Download Future of plastic surgery

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
 Reconstructing the functional integrity
 Restoring the aesthetic appearance
 Refined techniques and instruments
 Construction and creativity
Plastic surgery
Technical innovations
• Tissue transfer
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
Technical innovations
• Tissue transfer
• Transplantation
Transplantation
Transplantation
Transplantation
Transplantation
Technical innovations
• Tissue transfer
• Transplantation
• Stem cells
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)
 Development
 Tissue repair
 Cancer
Stem cells - application
 Tissue repair
 Cardiac muscle (heart infarct)
 Diabetes (insuline producing islet cells)
 Neurodegenerative diseases (Parkinson, Alzheimer)
 Brain and spinal cord damage
Technical innovations
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Tissue transfer
Transplantation
Stem cells
Tissue engineering
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
Tissue engineering
Technical innovations
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Tissue transfer
Transplantation
Stem cells
Tissue engineering
Genetic engineering
Genetic engineering
 Modification of the human DNA
 Changing or replacing the information
 Production of lacking hormones, growth factors, structural
elements
Technical innovations
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Tissue transfer
Transplantation
Stem cells
Tissue engineering
Genetic engineering
• Cloning
Cloning
Technical innovations
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Tissue transfer
Transplantation
Stem cells
Tissue engineering
Genetic engineering
• Cloning
• Scarless healing
Scarless
healing
Scarless
healing
Technical innovations
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Tissue transfer
Transplantation
Stem cells
Tissue engineering
Genetic engineering
• Cloning
• Scarless healing
• Injectables and biomaterials
Injectables, biomaterials
Injectables, biomaterials
 Requirements for the fillers
 Safe
 Reliable
 Natural
 Predictable volume
 No long term side effect
 Long lasting
Technical innovations
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Tissue transfer
Transplantation
Stem cells
Tissue engineering
Genetic engineering
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Cloning
Scarless healing
Injectables and biomaterials
Lasers
Lasers
 Selective destruction of various cells
 Tattoo removal
 Epilation
 Scar treatment
 Vascular malformations
 Collagen induction
 Photo-rejuvenation
Lasers - future
 Fractional treatment
 Rejuvenation with less side effect.
Lasers - future
Technical innovations
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Tissue transfer
Transplantation
Stem cells
Tissue engineering
Genetic engineering
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Cloning
Scarless healing
Injectables and biomaterials
Lasers
Meso-therapy
Meso-therapy
 Local application
 Higher concentration
 More effective
 Less complication
Meso-therapy
 Lipolysis, cellulite
 Wrinkles, stretch marks
 Hair loss, alopecia
 Muscle and joint pain
Meso-therapy
 Future improvements:
 Needleless mesotherapy
 Electrophoresis
 Jet-peel
Moral considerations
 New fields in aesthetic surgery
 New age groups in plastic surgery
Thank you
for your
attention!