The View From Monaco

In April 2017, I attended the Aesthetic and Anti-aging Medicine World Congress (ICAM) in Monte Carlo, Monaco. It is the largest manifestation of this type in the world, now in its 15th year.

For three days, 11,700 attendees listened to presentations given by over 300 faculty members from 46 countries. North American participants represented only 6% of the total numbers of participants.

I had the opportunity to learn from world renowned injectors. Dr. Shannon Humphrey from Canada, a participant in the pivotal North American studies which lead to the approval of Kybella for treating under the chin fullness, presented her experience with this product. Dr. Srivastani from New York City has had extensive experience with Kybella and he is currently considered the largest injector of Kybella in the world. He performed live injections on a male patient. Michael Kaine, plastic surgeon from New York City presented his very original technique for perioccular rejuvenation. Dr. Alexander Marchac, a plastic surgeon from France, presented his experience with a newly developed external ear implant which can be placed through only a small surgical incision.

The live injection session was probably the most attended one. Dr. Mauricio De Mayo from Brazil never ceases to amaze me with his perfect technique and his unparalleled ability to analyze the human face. He spent years studying the interplay between muscles' activity and skin movement. He is an expert at identifying and combating the facial features which are responsible for negative facial emotions, as tiredness, sadness or bitterness.

Dr. Arthur Swift, from Canada, demonstrated his beautification method which involves bringing the facial dimensions into perfect proportions with the aid of the golden ratio. He developed his own instrument to measure facial dimensions - the golden calipers.

There is such a wealth of knowledge about injections out there in the world and it was amazing to learn from such talented people.

About Tretinoin

The backbone of every anti aging regimen should include tretinoin or all-trans-retinoic acid,  (brand names Retin-A, Refissa).  Tretinoin is a prescription medication that it is scientifically proven by numerous studies to...

About Smile and Marionette Lines

One of the first changes we see in our face when we start aging are the smile lines or the naso - labial folds. These lines run from the nose to the corners of the mouth. Loss of collagen and bone support, combined with sagging of the...

The World Of Aesthetic Medicine

Last month I had the opportunity to attend IMCAS in Paris, one of the largest aesthetic medicine meetings in the world, now in its 18th year. The event was chaired by Dr. Benjamin Ascher (plastic surgeon—France), and there were 6,500...

About The Role Of Anti-Aging Serums

Daily exposure to environmental insults, especially sunlight, leads to formation of reactive oxygen species (ROS) within the skin. ROS are oxidative "bombs", which if not counteracted, will destroy skin components with resultant aging.

About Skin Care Regimens

Many of our clients have asked about what skin care products are the most beneficial. A good skin care regimen should include an antioxidant serum and sunscreen in the morning and Retin-A(tretinoin) along with an exfoliator in the evening. Additional moisturizer may be used as needed. On my face I like using CE ferulic antioxidant serum, Refissa (tretinoin) and retexturing activator (exfoliator).


by Roxana Voica, MD: I often times hear my patients saying: "I always wear sunscreen when I go outside." The truth is that most people are not aware that even when we are indoors, we are exposed to UV A which penetrates through glass.