Mesotherapy in Dermatology , by Dr. Amr Ismail MD , Consultant Dermatologist. Mesotherapy in Depth Non-prescrition treatment modatlity. Non Conventional Safe Asethetic Procedure. Should rely on EBM. To achieve good results. Depend on Used Meostherapy Materials. Classification of Meostherapy Materials A. Principals : Ingredients that have been used orally or topically or injectable for treatment of each indication/condition. Ingredients with high grade of evidence in treatment of each indication/condition. Ingredients that have been FDA Approved for treatment of each indication/condition. B. Complentary : Ingredients that have been claimed to improve the condition. Ideal Mesotherapy Materials / Cocktails : To achieve good results 80- 90 % , your used cocktails should contain 2 -3 principals.

1. MESOTHERAPY IN DERMATOLOGY Dr. Amr Ismail MD Consultant Dermatologist Member of American Academy of Aesthetic Medicine 19 th May 2010 email:ahmismai@gmail.com Facebook: Laser and Skin Care Center

4. Skin Structure

5. Skin Structure Embryonic origin Adult Derivative Ectoderm Skin Epidermis Brain Breast Sweat glands Mesoderm Fibrous tissue (connective) Cartilage Bone Muscle Fat Endoderm Gut Liver Lung Pancreas

19. 5 alpha Reductase Inhibitors Dutasteride Acts on the two isomers of the enzyme 5 alpha reductase thus it is effective in both males and females . Acts against one isomer only iso-enzyme II thus it is ineffective in females Finasteride Does not give any burning sensations during the injection Very painful and give burning sensation The potency of dutasteride is greater than that of Finasteride Lower potency than Dutasteride

20. MesoHair Protocols Telogen Effluvium Androgenetic Alopecia Biotin (P) Dexenol(P) MV + MTE (C) Minoxidil(P) / Dutasteride(P) + Biotin(P) Dexenol(P) Zinc + Azelaic (C)

21. MesoHair Injection sites & depths

29. MesoGlow Protocols Hyalift HA Silorg Purascorbol / Vitamin C Xadenal Hyalift Silorgamine = Silorg + DMAE Puretinol / Vitamin A Taurinox

30. MesoGlow Protocols Fibronectin Elastine Collagen Silorg DMAE Vitamin C HA Silorg

31. MesoGlow Injection sites & depths

33. MesoLighten Protocols Kojic acid Azelaic acid Tretinoin Vitamin C with/without Hyaluronic / silorg Glutathione Vitamin C Kojic acid Glycolic acid

34. MesoLighten Injection sites & depths

35. MesoLighten Injection sites

36. MesoLighten Injection sites

37. MesoLighten

40. Localized Fat ICCM / IAAL Injection Lipolysis Mesotherapy Deep 12mm PPC + DOC (PCDC) Hyaluronidase-Collagenase- Artichoke Intermediate 6mm (L-Carnitine-Aminophylline- Yohimbine- Artichoke) 2 - 4 mm L-Carnitine Aminophylline Pentoxifylline Effective complement

45. Localized Fat/ Injection Lipolysis Protocols Phosphatidylcholine L-Carnitine Procaine Phosphatidylcholine Caffeine Yohimbine Procaine

46. LipoDissolve Injection sites & depths

47. LipoDissolve Injection sites

48. LipoDissolve Injection sites

50. Cellulite

51. Cellulite

55. MesoCellulite Injection sites

56. MesoCellulite

60. MesoStretch Marks Injection sites

62. MesoGuns

67. MESOPORATION

68. Thank You