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    1. Facial Aesthetics Tal Marom, M.D. May 2006

    2. The aging skin Intrinsic aging ????? ????-????, ?????? ??????; ?????? ????????? ???????, ??????? ?? ????? ???-????, ????? ????? ????? ?????? Photoaging ????? ?????? UV, ????? ?? ?????, ????? ??????, ????? ???? ??????- ????? ???? ???????? (????), ??? ??????? ????? ???? ???? ????? ?????? ???????? ????.

    3. The aging skin ??? ??????? ???????? ???? ??, ???? ???? ??????. ????? ???? ?????? ????? ???? ?????? ??????? . ??????? ???? ?????? ???????, ????? ????, ????? ????? ???? ???? ???? ?? ????? ?????????? ?????? ?????? ????? ??? ?? ??????? ???? ????? ???? ?? ?????? ????? ?? ???? ????? ?????? ???? ??????

    4. 1. Chemical peeling

    5. ??????? ????? ??????, ??? - ???? ????? ?????? ????? ??????? ??????? ?????, ??? ???? ???????- ????? ??? ?? ??? ???? ?????? ???? ???? ?????? ??????? ????????? 1960- ????? ????? ????? (Brown) ???? ?-60'- ????? ?-TCA ??? ????? ????? ?? ????????? ?????????? ?????- ??????? ?????? ?????

    6. Nasolabial fold Flemming-Poff scale

    7. ???? ?????? ????? ????? ????? ????? ????, ????? ?????? ????? (?? ???? ??????) ?? ????? ???? ?? ????- ??? ????????? ?????? ??? ?????? A ???????-????? ?????? ???? ?????? ????? 4% to 8% hydroquinone gel ???? ?????? ????-??? ?????? ?????????????

    8. Chemical peeling ????? ???? ???? ?"??????", ????? ??????? ????? ???? ?? ??? ???? ?????? ?????? ????? ??????? ?????? ?????? ????????? ???? ???? ??? ???? ??? ?"????" ???? ??' ?? ?? ??????? ??????? ?"? ????? ?????????/????? ??? ??????? ????? "anti-aging ???? ????? ??? ???? ??????? ??????

    9. Fitzpatrick skin type classification (1988) Type I (very white or freckled) - Always burn Type II (white) - Usually burn Type III (white to olive) - Sometimes burn Type IV (brown) - Rarely burn Type V (dark brown) - Very rarely burn Type VI (black) - Never burn

    10. ??? ????? ??????? ????? ?????? ?????? ?????? ????? ????? ???????? ???? ???? ????? ?????? ?????? ?????? ????? ????? (????) ????? ??? ("??????") ??????? ??????, ???? ???? ???? ???? ??? ????? ???? "???" ?? ?????? ?????? ??? ???? ???? ????? ?????? ????? ???? ????? ??? ????? ??????? ?? ????? ???, ????? ??? ????? ??? ?? ????? ???? ??????.

    11. ?????? ?????- ?????? ??? ?? ??? ????? ?????? (????????+?????) ??? ?? ??? ???? ???????? ?? ???? ????????? ????? ?????? -"??? ?????" ???? ???? ????? ?????? ?? ?????? ?????? ? ??????? ????

    12. ?????? ??????? ?????? Lactic Acids Glycolic Acids Beta Hydroxy-acids (salycilic acid) Trichloreacetic Acid Non Acid Enzyme Peel Topical 5-FU

    13. ?????? ???? ????? ????? ??????? : triretenoin, 10%-20% TCA, 5-FU, salicylate, Jessners solution (salicylate, ethanol, lactic acid) ????? 6-8 ????? ?????, ???? ??' ?????? ???? ???? "????" ???? ?? ?? ???? ?????? ??? ?????? ???? ????

    14. ?????? ?????? ????? ????? ?????? ?? ???? ?????? ?????? ????? ?????? ?????? ????, ???? ???, ????? ????? ????? ?? TCA 35% ?????? ?? Jesnners solution, ?? ?? ???? ??? ?????? 88%. ???? ???? ????? ?? ??????. ????? ???? ????, ???? ??' ??????

    15. Pre- and post-treatment medium-depth chemical peel

    16. ?????? ???? ?????? ?? ????, ?????? ???? ????? ????? ???? ?????? ?? ??? ????? ?????? ????????? ?? ????, ?????? ?????????? ????. ????? ?????. ???? ??????- ???? ????? ?????? ???????? ???? ?????? ????. ????? ????? ????? 24-48 ???? , ??"? ????? ???? ????? ??? ???? ??????. ??? ???? ???? ????? ????? ???? ??????? ????? ??? ????? ????. ?????? ??????: Bakers solution - 88% ????, ??? ?????? (????? ????? ????? ?????), ???????

    17. Pre- and post-treatment with Baker's deep chemical peel

    18. Pre- and post-treatment with Baker's deep chemical peel

    19. ?????? ???? ????? ???? ??????? ?????? ??????? ????? ???? ???? ?????? ??? ???? ??????? ?????? ????-??? ?? ????? ???-???? ????? ???? (TCA) ???????? ????? (????? ????? ??????) ?????? ???? ?????? ????? ????, ??? ?????? ??????? ?????.

    20. Lunchtime peel 2-3 ??????? ??????, ?? ????? ?-20 ???? ?????? ???????- ?????? ?????? "???????"

    21. ?????? ?????? ??????? ?? ?????? !! "?????? ????? ??????? ??? ??? ???? ????? ??????? ?? ????" ??????

    22. ?????? ??????

    23. 2. Botox ???? ???????? ???? ?????? ????? ???? ?????, ?????? ????? ???? ??? 7-10 ???? ????? Ach-R ??????? ?? ???? ????? ??? ???? ???

    24. Relaxation of prominent corrugator muscle with BOTOX

    25. 3. Intense Pulsed Light (Thermage) ????? ?????? ??? ?????? ?? ????? (??????? ?"? ?????? ?????) ??????? ??????? ????? ?"? ??? ?????? , ????? ???? ???? ?? ?????? ????

    26. 4. Laser resurfacing ????? ??????? ????? ????? ???????? ?????? ?? ??? ?????? ???? ?????? ?? ???? ?????? ???? ?? ?? nm 1064- ????? ?????? ??"? ????? ???? ???? ?? ?? nm 1320- ????? ?????? ????? ???? ?? ????? (???? ??????)

    27. 5. Facial serum ????? ??????? ????? ?? ???? ?????, ?????? E ??????? ??????, ?????? ????-?????????? ?????? ???? ?? ?????? (vitamin A) ????? ????? ???????? ?? ?????

    28. 6. Dermal fillers ????? ?????? ?? ????? ???? ???? ?????? ????? ???-??????? ????? ??????? ?-hydroxyapatite ?????? ?????? ?????? ??? ???? ????- ????? ???? ???? ????? ?????? ???-????? ???? ????? ?????? ???????????, minimally-invasive

    29. Dermal fillers ?????? ???? ????: Restylane, Hylaform, Hylaform Plus, Captique, Cosmoplast and Radiesse ???? ??? ???? SCULPTRA : ????? ????? ??????????. ????? ?????: poly-L-lactic acid ?????? ?? ?????? ????? ????? ?? ????? ?????- ??????, ????.

    30. Hyaluronic acid injection

    31. Micro-lipo-injection

    32. Lip augmentation- Restylane

    33. Cheek augmentation

    34. 7. Mechanical peeling (dermabrasion) ????? ????? - 1905 ????? ????? ?????, ?????? ??? ????? ?? ????? ??????, ??????? ??????? ????? (?????? ?? ????? ????????? ?? Al2O3 ) ????? ?????, ??? ?????? ??? ??? ????? ?????? ?????? ????? ??? 10 ???? ???????

    35. Dermabrasion

    36. 8. Pigmentation removal ???? ???? ????, ?????????, ????? ???? ????? ????? ??????? ????, ?????? (?)

    37. 9. Face lift (Rhytidectomy)

    38. ????? ???? "????? ????" ?????? ??????? ??? ??? ???, ????? "?? ????" ?????? ???? ???? ????? ?????: ????? ???? ?????????? ????? ???? ??????, ????? ??? ?????? ????? ????? ?-laser resurfacing ?/?? ????? ???? ???? ????? ???? ?????? ?? ??? ???? "????" ?/?? ???? ??????.

    39. SMAS superficial musculo-aponeurotic system ????? ?????? ?? ?????, ?????? ???????? ????? ?????? ?????????? ?????? ????? ??? ????? ?????? ???? ?-SMAS ?????- ???? ?????? ??????? ?????? ?? ?-SMAS ??????? ????

    40. Rhytidectomy 1901- ????? ????? ???????, ?????? ???? ????? ????? ????? ????? 1974- Skoog ???? ?? ????? ???????? ???? ?-SMAS ??? ????? ??? ?????- ????? ???? ?-melolabial fold ?????? ???? ???? ?????

    41. Face lift ???? ?????? ?? ???????? ??? ???? ????????: Subcutaneous (????? ??????, ?????? ?? ????? ????? ?????) Sub-SMAS dissection (Skoog, 1974) (???? ???? ??? ???????, ???? ?? ???? ???? ?????) Extended supra-SMAS dissection (Owsley, 1993) (??????? ????? ?-SMAS ?? ????? ?????, ????? ??? ????-????????? ???? = BLAIR) Complete subperiosteal undermining of mid-face bones) Ramirez, 1991) (???? ???? ????, ??? ??????, ????? ???? ???????, ???? ????? ?????????? ??? ??? ???? ???)

    42. Face lift ????? ???????? ??? ????? ???? ???? ?????? ????? ??? ????? ???? "?????" ?-SMAS ????? ?? ????? ?????? ???? ???? ???? ????? ??????????

    43. ???? ????? (suspension threads) ??? ????? ?????????, ???????? ????????: Aptos thread ???? ?? ????? ?????? ????? ????? Contour thread ???? ??? ????? ??????? ?????? ???????? ?????? ?????? ??? ???? ?????? ?"? ????, ????? SMAS, ?????? ?-undermining ??? ?????? ???.

    44. Aptos = anti + ptosis ???? ???? ??????? ???? ?????? ?? ????? ?? ???? ??????, "??? ??????" ??????? ?????? ???????????? ??????? (barbed) ????? ????? ???? ????? ???? ??? ???? ????? ?????? ???? ?????? ????? ????? ????? ??????, ??"? ????? ???????-???? ????

    45. Aptos procedure

    46. Final results ????? ??????????? ???? ??' ???? ???? ?????????

    47. Aptos procedure ????????????? ???????- ???? ????? ??????? ?????? ????? ????? ????? ??? ??? ???? "????" ????? ???????? ???? ??????, ??? ??? ???? "??" ????? ?????: ????????, ?????, ????? ?? ??????, ???, ????? ??? ????? ???? ????

    48. Contour procedure

    49. ??????? ????? ?????? ??? ????? ????????? ???? ?????? ??????? (?????? ??????) ????? ???????- greater auricular ????? ??????? ?????? ?? ??????? ???? ??? ?????? ?????? ??? ?? ??????? ????

    50. 10. Blepharoplasty

    51. Blepharoplasty ?? ????? ????? ???? ?????, ??????? ?? Graves ?? ?????, ???? ???????? ???? ????? ???? ?????? ??????? ????? ????????? ????? ????? ????? ?? ?????: ?? ????? ???? ????????? ????? ????? ?? ???? ??? ? ????? ?

    52. Blepharoplasty ??? ?????, ????? ????? ??? ???????? ???? ???? ?????????, ????? ????? ??? ????? ????? ?????? ?????? ???? ???? ?? ???? ???? ?????? ??

    53. 11. Allopecia ???????- >60% ???????, >10% ?????? 2 ??????? ???? ?????? ????????? ?????? ???? ????? ????, ??? ??????, ??????, ?'? : ?????????? ?????????? ???????? ??? ????? ????? ???? ???? ????? ?????? ?????? ????: follicular-unit grafting , ????? ????? ???? ???????? ??????

    54. Follicular Unit Hair Transplantation (FUT) ????? ????? ???? ???? ??? ??????? ????? ???? ??????, ??"? ????? ????? ????

    55. 12. ???? ???? ?????/????? ????? ????? ??????????? ???? ?????? !! ?????- ????? ????? ??????? ???? ?????? ????- ??????

    56. 13. Tatooing ?????? ??? ?????? ??? ???? ?????? ????????, ?????? ?? ????????? ???????? ????? ????? ???? ??? ?? ?????? ????? ???? ?????? "????" ???? ?? ?????? ??????? ??????, ??? ??? ????? ?? ?????? ????? ????? ????? ???? ????? ??????

    57. Cosmetic tatooing "????? ????" ????, ???????, ?????? ????? ???? ??? "??-?????", ???? ???? 3-5 ???? ?"? ?????, ???????, ????????, ?????? ??????????????, ????? ??????, ?????? ?????? ???? ????? MRI

    58. 14. Liposuction ???? ????? ???? ???? ?? ?????? ?????: ultrasound-assisted lipoplasty tumescent technique, super-wet technique ?????? ????? ?????? ?? ???? ???? ???? ??? "?????" ??? ????? !! ????? ???? ??-????? ?????? ???? ????? ????? ????? ????? ?????? + ???????? + ??????

    59. 15. Mentoplasty (chin surgery) ?????? ???? ?? ?????? ???????????? ?????? ???? ?? ?????? ????? ????? ?????- ????? ??? ??-???? ???? ????????/ ???? ??? ??? ????? ????? ???? ????????? (???????????? ?????)

    60. 16. Rhinoplasty ?? ????? !! ?? ?????? ?? ??? 15 ?? ???? ????? ??? ????? ????????? ????-??????? ?? ????? ????? ?? ????? ??? ??-?????

    61. 17. Otoplasty

    63. Otoplasty "????? ????", "????? ????-????" ?????? ?????? ?????; ??? 5% ???????? ?????? ???? ??????? ?? ?-anti-helix ?? ??????? ??? ?? ?-concha; ??-???? ??"? ????? ????? ??????/?????/?????/????? ???? ?? ???? ??????? Diffenbach 1845 ????? ????? ??????

    64. Causes for prominent ear

    65. ????? ?????? ????? anti-helix ?????, ??? ????? ???? ????? conchoscaphal angle ?-900 ????? ??? ?-concha ????? ?? ??????? ?? ??? ???????? ????? ????? ???? ?????? ????? ?????? ????? ?? ???? 6-7 ???? (?? ??????? ????? ?????)

    66. ????? anti-helical fold ????? ?? ????? ??? ?????? (scoring) ?? ????? ?"? ????? ?? ?????. Scoring:

    67. Mustard suturing approach

    68. ????? ?? Conchal Defect ???, ????? ?? ????? ??? ?????? (scoring) ?? ????? ?"? ????? ?? ????? ???? ?????- concha-mastoid sutures

    69. ????? ?? Conchal Defect ???? ?? ?????? ?? ??? ?????? ?"? ????? ??? ?????? -

    70. Protruding lobule

    71. 18. Scar revision- Z-plasty ????? "????" ????? ????? ???? ????? ?????? ???? ???? ? ????????? ????? ??? ????? ??????? "???? ?????" ??????? ?? ?????? "??????" ?? ???? ??? ????? ???? ???? ????: ?????

    72. Z-plasty