Assoc. Professor Dragana Nikitovic
Medical School, University of Crete, Heraklion, Crete

Assoc. Prof. PD Dr. med. Stanislava Tzaneva
Medical University of Vienna University Clinic of Dermatology Austria

Venoactive drugs

Author: Stanislava Tzaneva

Chronic venous disease is one of the most common clinical pictures in the western world. It is a chronically progressive disease, which places a significant burden on the healthcare system through the treatment and care of these patients. The prevalence of varicose veins is less than 10% in people younger than 30 years and over 75% in those over 70 years of age. An increasing prevalence can also be expected in the coming years due to the aging of the population, obesity and lack of exercise.
The venoactive drugs (VAD) can be used at any stage of the chronic venous disease to alleviate the symptoms. They have an anti-oedematous, anti-inflammatory effect and are well tolerated. VAD have two pathophysiological mechanisms of action. On the one hand, they act on the venous wall and venous valves at the macrocirculatory level, improving venous tone, and on the other hand, at the microcirculatory level.
Especially in patients who are in the early stages of the disease the VAD may be the only other suitable form of therapy next to compression. In patients where compression therapy alone has not had a satisfactory effect, is not tolerated or is even contraindicated, VAM should be used in a targeted manner. In advanced stages of the disease, the VAM can be used in conjunction with sclerotherapy, endoluminal procedures and surgery and/or compression.

SHORT CV

Position: Head of the Phlebologic-Angiological Unit of the University Clinic of Dermatology Vienna, Austria
Institution: Medical University of Vienna, Austria
Training: Dermatologist, Specialist for venous diseases and vascular medicine
Affiliations: Member of the European Academy of Dermatology and Venereology
Member of the Board of the Austrian Society of Phlebology and Dermatological Angiology
Member of Austrian Society of Dermatology and Venereology
Member of Austrian Society of Dermatosurgery
Member of the Austrian Working Group Aesthetic Dermatology and Cosmetology
Member of the Austrian Working Group Photo Medicine
 

Doctor Brigitte Balme
CHLS Lyon, Franța

Doctor Sadoughifar Roxanna
Advanced Micro Surgery Hair Science Clinic, Teheran, Iran

Tips And Tricks for Hair Transplantation

Many people still recall hair transplant with unnatural looking, pluggy grafts from the past. Even many physicians are not aware of the huge progress that has been made in field over the last 50,60 years. But interestingly these days hair transplants are so natural that one can strongly argue that they can be visually undetectable. For achieving that many factors should be considered. Correct diagnosis is fundamental to a proper treatment plan. These factors are worthy of attention in proper case selection:

Deliberate consultation including dermoscopy (necessary to omit patients with Alopecies that have contraindication for the surgery like Telogen Effluvium, Alopecia Areata, Active Scarring Alopecies or Trichotillomania). Scaling, Pustules and Erythema should be investigated.

Determination and classification of present and expected future hair loss pattern.

Assessment of donor area; recognizing the borders of the safe donor area, follicular unit density, hair shaft color, caliber, texture, …

Examination of scalp elasticity; tight scalp will limit the width of excised strip, in this case the number of obtained follicular units would be very low. In patients with excessive laxity, we should rule out Ehlers-Danlos variants.

Recognizing the underlying causes of hair loss, like thyroid disorders, polycystic ovarian disease, child birth, starting or stopping OCP, taking androgenic hormones or supplements and simple process going through menopause.

Scurt CV

University of Rome Guglielmo Marconi Rome – Italy
Advanced Micro Surgery Hair Science Clinic , Teheran – Iran

Doctor Madeline Karine
Medical Communication Lead for Venous Disease – Global Medical & Patient Affairs, Franța