AIMA - Academy of Integrative Medicine and Aesthetics

A review of topical and systemic nutrients in the management of melasma Dr Laurena Law  BMED (Newcastle) DFM (HKCFP) Dip in Practical Dermatology (cardiff) P Dip ComPsychMed (Hong Kong) Melasma is a complex pigmentary condition  Melasma is a complex pigmentary condition with a higher prevalence of around 90% occurs in females and dark skin types. Multiple etiologies including light exposure, hormonal influences (such as pregnancy or oral contraceptive pill use), family history and oxidative stress have been implicated in the pathogenesis of this disorder. When melasma occurs during pregnancy, it is called chloasma or ‘mask of pregnancy.’ It often fades gradually after delivert, but may remain for years or permanently. Histology shows increased melanosomes, solar elastosis, dermal blood vessels and perivascular lymphohistiocytic infiltrates. Various treatment modalities including, chemical peels, topical lightening agents, lasers/ light-based devices and or...

FACIAL OVERFILLED SYNDROME COMPLICATIONS OF INAPPROPRIATE FILLER DELIVERY Ting Song Lim, MD Medical Director, Clique Clinic, Selangor, Malaysia. ABSTRACT Facial overfilled syndrome is a commonly-observed complication of soft-tissue filler use and is characterized by excessive facial volumization, resulting in a distortion of facial functional anatomy and topography. Using a 3-D imaging system (the Quantificare 3D LifeViz® Micro), a validated facial topography quantification tool, the author demonstrates the features of facial overfilled syndrome and provides an hypotheses for the causes as well as discuss how dermal filler overload can be produced by inaccurately assessing a patient’s face, selecting inappropriate fillers, and placing products incorrectly. Most of all, the author suggests that physicians who overzealously chase lifting results with dermal fillers are most prone to producing patients who develop facial overfilled syndrome. In many cases, lack ...