Penanganan Terkini Peremajaan Kulit
Transcript of Penanganan Terkini Peremajaan Kulit
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PENANGANAPENANGANAN TERKINI N TERKINI
PEREMAJAAPEREMAJAAN KULITN KULIT
dr.Syarief Hidayat, Sp.KK, FINSDV, dr.Syarief Hidayat, Sp.KK, FINSDV, FAADVFAADV
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PENDAHULUAN
PEREMAJAAN KULIT
Tindakan untuk mengembalikan kondisi kulit yang mengalami tanda-tanda penuaan untuk kembali seperti kulit pada usia remaja
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PENUAAN KULIT
Biologic Genetic Cronologic
EKSTRINSIK
Photoaging – paparan matahariMerokok & konsumsi alkoholNutrisi BurukRadikal Bebas – paparan UV, polusi, stress
INTRINSIK
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ANATOMI KULIT
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ANATOMI KULIT
YOUNGER SKIN OLDER SKIN
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TINDAKAN PEREMAJAAN KULIT
Chemical Peeling
BotoxDermal Filler
Radio Frekuensi
Laser
Platelet Rich Plasma
Stem Cell
Mikrodermabrasi & dermabrasi
Ultherapy
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TIPE KEDALAMAN
PENETRASI
AGEN
SUPERFICIAL
Epidermis-upper papillary dermis
TCA 10-25%, Jessner SolutionAHATretinoin Solution
MEDIUM Papillary dermis-upper reticular dermis
TCA 35-50%Jessner sol & TCA 35%GA 70% & TCA 35%
DEEP Mid reticular dermis
Phenol
CHEMICAL PEELING
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CHEMICAL PEELING
Merangsang pertumbuhan epidermis pengangkatan stratum korneumMengganti kulit lama yang rusak dengan kulit baru yang lebih baikAktivasi mediator-mediator inflamasi pertumbuhan kolagen
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CHEMICAL PEELING
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CHEMICAL PEELING
• Wrinkles• Melasma• Freckles• Akne dan skar akne • Post inflamatory
hiperpigmentation• Skar hipertrofik• Tato
INDIKASI
INDIKASI
INDIKASIKONTRAINDIKASI
• Keloid• Riwayat penyakit herpes
simpleks, hepatorenal, jantung (deep)
• Riwayat radiasi pada wajah
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CHEMICAL PEELING
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MIKRODERMABRASIProsedur mekanik, non-ivasif menggunakan diamond eksfoliatif menghilangkan sel-sel kulit mati dan merangsang produksi sel kulit baru
Merangsang produksi kolagen
Indikasi :
Age spotSuperficial wrinkles
Skin textureClogged pores
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MIKRODERMABRASI
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DERMABRASIProsedur mekanik menghilangkan lapisan epidermis dan dermis menggunakan wire brush atau diamond fraiseIndikasi : skar, rhytides/ wrinkles
Kontraindikasi : keloid, akne, inflamasi
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DERMABRASI
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DERMABRASI
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BOTOX
Botolinum Toxin
Mekanisme : mencegah pelepasan asetilkolin pada neuromuckular junction dgn cara berikatan pada reseptor presinapsEfek klinis 3-6 bulan
Pengenceran : NaCl 0.9% 2.5 ml 4.0 unit/ 0.1 ml
Kontraindiaksi : miastenia gravis, hamil, infeksi, kelainanan muskular
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INDIKASI BOTOX
Hiperhidrosis
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BOTOX
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DERMAL FILLERTeknik non-invasif bersifat temporer
kerutan dan koreksi volume
Filler Uses Placement LongevityHyaluronic acid Medium-deep folds,
lipsacne scars, facial countoring, periorbital hollows
Mid-deep dermis or superficial subcutis
6-12 months
Calcium Hydroxypalpitate
Deep folds, nasal reconstruction, jawline, malar augmentation
Deep dermis-superficial subcutis
6-18 months
Poly L lactic acid
Nasolabial fold, temple hollow
Superficial subcutis
2 years or longer
Autologous fat Pan-facial filling, especially periorbital area
Subcutaneous tissue
5 years or longer
Silicone Scars, HIV lipoatrophy, lips, deep folds
Deep dermis ???? delayed granuloma formation, migration
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DERMAL FILLER
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INDIKASI DERMAL FILLER
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DERMAL FILLER
aa
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DERMAL FILLER
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LASER
Laser Ablative
CO2 16.600 nmErbium:Yag 2940 nm
Laser Non Ablative
Long Pulsed Dye Laser 1450 nmQ-switched Nd:Yag 1320 nmLongpulsed Nd:Yag
DiodeErbium glass 1550 nm
Light source (Intense Pulse Light)
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LASER
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LASER ABLATIVE
Mengangkat epidermis disertai dermal contractionRe-epitelisasi diikuti remodelling kolagen pada upper dermis, diikuti perbaikan klinis
Kelemahan
Re-epiteliasasi perlu beberapa minggu
Eritema post-operative sampai beberapa bulanPotensi hiper/hipopigmentasi
Potensial infeksi
Indikasi : wrinkles, skar atrofi, aktinik superfisial
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LASER ABLATIVE
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LASER ABLATIVE
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LASER NON ABLATIVE
Emisi pada gelombang infrared
Nyeri minimal
Kemerahan hanya sementara
No down time
Multiple treatment
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LASER NON ABLATIVE
Pigmented
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Vascular
LASER NON ABLATIVE
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Dermal
LASER NON ABLATIVE
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RADIO FREKUENSI
Prosedur non invasif mengencangkan kulit dengan menggunakan gelombang radio frekuensiIndikasi :
Double chin
Wrinkles
Kantong mata
Skin laxity
Hasil maksimal 4-6 kali treatment
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RADIO FREKUENSI
Energi RF
Menghangatkan jaringan di bawah kulit kolagen di
bawahnya mengkerut
Serabut kolagen memendek kulit
kencang
Jangka panjang kolagen baru >>>
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RADIO FREKUENSI
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RADIO FREKUENSI
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ULTHERAPYProsedur non invasif menggunakan gelombang ultrasound menstimulasi lapisan SMAS dan deep dermis SMAS kontraksi lifting, deep dermis regenerasi serat elastin dan kolagen
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The multiple layer of skin
ULTHERAPY
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ULTHERAPY
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PLATELET RICH PLASMA
PRP plasma darah yang memiliki platelet mengandung berbagai macam faktor pertumbuhan dan sitokin
Efficacy of PRP
Nasolabial folds
Wrinkles on the lips
Acne scar
Wrinkles on the forehead
Fine wrinkles around the eyes
Wrinkles on the neck
Pregnancy stretch mark
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PLATELET RICH PLASMA
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PLATELET RICH PLASMA
Injection of Platelet Component (PRP)
The aged skin has less collagen, low elasticity, reduced amount of hyaluronic acid, and low ability to retain moisture
Release of Growth factors from Platelet Component (PRP)
Cell growth is activated, and collagen is prodeced
Regeneration and Rejuvenation of Skin Tissue
Collagen is produced, and skin elasticity is improved. The ability to retain moisture is restored
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STEM CELLStem cell kemampuan untuk memperbaharui atau meregenerasi dirinya sendiri kemampuan berdiferensiasi menjadi sel yang lain yang spesifik
Saat ini, stem cell dibuat berasal dari tanaman apel Swiss
Merangsang pertumbuhan dan pembelahan stem cell yang ada di kulit & terjadi peningkatan kolagen, elastin, dan asam hialuronat
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STEM CELL
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STEM CELL
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PENUTUP
Tindakan peremajaan kulit diberikan oleh dokter yang memiliki kemampuan dan ketrampilan yang baik
Peremajaan kulit pada seseorang diberikan disesuaikan dengan klinis, keperluan/ keinginan klien dan fasilitas yang ada
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