Aesthetic Medicine for Female Genital Organs
Tuesday, October 5, 2021 - Starting 3:00 PM (EST - Toronto time)
All presentation details will be available soon...
Energy-based therapies for vulvovaginal rejuvenation, specifically radiofrequency (RF) and fractional CO2 (FrCO2) and Er:YAG lasers, are increasing in popularity. Transcutaneous temperature-controlled radiofrequency (TTCRF) treatment is an emerging modality for vulvovaginal rejuvenation. A recent TTCRF study including 48 patients by the group of Kroumpouzos (Aesthetic Surgery Journal 2021) evaluated the aesthetic results on the vulvovaginal area, sexual dysfunction, and stress urinary incontinence (SUI) using validated instruments. A substantial improvement in genital appearance was observed in all patients as well as significant improvements in sexual function and SUI. A systematic review of 46 FrCO2 studies for vulvovaginal rejuvenation by the presenter (Cosmetics 2021) showed substantial improvements in symptoms of genitourinary syndrome of menopause (i.e., dyspareunia, vaginal dryness, itch or burning, and dysuria) sexual function, and quality of life. A handful of studies that used Er:YAG lasers for vaginal laxity showed improved tightening and significant decrease in vaginal dryness and dyspareunia.
In conclusion, RF and FrCO2 laser therapy have shown good efficacy and safety, and patient satisfaction with these modalities was high in the studies. However, the aesthetic effect on the vulvovaginal area was studied only after RF. These modalities have the potential to advance female sexual wellness. However, there is a lack of level I evidence, and more randomized sham-controlled trials are required. Also, studies are required to compare among RF, FrCO2, and Er:YAG laser therapy and investigate the effects of combination treatments. Lastly, future studies should investigate the effects of combining energy-based modalities with PRP or fillers or using them after surgical vaginoplasty.
Dr. Claudio CatalisanoMD, Cosmetic Gynecologist
After having obtained the scientific maturity, from Liguria, I moved to Milan, and I enrolled in the Faculty of Medicine and Surgery.
Since the first year I have cultivated my passion by becoming an internal student of the Institute of Human Anatomy (basis of Medicine and preparatory to a future dreamed Surgery).
From the fourth year until the beginning of the sixth, I participate from within the activity of the Institute of General Surgery then directed by Prof Montorsi. In the sixth year, I prepare the thesis in Obstetrics and Gynecology, attending as an internal student the prestigious Mangiagalli Institute in Milan, seat of the Postgraduate School.
Many topics of interest to me in those years: from Gynecological Endocrinology, to Gynecological Urology, up to Female Genital Surgery. My attitude, fueled by the teachings of great figures of the time (Prof. Candiani, Prof. Crosignani, Prof. Pedronetto), is noticed by a Milanese Structure which, despite my young age, entrusts me with a department of Gynecological Surgery, where I spend 12 years.
In 1997, a time when the need for treatment and diagnosis of couple infertility made its way, I participated for two years, almost as an intern, in learning the subject, in the still largest and most important Italian Fertility Center, Istituto Humanitas Milano. . At the beginning of the 2000s, after having cultivated every sector of Gynecology, both the medical and the surgical part, I realize that women prefer, if possible, to obtain therapeutic results, avoiding surgical interventions. So I dedicate myself to further cultivating the diagnostic part and the healing possibilities that are independent of the use of the scalpel.
These are years in which EBD (Energy Based Devices) techniques such as laser, ultrasound, physiotherapy are making their way. Almost by chance in 2015, I discovered radiofrequency and its applications in gynecology.
At that time in Italy there was not yet a specific culture, but in the USA it was already active since 2008. I know the inventor of the first genital radiofrequency instrument, Dr. Red Alinsod, American, vaginal surgeon but also attentive to the choices and preferences of the female audience.
My work as an initiator has been recognized by various companies producing instruments that without negative effects or contraindications, improve or solve the most common gynecological pathologies of the less and post-menopause. Having become a testimonial of the same, I participated as a speaker in the Italian or Foreign Congresses, training colleagues. In recent years I have been repeatedly invited to Asia, Europe, the United States, where unlike Italy, there is a great deal of attention to this type of NEW GYNECOLOGY AIMED AT RESTORING FUNCTION, GENITAL AESTHETICS AND WHAT THE ANGLOSASSONS THEY CALL SEXUAL WELLBEING.
A great honor for me was having received an award in the United States of America, (A-POP ‘s AWARD 2019, a company with 80,000 members), for my work and results obtained without the use of a scalpel, in the treatment of INCONTINENCE. FEMALE URINARY, IN GENITAL PROLAPSE AND IN DIFFICULTY IN SEXUAL LIFE. All this can be achieved without surgery, without hospitalization, without pain, without interruption of work, simply by using LASER, RADIOFREQUENCY, ULTRASOUND OR ELECTROPORATION. Only one condition is necessary: to possess the technologies in question and to know how to use them when and how it is necessary.
The aforementioned work was presented in the congresses AIGEF (Italian association of aesthetic and functional gynecology – 2017, 2018, 2019 and 2020), ESAG (European society of aesthetic gynecology – 2018, 2019), IMCAS (international master course on aging science – 2020)
Dr. George KroumpouzosMD, PhD, FAAD, Dermatologist
George Kroumpouzos, MD, PhD, FAAD, Founder of GK Dermatology, is a Clinical Associate Professor of Dermatology at Brown University, USA and Professor of Dermatology, Collaborator, at Jundiaí Medical School, São Paulo, Brazil.
He has served as Instructor of Dermatology at Harvard Medical School. Dr. Kroumpouzos is a Board Member of the International Academy of Cosmetic Dermatology and Associate Editor of International Journal of Women’s Dermatology. His expertise is in the fields of aesthetic dermatology, laser surgery, gynecologic dermatology, and disorders of pigmentation.
He has published more than 100 peer-reviewed articles including articles on acne scar modalities, photodynamic therapy, botulinum toxin and fillers.
Dr. Marco GambaccianiMD, PhD, Gynecologist
Marco Gambacciani graduated in Medicine and Surgery in 1978, and gained a specialization in Obstetrics and Gynecology in 1982. In 1986 he worked at the Department of Reproductive Endocrinology, University of California, San Diego, where he specialized in Reproductive Endocrinology. Since 1987 he has worked at the Unit of Obstetrics and Gynecology, University Hospital del l’Universitaria Pisana. He is responsible for the Menopause Center, which over the years has become a reference point in the national and international. The Dr Gambacciani developed vaginal surgery besides surgery minimally invasive laparoscopic and mini-invasive interventions for resectoscopic. Dr. Gambacciani visited major centers of gynecological surgery in order to improve and develop the modern techniques of surgery.