Mesotherapy Workshop Alta A. Smit, MD
Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 Mesotherapy pharmacology Pharmacokinetics Route of administration Intradermal Intradermal Time of absorption Very slow Very slow Up to 7 days Up to 7 days
Mesotherapy Materials and methods
Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 Mesotherapy: Materials and methods Manual technique 1, 3, 5 and 10 cc measured ring syringe 1, 3, 5 and 10 cc measured ring syringe Needles: 27 or 30 gauge, ½ inch Needles: 27 or 30 gauge, ½ inch Advantages AdvantagesPractical Works in difficult areas Lebel needles Disadvantages More costly Imprecise dose Painful
Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 Mesotherapy: Materials and methods Assisted technique French Pistor Gun French Pistor Gun Needles: 27 or 30 gauge, ½ inch Needles: 27 or 30 gauge, ½ inch Advantages: Advantages:Adjustable Precise dose Disadvantages DisadvantagesPainful
Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 Mesotherapy: Materials and methods Quantity cc per injection cc per injectionDistance Every 2 cm Every 2 cm Acupuncture points Acupuncture pointsFrequency 1 to 2 times a week for 10 weeks 1 to 2 times a week for 10 weeksMaintenance Monthly Additional therapies Massages Manual lymph drainage
Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 Anti-aging mesotherapy Lebel needle 30 gauge, 4 mm 30 gauge, 4 mm Perpendicular to skin Perpendicular to skin Intradermal Intradermal
Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 Anti-aging mesotherapy Needles: 27 or 30 gauge, ½ inch Incorrect injection for skin Perpendicular to skin Goes to sub- cutaneous cellular tissue (hypodermis)
Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 Anti-aging mesotherapy Needles: 27 or 30 gauge, ½ inch Correct injection 45-degree angle Intradermal
Mesotherapy Facial Refresh
Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 Anti-aging mesotherapy Glavella Insulin syringe Insulin syringe Four units per point Four units per point Placenta compositum Cerebrum compositum
Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 Anti-aging mesotherapy Front lines Insulin syringe Insulin syringe Three units per point Three units per point Cerebrum compositum
Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 Anti-aging mesotherapy Crows feet Insulin syringe Insulin syringe Three units per point Three units per point Placenta compositum Cerebrum compositum
Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 Anti-aging mesotherapy Eyebrows Insulin syringe Insulin syringe Two units per point Two units per point Placenta compositum Cerebrum compositum
Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 Anti-aging mesotherapy Lower eyelids Insulin syringe Insulin syringe Two units per point Two units per point Placenta compositum
Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 Anti-aging mesotherapy Upper nose Insulin syringe Insulin syringe Three units per point Three units per point Placenta compositum
Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 Anti-aging mesotherapy Perioral Insulin syringe Insulin syringe Two units per point Two units per point Placenta compositum Cerebrum compositum
Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 Anti-aging mesotherapy Lower jaw Insulin syringe Insulin syringe Three units per point Three units per point Placenta compositum
Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 Anti-aging mesotherapy Neck Insulin syringe Insulin syringe Two units per point Two units per point Placenta compositum
Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 Mesotherapy: Materials and methods Cranial application Hair loss Hair lossSelenium-Homaccord Alopecia Alopecia Cutis compositum Dandruff DandruffGraphites-Homaccord
Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 Mesotherapy: Materials and methods Abdominal application Overweight Overweight Hepar compositum Thyreoidea compositum
Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 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 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 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 program Endocrine classification Ovaries/testicles Lower extremity fat Treatment Ovarium compositum ST 29 SP 6
Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 Mesotherapy physiopathology Lymphodystrophy Interstitial edema Water retention Venous stasis Lymphatic stasis
Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 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 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 physiopathology Lipodystrophy Grade III Grade III Macronodular state Macronodular state Deep retractions of “hollow” skin Deep retractions of “hollow” skin Proliferative phase Proliferative phase Collagenic degeneration Lobular partitions
Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 Mesotherapy physiopathology Lipodystrophy Grade IV Grade IV Macronodular state Macronodular state Deep skin retraction Deep skin retraction Flaccidity Flaccidity Fibrous phase Fibrous phase Adhesion of connective fibers Cellular and vascular compression
Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 Mesotherapy: Materials and methods Gluteal application Fat burner Fat burner Thyreoidea compositum Firming Firming Placenta compositum
Treatment of indurated (hard) cellulite Vascular system Aesculus-Injeel 1 ampoule (1.1 ml) alternating with Hamamelis-Injeel ampoules (1.1 ml) One week Aesculus, 1 week Hamamelis Hamamelis-Homaccord 1 ampoule (1.1 ml) Vipera berus-Injeel 1 ampoule (1.1 ml) Drainage of the connective tissue +Lymphomyosot 1 ampoule (1.1 ml) + Coenzyme compositum 1 ampoule (2.2 ml) +Thuja-Injeel 1 ampoule (1.1 ml) Ubichinon compositum 1 ampoule (2.2 ml) Berberis-Homaccord 1 ampoule (1.1 ml) Hormonal system +Hormeel 1 ampoule (1.1 ml) Ovarium compositum 1 ampoule (1.1 ml) Hypophysis suis-Injeel 1 ampoule (1.1 ml) Lipolysis + Fucus vesiculosus-Injeel 1 ampoule (1.1 ml) +Graphites-Injeel Adeps suillus-Injeel 1 ampoule (1.1 ml) Graphites-Homaccord Grippe Nosode-Injeel 1 ampoule (1.1 ml) Total 9.9 ml Primary medication Secondary medication
Treatment of soft cellulite Vascular system Aesculus-Injeel 1 ampoule (1.1 ml) + Placenta compositum 1 ampoule (2.2 ml ) Hamamelis-Homaccord 1 ampoule (1.1ml) Vipera berus-Injeel 1 ampoule (1.1 ml) Drainage of the connective tissue +Lymphomyosot 1 ampoule (1.1 ml) + Ubichinon compositum 1 ampoule (1.1 ml) +Thuja-Injeel Berberis-Homaccord Hormonal system +Hormeel 1 ampoule (1.1 ml) Ovarium compositum 1 ampoule (2.2 ml) Lipolysis +Graphites-Injeel 1 ampoule (1.1 ml) Fucus vesiculosus-Injeel 1 ampoule (1.1 ml) Firming effect + Cutis suis-Injeel 1 ampoule (1.1 ml) Funiculus umbilicalis suis-Injeel 1 ampoule (1.1ml) Embryo totalis suis-Injeel 1 ampoule (1.1 ml) Primary medication Secondary medication
Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 Mesotherapy: Materials and methods Legs application Lymphodistrophy LymphodistrophyLymphomyosot Lipodystrophy Lipodystrophy Thyreoidea compositum Melilotus-Homaccord Venous congestion Venous congestionHamamelis-Homaccord Firming Firming Placenta compositum
Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 Mesotherapy complications AllergiesItchingRashEcchymosisHematomasInfectionIntoxication Vagal reaction Skin atrophy NecrosisHyperpigmentationHypopigmentationErythema
Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 Mesotherapy Contraindications: Allergy to medications Allergy to medications Dermal lesions Dermal lesions Debilitated patients Debilitated patients Patients with cardiopathy, hepatopathy or nephropathy Patients with cardiopathy, hepatopathy or nephropathy Pregnant or lactating women Pregnant or lactating womenWarnings: Avoid combinations if unsure of the effects Avoid overdose. More is not better Avoid self-medication
Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 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 recommendations Anti-aging weight control Healthy nutrition Regular physical activities Full relaxation Good mental and emotional attitude Create favorable ambience