Mesotherapy Workshop Alta A Smit MD Dr Alta

Mesotherapy Workshop Alta A. Smit, MD Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

Mesotherapy pharmacology Pharmacokinetics Route of administration n Intradermal Time of absorption n n Very slow Up to 7 days Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

Mesotherapy Materials and methods Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

Mesotherapy: Materials and methods Manual technique n n n 1, 3, 5 and 10 cc measured ring syringe Needles: 27 or 30 gauge, ½ inch Advantages Practical Works in difficult areas Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 n Lebel needles Disadvantages n n n More costly Imprecise dose Painful

Mesotherapy: Materials and methods Assisted technique n n n French Pistor Gun Needles: 27 or 30 gauge, ½ inch Advantages: Adjustable Precise dose n Disadvantages Painful Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

Mesotherapy: Materials and methods Quantity n 0. 3 -0. 5 cc per injection Distance n n Every 2 cm Acupuncture points Frequency n 1 to 2 times a week for 10 weeks Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 Maintenance n Monthly Additional therapies n n Massages Manual lymph drainage

Anti-aging mesotherapy Lebel needle n n n 30 gauge, 4 mm Perpendicular to skin 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 subcutaneous 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 Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

Mesotherapy Facial Refresh Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

Anti-aging mesotherapy Glavella n n Insulin syringe Four units per point Placenta compositum Cerebrum compositum Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

Anti-aging mesotherapy Front lines n n Insulin syringe Three units per point Cerebrum compositum Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

Anti-aging mesotherapy Crows feet n n Insulin syringe Three units per point Placenta compositum Cerebrum compositum Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

Anti-aging mesotherapy Eyebrows n n Insulin syringe Two units per point Placenta compositum Cerebrum compositum Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

Anti-aging mesotherapy Lower eyelids n n Insulin syringe Two units per point Placenta compositum Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

Anti-aging mesotherapy Upper nose n n Insulin syringe Three units per point Placenta compositum Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

Anti-aging mesotherapy Perioral n n Insulin syringe Two units per point Placenta compositum Cerebrum compositum Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

Anti-aging mesotherapy Lower jaw n n Insulin syringe Three units per point Placenta compositum Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

Anti-aging mesotherapy Neck n n Insulin syringe Two units per point Placenta compositum Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

Mesotherapy: Materials and methods Cranial application n Hair loss Selenium-Homaccord n Alopecia Cutis compositum n Dandruff Graphites-Homaccord Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

Mesotherapy: Materials and methods Abdominal application n Overweight Hepar compositum Thyreoidea compositum Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

Weight control program Obesity n Treatment Strumeel drops Thyreoidea compositum n Chakra point Hepar compositum n ST 36 Lymphomyosot n Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 SP 6

Weight control program Endocrine classification n Hypophysis Apple shaped Thick trunk Thin extremities n Treatment Placenta compositum n n Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 Glavella ST 23, 25, 27

Weight control program Endocrine classification n Pancreas Pear shaped Increased abdominal fat n Treatment Syzygium compositum drops Hepar compositum n n n Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 Solar plexus LIV 13 ST 25, 36

Weight control program Endocrine classification n Ovaries/testicles Lower extremity fat n Treatment Ovarium compositum n n Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 ST 29 SP 6

Mesotherapy physiopathology Lymphodystrophy n n Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 Interstitial edema Water retention Venous stasis Lymphatic stasis

Mesotherapy physiopathology Lipodystrophy n n n Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 Grade I Lymph edematous state “Orange peel” look Breakdown of connective fibers Reduction of cutaneous elasticity

Mesotherapy physiopathology Lipodystrophy n n n Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 Grade II Micronodular state Superficial skin retractions Look of “rice granules” Production of non-elastic fibrous elements

Mesotherapy physiopathology Lipodystrophy n n Grade III Macronodular state Deep retractions of “hollow” skin Proliferative phase Collagenic degeneration Lobular partitions Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

Mesotherapy physiopathology Lipodystrophy n n n 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 methods Gluteal application n Fat burner Thyreoidea compositum n Firming Placenta compositum Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

Treatment of indurated (hard) cellulite Primary medication Secondary medication Vascular system Aesculus-Injeel 1 ampoule (1. 1 ml) alternating with Hamamelis-Injeel ampoules (1. 1 ml) One week Aesculus, 1 week 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 1 ampoule (1. 1 ml) Adeps suillus-Injeel 1 ampoule (1. 1 ml) Graphites-Homaccord 1 ampoule (1. 1 ml) Grippe Nosode-Injeel 1 ampoule (1. 1 ml) Total 9. 9 ml

Treatment of soft cellulite Primary medication Secondary medication Vascular system Aesculus-Injeel 1 ampoule (1. 1 ml) + Placenta compositum 1 ampoule (2. 2 ml ) 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) + Ubichinon compositum 1 ampoule (1. 1 ml) + Thuja-Injeel 1 ampoule (1. 1 ml) Berberis-Homaccord 1 ampoule (1. 1 ml) 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. 1 ml) Embryo totalis suis-Injeel 1 ampoule (1. 1 ml)

Mesotherapy: Materials and methods Legs application n Lymphodistrophy Lymphomyosot n Lipodystrophy Thyreoidea compositum Melilotus-Homaccord n Venous congestion Hamamelis-Homaccord n Firming Placenta compositum Dr. Alta Smit_Mesotherapy_Speakers' Training 2006

Mesotherapy complications Allergies Itching Rash Ecchymosis Hematomas Infection Intoxication Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 Vagal reaction Skin atrophy Necrosis Hyperpigmentation Hypopigmentation Erythema

Mesotherapy Contraindications: n n n Allergy to medications Dermal lesions Debilitated patients Patients with cardiopathy, hepatopathy or nephropathy Pregnant or lactating women Dr. Alta Smit_Mesotherapy_Speakers' Training 2006 Warnings: n n n Avoid combinations if unsure of the effects Avoid overdose. More is not better Avoid self-medication

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 Dr. Alta Smit_Mesotherapy_Speakers' Training 2006