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Mesotherapy Workshop. Alta A. Smit, MD. Mesotherapy pharmacology. Pharmacokinetics Route of administration Intradermal Time of absorption Very slow Up to 7 days. Mesotherapy. Materials and methods. Manual technique 1, 3, 5 and 10 cc measured ring syringe

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mesotherapy workshop

Mesotherapy Workshop

Alta A. Smit, MD

mesotherapy pharmacology
Mesotherapy pharmacology
  • Pharmacokinetics
  • Route of administration
    • Intradermal
  • Time of absorption
    • Very slow
    • Up to 7 days

Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

mesotherapy

Mesotherapy

Materials and methods

mesotherapy materials and methods
Manual technique

1, 3, 5 and 10 cc measured ring syringe

Needles: 27 or 30 gauge, ½ inch

Advantages

Practical

Works in difficult areas

Lebel needles

Disadvantages

More costly

Imprecise dose

Painful

Mesotherapy: Materials and methods

Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

mesotherapy materials and methods1
Assisted technique

French Pistor Gun

Needles: 27 or 30 gauge, ½ inch

Advantages:

Adjustable

Precise dose

Disadvantages

Painful

Mesotherapy: Materials and methods

Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

mesotherapy materials and methods2
Quantity

0.3-0.5 cc per injection

Distance

Every 2 cm

Acupuncture points

Frequency

1 to 2 times a week for 10 weeks

Maintenance

Monthly

Additional therapies

Massages

Manual lymph drainage

Mesotherapy: Materials and methods

Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

anti aging mesotherapy
Anti-aging mesotherapy
  • Lebel needle
    • 30 gauge, 4 mm
    • Perpendicular to skin
    • Intradermal

Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

anti aging mesotherapy1
Needles: 27 or 30 gauge, ½ inch

Incorrect injection for skin

Perpendicular to skin

Goes to sub- cutaneous cellular tissue (hypodermis)

Anti-aging mesotherapy

Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

anti aging mesotherapy2
Needles: 27 or 30 gauge, ½ inch

Correct injection

45-degree angle

Intradermal

Anti-aging mesotherapy

Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

mesotherapy1

Mesotherapy

Facial Refresh

anti aging mesotherapy3
Anti-aging mesotherapy
  • Glavella
    • Insulin syringe
    • Four units per point
  • Placenta compositum
  • Cerebrum compositum

Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

anti aging mesotherapy4
Anti-aging mesotherapy
  • Front lines
    • Insulin syringe
    • Three units per point
  • Cerebrum compositum

Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

anti aging mesotherapy5
Anti-aging mesotherapy
  • Crows feet
    • Insulin syringe
    • Three units per point
  • Placenta compositum
  • Cerebrum compositum

Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

anti aging mesotherapy6
Anti-aging mesotherapy
  • Eyebrows
    • Insulin syringe
    • Two units per point
  • Placenta compositum
  • Cerebrum compositum

Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

anti aging mesotherapy7
Anti-aging mesotherapy
  • Lower eyelids
    • Insulin syringe
    • Two units per point
  • Placenta compositum

Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

anti aging mesotherapy8
Anti-aging mesotherapy
  • Upper nose
    • Insulin syringe
    • Three units per point
  • Placenta compositum

Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

anti aging mesotherapy9
Anti-aging mesotherapy
  • Perioral
    • Insulin syringe
    • Two units per point
  • Placenta compositum
  • Cerebrum compositum

Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

anti aging mesotherapy10
Anti-aging mesotherapy
  • Lower jaw
    • Insulin syringe
    • Three units per point
  • Placenta compositum

Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

anti aging mesotherapy11
Anti-aging mesotherapy
  • Neck
    • Insulin syringe
    • Two units per point
  • Placenta compositum

Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

mesotherapy materials and methods3
Mesotherapy: Materials and methods
  • Cranial application
    • Hair loss
      • Selenium-Homaccord
    • Alopecia
      • Cutis compositum
    • Dandruff
      • Graphites-Homaccord

Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

mesotherapy materials and methods4
Mesotherapy: Materials and methods
  • Abdominal application
    • Overweight
      • Hepar compositum
      • Thyreoidea compositum

Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

weight control program
Weight control program
  • Obesity
    • Treatment
      • Strumeel drops
      • Thyreoidea compositum
        • Chakra point
      • Hepar compositum
        • ST 36
      • Lymphomyosot
        • SP 6

Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

weight control program1
Weight control program
  • Endocrine classification
    • Hypophysis
      • Apple shaped
      • Thick trunk
      • Thin extremities
    • Treatment
      • Placenta compositum
        • Glavella
        • ST 23, 25, 27

Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

weight control program2
Weight control program
  • Endocrine classification
    • Pancreas
      • Pear shaped
      • Increased abdominal fat
    • Treatment
      • Syzygium compositum drops
      • Hepar compositum
        • Solar plexus
        • LIV 13
        • ST 25, 36

Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

weight control program3
Weight control program
  • Endocrine classification
    • Ovaries/testicles
      • Lower extremity fat
    • Treatment
      • Ovarium compositum
        • ST 29
        • SP 6

Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

mesotherapy physiopathology
Mesotherapy physiopathology
  • Lymphodystrophy
    • Interstitial edema
    • Water retention
    • Venous stasis
    • Lymphatic stasis

Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

mesotherapy physiopathology1
Mesotherapy physiopathology
  • Lipodystrophy
    • Grade I
    • Lymph edematous state
    • “Orange peel” look
    • Breakdown of connective fibers
    • Reduction of cutaneous elasticity

Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

mesotherapy physiopathology2
Mesotherapy physiopathology
  • Lipodystrophy
    • Grade II
    • Micronodular state
    • Superficial skin retractions
    • Look of “rice granules”
    • Production of non-elastic fibrous elements

Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

mesotherapy physiopathology3
Mesotherapy physiopathology
  • Lipodystrophy
    • Grade III
    • Macronodular state
    • Deep retractions of “hollow” skin
    • Proliferative phase
      • Collagenic degeneration
      • Lobular partitions

Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

mesotherapy physiopathology4
Mesotherapy physiopathology
  • Lipodystrophy
    • Grade IV
    • Macronodular state
    • Deep skin retraction
    • Flaccidity
    • Fibrous phase
      • Adhesion of connective fibers
      • Cellular and vascular compression

Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

mesotherapy materials and methods5
Mesotherapy: Materials and methods
  • Gluteal application
    • Fat burner
      • Thyreoidea compositum
    • Firming
      • Placenta compositum

Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

treatment of indurated hard cellulite
Treatment of indurated (hard) cellulite

Primary medication

Secondary medication

treatment of soft cellulite
Treatment of soft cellulite

Primary medication

Secondary medication

mesotherapy materials and methods6
Mesotherapy: Materials and methods
  • Legs application
    • Lymphodistrophy
      • Lymphomyosot
    • Lipodystrophy
      • Thyreoidea compositum
      • Melilotus-Homaccord
    • Venous congestion
      • Hamamelis-Homaccord
    • Firming
      • Placenta compositum

Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

mesotherapy complications
Allergies

Itching

Rash

Ecchymosis

Hematomas

Infection

Intoxication

Vagal reaction

Skin atrophy

Necrosis

Hyperpigmentation

Hypopigmentation

Erythema

Mesotherapy complications

Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

mesotherapy2
Contraindications:

Allergy to medications

Dermal lesions

Debilitated patients

Patients with cardiopathy, hepatopathy or nephropathy

Pregnant or lactating women

Warnings:

Avoid combinations if unsure of the effects

Avoid overdose. More is not better

Avoid self-medication

Mesotherapy

Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

mesotherapy recommendations
Mesotherapy recommendations
  • Massage therapy is practiced before each session
  • Rest for ten minutes following the session
  • Drink copious liquid
  • Stop treatment in case of any undesirable reaction

Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

mesotherapy recommendations1
Mesotherapy recommendations
  • Anti-aging weight control
  • Healthy nutrition
  • Regular physical activities
  • Full relaxation
  • Good mental and emotional attitude
  • Create favorable ambience

Dr. Alta Smit_Mesotherapy_Speakers' Training 2006