1^st paper: Minimising complications and post-operative pain in breast augmentation.

This is the first time this pioneering philosophy on breast augmentation will be presented in a world meeting.
The 13-minute video features

• A presentation of the 40-minute non-touch, non-pain technique.
• Extraordinary painless recovery following breast augmentation.
• Choosing the right silicon implant size.
• Minimizing complications.

2^nd paper: The Use of Radio Frequency Assisted Liposuction (BodyTite) in Difficult Areas.

A pioneer also in liposuction, Mr. Keramidas shall present his unique experience with the use of radio waves (bodytite) in difficult areas such as inner thighs, abdomen, arms, neck and back. This is an oral, 6-minute presentation.

3^rd paper: A new technique in tuberous breasts correction

Mr. Keramidas shall present a new technique tuberous breast correction combining the MUST technique and, when needed, areola minimization.

1) MACS Face Lift: Result analysis and proposed amendments. Or V SMASectomy
MACS Face Lift is a Face Lift technique in which very small incisions allow us to achieve maximum face lifting and natural result. This presentation is important as it refers to the suggested amendments for even better results.
To achieve best face lift, we need to elevate not only the skin but also the inner part of the face. This is the so-called SMAS.
MACS Face Lift involves very small incisions – photo I – and is based on the use of internal sutures for elevation of the inner part of the face.
Our amendments involve the following actions:
First – Photo I.  More extended preparation of the face.
Second – Photo II. V Smasectomy, which allows for better lift of the face.
Third – Incisions through the ear, allowing for an almost invisible scar.
The most important advantages are:

1. Small incisions, almost invisible
2. Natural results
3. Maximum, long-lasting lifting
4. Speedy recovery
5. Minimum to no complications
6. The safest method with zero problems as to facial nerves

2) The new Sfumato technique: A combination of the Anti-Wrinkle And Muscle Relaxant Injections and hyaluronic acid in skin rejuvenation, first presented through Greek TV – Mega Channel and then at the IMCAS Paris Meeting in 2011.

1) Liposuction with radiofrequencies, the renown Bodytite technique
In this paper we present cases of the past 2 years, one of the extended series of cases currently in Europe.
The result we have achieved have built up our trust in this technique.
With Bodytite we may achieve

1. Better skin contouring
2. Minimum complications

In 2009 we were the first to embrace this revolutionary and promising new technology in liposuction. Βodytite or radiofrequency-assisted liposuction.

2) A new algorithm for choosing the pocket in breast augmentation. Our experience after 1300 cases.
There are several techniques for placing silicone implants in breast augmentation. These are:

1. Subglandular
2. Subfascial
3. Submuscular
4. Dual plane submuscular
5. Dual plane muscle-splitting

Which one is the best?
All abovementioned techniques have their cons and pros. In this paper we present a new algorithm for choosing among all these techniques aiming for best possible and most natural result with minimum problems.
This algorithm was produced following the analysis of 1300 breast augmentation cases and is based on 3 parameters. We reach the conclusion that there are three techniques that are considered best for breast augmentation: the SubFascial, the Muscle-splitting dual plane and the Dual plane submuscular technique
For the first time, in this paper we propose an algorithm on how to select the appropriate pocket.

3) MACS Face Lift:
MACS Face Lift is a Face Lift technique in which very small incisions allow us to achieve maximum face lifting and natural result. This presentation is important as it refers to the suggested amendments for even better results.
To achieve best face lift, we need to elevate not only the skin but also the inner part of the face. This is the so-called SMAS.
MACS Face Lift involves very small incisions – photo I – and is based on the use of internal sutures for elevation of the inner part of the face.
Our amendments involve the following actions:
First – Photo I.  More extended preparation of the face.
Second – Photo II. V Smasectomy, which allows for better lift of the face.
Third – Incisions through the ear, allowing for an almost invisible scar.
The most important advantages are:

1. Small incisions, almost invisible
2. Natural results
3. Maximum, long-lasting lifting
4. Speedy recovery
5. Minimum to no complications

The safest method with zero problems as to facial nerves

What is our goal?
With abdominoplasty we aim at fixing the abdomen aesthetically but also at improving its muscular function.

What is the preoperative procedure?
The systematic exercise of the abdominal muscles contributes to a good result post surgery, but the weight loss-in case you have excess weight- also helps. Smoking, overconsumption of alcohol, use of aspirin and vitamins two weeks before the surgery should be avoided.

How is abdominoplasty performed (techniques, description of the process)?
As mentioned above, there are two techniques: the classical abdominoplasty with which we also reposition the navel and the mini abdominoplasty with which the navel is not repositioned, the incision is smaller and the operation is shorter. In both operations the incision is made on the upper border of the pubic area. When we perform the mini abdominoplasty the incision is limited to that area. On the contrary, with the maxi abdominoplasty we can get to the border of the thighs. In any case the incisions should be hidden in your underwear or the beachwear. If required, the abdominoplasty can be combined with liposuction on the same and the surrounding areas for better results.

The type of anaesthesia
The mini abdominoplasty can be achieved with epidural anaesthesia, whereas the maxi with general anaesthesia.

How long does the operation take? How long will I stay in the hospital? Is the downtime short? And finally, when will it be safe for me to go swimming without anyone noticing any signs on my body?
It all depends on the operation and the surgeon’s experience. The mini abdominoplasty takes almost 1 hour and the maxi 2 hours. This time is longer if the tummy tuck is combined with liposuction on the affected areas.

When the abdominoplasty is completed the patient goes home the same day. In case of a maxi abdominoplasty, the patient usually stays at the hospital overnight.
After the mini abdominoplasty has finished, the downtime does not last more than 4-5 days. However, after an extended abdominoplasty which has been combined with liposuction, the downtime is longer and lasts almost 2 weeks.

The oedema and the swelling subside within 15 days and if the healing is good you will not see any signs as the incisions will be hidden in your underwear or beachwear. However, we recommend you not to swim earlier than 4 weeks, as this may affect the sutures (both internally and externally). Of course, you may have a quick swim after 2 weeks, but you must be careful: Any abrupt movements can affect the sutures.

After how long can I be exposed to the sun? How long will the result last?
Any limited and careful sun exposure is not considered to be a contraindication. However you must protect the area of the incisions which should never be exposed so early. The result is permanent as long as you maintain a healthy weight and exercise.

Are there any risks and side effects? Who should not undergo such a procedure?
The risks and the complications that may occur are generally common in all surgical procedures but they are also rare. For example they may include haematoma, inflammation, bad healing, asymmetry, accumulation of fluid, skin necrosis and very rarely deep thrombosis and pulmonary embolism.
Those suffering from serious health problems, such as diabetes, heart disease, history of embolism, obesity etc should not undergo the abdominoplasty.

What can I do about love-handles?
We call love handles those areas at the side of the waistline. They respond very well to liposuction and you have a firmer middle.

Our teen years are not usually the ideal time to undergo aesthetic operations. The body is still developing and it is worth waiting until we turn 18. Of course this is not standard, as there are cases where we should intervene earlier, when a problem affects not only a girl’s appearance but also her psychology. In these cases a doctor should have the agreement and approval of the family and a psychologist’s opinion. So, what kind of procedures are the ideal at that age? Breast reduction, liposuction, ear surgery. After a girl turns 18 years old, breast augmentation, liposuction and rhinoplasty are also very common operations.

In our 30s and 40s the first signs of aging and skin laxity are visible, women have usually become mothers and the picture is different. At these ages women ask for breast lift combined or not with abdominoplasty, liposuction (the operations that are included in what we call “Mommy Makeover”), injectables such as the anti-wrinkle and muscle relaxant injections and hyaluronic acid with laser resurfacing and any other treatments resulting in facial and body rejuvenation.

After 45 there is gradual skin laxity on the face and body and there is increased need for blepharoplasty-the so called mini facelift with neck lift- as well as for lifting and tightening procedures on the body.

In general, there is not a specific age for these operations, as the needs are customized and every woman is different. The indications are determined by specific scientific criteria in every case and by the woman’s desires and needs. Our genetic material plays a great role, as well as our lifestyle and the things that have influenced our life.