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Consensus Statement on the Use of Botulinum Neurotoxin in the Middle East

Abstract

Background: Aesthetic minimally invasive procedures have become very popular and culturally acceptable among Middle Eastern populations. Botulinum neurotoxin type A (BoNTA) is a valuable treatment modality for many cosmetic as well as therapeutic indications. The presence of BoNTA in our toolkit has revolutionized the field of aesthetic medicine to the point where it is now one of the most commonly performed cosmetic procedures worldwide. This consensus considers popular on- and off-label BoNTA indications in the Middle East.

Methods: A multinational group of ten key opinion leaders, experts in facial plastic surgery and dermatology, convened the Middle East Aesthetics Consensus Group and reviewed the aesthetic applications of BoNTA. Recommendations and position statements were drafted based on the integration of the panel’s clinical experience with published data, targeted to the practices implemented in the Middle Eastern and the global population.

Results: Guidance statements are presented covering Middle Eastern facial characteristics and beauty ideals, BoNTA characteristics, pre-operative counselling, treatment indications and anatomical considerations, off-label and special uses including high-dose recommendations, and post-treatment advice. Throughout, an evidence-based approach to selection of products and injection techniques is provided, supplemented by the experts’ advice on injections dosages and placement.

Conclusion: This consensus reflects the knowledge and expertise of physicians practicing in the Middle East. The panel acknowledged the use of on-label indications and variability in the toxin formulations and immunogenicity and agreed upon a wide use of “off-label” indications.

Keywords: Middle East; aesthetic use; botulinum neurotoxin type A; consensus.

Conflict of interest statement

The authors report no conflicts of interest in this work.

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Exploring the Exciting Sessions of Hands-On Laser and EBD Teaching Courses

Introduction:

Hands-on laser and EBD (Evidence-Based Design) teaching courses offer participants a unique opportunity to delve into the world of laser technology and evidence-based design principles. In this blog post, we will explore some of the exciting sessions that are typically included in these courses. From laser tissue interaction energy-based devices, these sessions provide valuable insights and practical skills that enable educators to enhance their teaching methodologies and create optimal learning environments.

1. Laser Tissue Interaction:
   Understanding the fundamental principles of laser tissue interaction is crucial for utilizing laser technology effectively. In this session, participants learn about the interaction between lasers and various types of tissues. They explore topics such as laser absorption, scattering, and thermal effects on different tissue structures. By gaining insights into laser tissue interaction, educators can better comprehend the applications and limitations of laser technology in medical, cosmetic, and research fields.
2. Laser Safety:
   Laser safety is of paramount importance when working with such powerful and versatile technology. In this session, participants are trained in laser safety protocols, emphasizing the importance of proper handling, maintenance, and protective measures. They learn about laser classifications, personal protective equipment (PPE), and safety guidelines to ensure a secure working environment. This knowledge enables educators to prioritize the safety of themselves and their students when incorporating lasers into their teaching.
3. Photo thermolysis:
   Photo thermolysis is a key concept in laser technology that involves selective destruction of specific target tissues using laser energy. This session focuses on the principles and applications of photo thermolysis in various dermatological and medical procedures. Participants gain insights into the different types of lasers used for specific treatments and understand the factors influencing treatment parameters such as Florence, pulse duration, and spot size. This knowledge equips educators to discuss and teach the applications of photo thermolysis effectively.
4. Laser Hair Removal:
   Laser hair removal is one of the most widely recognized applications of laser technology in the cosmetic field. In this session, participants learn about the science behind laser hair removal, including the targeting of melanin in hair follicles for selective destruction. They explore different laser systems and techniques employed for hair removal, as well as pre- and post-treatment care. Educators can incorporate this knowledge to introduce the concepts and process of laser hair removal to students interested in dermatology or cosmetic procedures.
5. Vascular Lesions, Pigmented Lesions, and Rejuvenation:
   This session focuses on the treatment of vascular and pigmented lesions, as well as skin rejuvenation using laser technology. Participants learn about the principles of selective photo thermolysis and the specific lasers used for these treatments. They explore various types of vascular and pigmented lesions, such as port-wine stains, hemangiomas, age spots, and melasma. Educators can gain valuable insights to teach students about the applications, benefits, and limitations of laser treatments for these conditions.
6. Energy-Based Devices:
   In addition to lasers, energy-based devices (EBDs) play a significant role in medical and cosmetic treatments. This session introduces participants to different types of EBDs, such as radio frequency, intense pulsed light (IPL), and ultrasound devices. They explore the principles of energy-based treatments, including skin tightening, body contouring, and non-invasive rejuvenation. Educators can incorporate this knowledge to broaden students’ understanding of alternative energy-based modalities in the field of aesthetics and dermatology.

Hands-on laser and EBD teaching courses offer a wide range of sessions that equip educators with valuable knowledge and practical skills. From understanding laser tissue interaction to exploring various applications such as laser hair removal, vascular lesions, pigmented lesions, and rejuvenation, these courses empower educators to incorporate laser technology and evidence-based design principles into their teaching methodologies. By embracing these innovative approaches, educators can create engaging learning experiences and inspire students to explore the fascinating world of laser technology and energy-based devices.

A Success Story A client of Everlast Wellness Medical Center

An active member of the international healthcare community with a passion for furthering standards of excellence in Aesthetic Dermatology spearheading clinically proven and safe best practices. Dynamic mentor dedicated to influencing positive change as a peer adviser, consultant, and healthcare educator.An active member of the international healthcare community with a passion for furthering standards of excellence in Aesthetic Dermatology spearheading clinically proven and safe best practices. Dynamic mentor dedicated to influencing positive change as a peer adviser, consultant, and healthcare educator.

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