To help catapult the next generation of thought leaders into the next stage of their careers, Informa Markets Aesthetics (IM- Aesthetics; im-aesthetics.com) has created the Medical Aesthetic Vanguard Program (MVP). Intended for pioneering aesthetic specialists in practice ten years or less, who are on track to make significant contributions to the field of aesthetic medicine, this program provides all the tools necessary to increase exposure and foster priceless connections within the medical aesthetic industry.
There is a limited capacity, so to b
ecome an “MVP” you must be invited or nominated by a colleague within the medical aesthetic industry. Those accepted as MVPs are given opportunities to strengthen their education, build status and legitimacy as a key opinion leader (KOL) and/or subject matter expert (SME), and receive national recognition, including this feature profile in this new section we are calling “Aesthetic MVPs”.
To kick off this new column, we interviewed an exemplary MVP, Noury Adel, MSc, an oral and maxillofacial surgeon who has been focusing on nonsurgical aesthetics for almost nine years.
In addition to creating the 3-Point Lips technique, Dr. Adel is one of the top aesthetic injectors in Egypt. Furthermore, he is a well-recognized speaker and trainer for many programs, conferences and webinars.
Dr. Adel is currently an official certified trainer for SoftFil Cannula and i-THREAD. He has trained plastic surgeons, dermatologists and dentists on facial aesthetics. He earned a master’s degree in oral and maxillofacial surgery in 2019 and is also known for his scientific research published in local and international journals.
TAG: Dr. Adel, can you tell us a little bit about why you chose to become a medical professional?
Since I was a student in school, I have had a great passion for biology and human anatomy. I was always fascinated by how the human body works and interacts. That is why I always knew that one day I wanted to be a doctor.
TAG: How and why did you choose your specific specialty?
To be honest, I never thought of being a facial aesthetic practitioner. I always wanted to be a surgeon, which I eventually accomplished when I got my master’s degree in oral and maxillofacial surgery after I finished dental school. Still, I had to work on tumors, jaw fractures, reconstruction surgery, etc.
And, I loved doing it and helping patients, but there was always something missing inside. When I took a training program on facial aesthetics and learned about the tremendous results that can be achieved with nonsurgical aesthetic interventions (fillers and neuromodulators), I laid down my blade. I felt that this is my calling. I call it the spark! This is what I was meant to do.
TAG: What is your primary area of interest within aesthetic medicine?
Nonsurgical, anti-aging treatments using facial injectables and threads.
TAG: Are you currently working on any clinical research studies related to your area of interest? Or any that you have recently finished?
Yes, I am currently working on new research. I recently had two of my research studies published in the PRS global open journal, one about my signature technique of doing lip filler injections using microcannulas – the 3-Point Lips. And the other is about my approach to treating gummy smile patients using a standardized injection technique and dosage protocol.
TAG: What challenges do you think your generation or the next generation of aesthetic practitioners will face?
There is an increase in the number of aesthetic practitioners. I think this is good for our patients because they come to us with different desires and need practitioners with various skills to fulfill these needs. But these questions remain: Is everyone qualified? Does everyone seek evidence-based medicine, or are they learning from Instagram videos? Do we uphold the integrity of natural treatments or hastily adopt trends like Russian lips or fox eyes? Do we educate our patients about what is wrong and what is right?
My only concern is the lack of control or regulations on the practice of aesthetic medicine, combined with the increase in the number of aesthetic practitioners, may negatively impact the primary goal of facial aesthetics. The good news is that we have an abundance of talented and ethical individuals that maintain the balance in this industry.
TAG: When it comes to your professional journey, where do you see yourself in five years?
I see myself as a KOL, I would also love to have my own educational and academic institution to train and teach a new generation of clinicians. I want to build a legacy.
TAG: You were invited to present as an MVP at The Aesthetic Show this year. What did that mean to you?
It is one of the top conferences of all time, many brilliant minds gather to share knowledge. What could be better than this?
Controlled micro-injuries caused by microneedling initiate a wound healing cascade resulting in an increased production of connective tissue growth factors while leaving the epidermis undamaged. A fibronectin matrix forms approximately five days after treatment, leaving the skin tighter and more youthful. One retrospective analysis found that skin treated with four sessions one month apart increased collagen and elastin deposition up to 400%.2
Beach, Fla. In Dr. Weiner’s opinion, radiofrequency (RF) microneedling provides a superior treatment compared to standard microneedling. “RF microneedling gives much better results for tightening and acne scars than microneedling,” he shared. “The RF causes coagulation leading to greater collagen and elastin production.”
klace lines. For these problem areas I try to stack the depth and maintain the RF level and time (milliseconds). By stacking, I mean varying the depth from 2.5 mm to 3.0 mm to 3.2 mm to create a ‘column’ of dermal injury and thereby an inflammatory response that will result in a pillar of collagenesis to support and thicken the skin in the treated areas. The results I have seen in my patients are a smoothing and filling in of these smile lines, such that it appears that they had dermal filler treatments,” she emphasized.
ctive tissue coagulation. I have seen the most coagulation and the most shrinkage from using the Sylfirm X, a dual-wave RF microneedling device from BENEV (Mission Viejo, Calif.), with a non-insulated needle for clean energy delivery. I often do one side first and show my patients the difference, because the results are impressive,” he explained.
first use RF microneedling followed by the 1927 thulium laser to get results similar to surgery.” Along with the neck lift, Dr. Chilukuri has great success with treating smile lines around the eyes using a treatment he calls a C-Lift. “We do two or three treatment sessions spaced about four to six weeks apart using the Sylfirm X for significant results. When the patient smiles, the eye lines do not crinkle because this method thickens the dermis.”
an mainly uses microneedling to improve surgical and traumatic scars, and in combination with platelet-rich plasma (PRP) for facial rejuvenation. “We have seen faster recovery and improved results with microneedling and PRP,” he shared. “But one of my favorite combination treatments is microneedling with medium depth chemical peels (35% TCA with Jessner’s solution). This is a powerful yet safe anti-aging treatment to correct fine lines and wrinkles of the face and neck.”
ing of the area to make microneedling more comfortable and then do the microneedling over the top in the same visit.”
Brisbane, Calif.) is an innovative and versatile device that can treat skin texture, pore size and stimulate collagen production for all skin types. With a fractional CO2 laser for skin resurfacing, along with RF microneedling to initiate hemostasis and coagulation for deep dermal remodeling, the Secret PRO delivers exceptional results and a superior experience. “There is little downtime associated with the RF microneedling on the Secret PRO, so many patients use this as a ‘weekend treatment,’” explained Michael Somenek, MD, a facial plastic surgeon in Washington, D.C. “As someone who has used many RF microneedling devices, this has one of the best ergonomic handpieces, making it easy to use, and patients are comfortable with how the device delivers the microneedles. The user can adjust the settings, including the depth and more importantly, the RF time, which can really maximize results.”
he market,” he expressed. “We recommend regular microneedling with Rejuvapen NXT to every patient in our practice because it is safe, and it works.” The Rejuvapen NXT is an FDA-cleared microneedling device that treats facial wrinkles as it provides flexibility to customize treatments for optimal results. The innovative design features plug-in power for consistent speed and patented disposable tips to improve procedure safety while eliminating suction and clogging during treatment. The device has been clinically proven to deliver safe, effective and reliable results for patients of all skin types and aging severity.
ses the company’s Lasercyn and Celacyn Scar Gel with HOCI to eradicate bacteria, reduce inflammation and pruritus, break down biofilm and increase oxygenation.
can significantly improve patient outcomes, as demonstrated by AnteAGE MD® Brightening Solution from AnteAGE (Irvine, Calif.). This topical adjunct can be safely applied to the skin after microneedling to treat stubborn pigmentation and stop new discoloration from forming by blocking all seven pathways to melanogenesis. According to Alexis Stephens, MD, at Parkland Dermatology, AnteAGE MD Brightening Solution can help take patients’ microneedling results to the next level. “It improves results of treatment for discoloration and dramatically cuts down on the number of sessions needed by allowing patients to achieve an even skin tone much faster. Incorporating this solution also improved the clinic workflow by allowing me to use just one serum per session.”
cclusion, hydration, accelerating epidermal and barrier repair and preventing microbial infection, and it is the only post-procedure kit documented to statistically improve signs of photo-aging four weeks after the procedure compared to standard acetic acid soaks and a lanolin-based ointment regimen.”
ntation (PIH). He also warns that prolonged swelling or redness can occur. Patients can have reactions to topicals applied immediately after treatment because some are not meant to penetrate deeply into the skin, which may lead to granuloma and infections.
oneering practitioners looking for ways to create a nonsurgical facelift, microneedling has evolved past the stage of only treating fine lines. “I am aware that industry research is working to develop techniques that will enable physicians to deliver special pharmacological agents into the dermis with microneedling to effect even more rapid and dramatic collagenesis,” Dr. Petti inferred. “Also, stem cell infusion into the dermis shows promise for achieving the fountain of youth effect, where the dermis is replenished with young cells that can maintain the youthful appearance of the skin.”
ne. But as luck would have it, fate had other plans, leading Dr. Levine on the path to medicine, where she is now a world-renowned, award-winning, double board-certified facial plastic surgeon.
15 years later, I run an all-women practice,” she enthused.
shion illustration, animation and cartooning. The lines and movement of the human form was a passion of mine, so aesthetic plastic surgery was a natural field for me. And, I also love innovation and technology. I have always thought of myself as an innovator, and I like to think out of the box. The aesthetic field is one that is always changing and growing, so I really enjoy it,” Dr. Levine elaborated.
