum drops • Hepar compositum • Solar plexus • LIV 13 • ST 25, 36 Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

  25. Weight control program • Endocrine classification • Ovaries/testicles • Lower extremity fat • Treatment • Ovarium compositum • ST 29 • SP 6 Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

  26. Mesotherapy physiopathology • Lymphodystrophy • Interstitial edema • Water retention • Venous stasis • Lymphatic stasis Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

  27. Mesotherapy physiopathology • Lipodystrophy • Grade I • Lymph edematous state • “Orange peel” look • Breakdown of connective fibers • Reduction of cutaneous elasticity Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

  28. Mesotherapy physiopathology • Lipodystrophy • Grade II • Micronodular state • Superficial skin retractions • Look of “rice granules” • Production of non-elastic fibrous elements Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

  29. Mesotherapy physiopathology • Lipodystrophy • Grade III • Macronodular state • Deep retractions of “hollow” skin • Proliferative phase • Collagenic degeneration • Lobular partitions Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

  30. Mesotherapy physiopathology • Lipodystrophy • Grade IV • Macronodular state • Deep skin retraction • Flaccidity • Fibrous phase • Adhesion of connective fibers • Cellular and vascular compression Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

  31. Mesotherapy: Materials and methods • Gluteal application • Fat burner • Thyreoidea compositum • Firming • Placenta compositum Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

  32. Treatment of indurated (hard) cellulite Primary medication Secondary medication

  33. Treatment of soft cellulite Primary medication Secondary medication

  34. Mesotherapy: Materials and methods • Legs application • Lymphodistrophy • Lymphomyosot • Lipodystrophy • Thyreoidea compositum • Melilotus-Homaccord • Venous congestion • Hamamelis-Homaccord • Firming • Placenta compositum Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

  35. Allergies Itching Rash Ecchymosis Hematomas Infection Intoxication Vagal reaction Skin atrophy Necrosis Hyperpigmentation Hypopigmentation Erythema Mesotherapy complications Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

  36. Contraindications: Allergy to medications Dermal lesions Debilitated patients Patients with cardiopathy, hepatopathy or nephropathy Pregnant or lactating women Warnings: Avoid combinations if unsure of the effects Avoid overdose. More is not better Avoid self-medication Mesotherapy Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

  37. Mesotherapy recommendations • Massage therapy is practiced before each session • Rest for ten minutes following the session • Drink copious liquid • Stop treatment in case of any undesirable reaction Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

  38. Mesotherapy recommendations • Anti-aging weight control • Healthy nutrition • Regular physical activities • Full relaxation • Good mental and emotional attitude • Create favorable ambience Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

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