Present and future of modern aesthetic medicine

Modern aesthetic medicine is one of the most progressively developing medical areas. Conferences, master classes, symposiums and many other events are held almost daily in different parts of the world, where specialists can share their experience and find out the opinion of colleagues on issues of interest to them. At the international scientific and practical conference "Sakura Esty Derm" one of the leading experts in the field of dermatology and aesthetic medicine Litus Alexander Ivanovich shared with our readers his opinion about the present and future of modern aesthetic medicine.

Alexander Ivanovich, tell me, what are the most common dermatological diseases today?

I would like to move away from classical epidemiology where we have to highlight what is important and what is not important. In fact, every formation on the skin is important for a patient, and a dermatologist must have all the knowledge, both from the point of view of a correct, timely diagnosis, and as a result of the correct treatment regimen, the correct treatment path for the patient - for this purpose, one dermatologist has more than one nosologies, the other - others. Any dermatological manifestation that leaves behind some consequences that require a cosmetic or aesthetic component is in demand in aesthetic medicine. The only question is how much the patient needs it from the point of view of absolutely objective medical indications, or is it just a cosmetic defect, and the patient must decide for himself whether he needs to get rid of it,

What are the most effective methods of rejuvenating aesthetic medicine in your opinion?

Unfortunately, I must somewhat upset those who try to idealize any one method that is used in anti-aging aesthetic medicine.

Of course, the truth is always in the middle, and a doctor of aesthetic medicine, who deeply knows the pathological process, must possess and manipulate all currently available means that are used to somehow correct the patient's appearance.

The most important – it is the ability to combine these methods, and they must necessarily be in a comorbid state, when the methods are combined, and one of them covers the shortcomings of the other. As for the future of aesthetic medicine, I am absolutely sure that it is in the personalization of both medical processes and the aesthetic part, when our specialists will make the most of the material native to the same patient. Now it bears the general name of "cellular technologies", but in fact it is much deeper, it develops completely autonomously and very quickly, and the level of impact on a particular zone will decrease and fall from molecular to atomic and possibly subatomic, when a change molecules can lead to certain cosmetic effects. Therefore, the future belongs to personalized aesthetic medicine.

How important, in your opinion, for aesthetic medicine is the joint work of doctors of different specialties?

Modern proper patient management is impossible without colleagues who are more versed in some issue. We must always clearly remember that the skin is a mirror of the internal organs, and of course, some conditions that occur in the human body carry not only local manifestations on the skin, but also systemic ones, because the skin – it is a systemic organ. And we must clearly understand that if we are not selfish, if our priority is to provide the most effective assistance to those who contacted us, we simply do not have the right to take responsibility for some kind of treatment alone, especially if the specialist is not competent enough. With all due respect to all the stars of world dermatology, I do not know anyone who would ideally know all the directions in dermatology, since there are more than 3000 nosologies in this field of medicine, and this is simply impossible. Therefore, of course, we should always be in cooperation with our colleagues, and first of all, these are psychologists, psychotherapists and psychiatrists, as well as gastroenterologists, rheumatologists, therapists, gynecologists, endocrinologists and almost all of our colleagues who can help us in a more optimal, correct and extensive management of a patient with an aesthetic and not only an aesthetic problem.

In your opinion, can minimally invasive techniques replace similar surgical methods?

As I said before, most likely the truth is in the middle.

Each method has indications and contraindications, it is necessary to choose the golden mean, which is better for a given patient in a given situation.

The second very important factor – this is the literacy and knowledge of the one who performs this manipulation, because not always specialists, say, in a clinic, own the technique, as they are afraid of it. Instead of offering it as more effective in one situation or another, they use another because they have more control over it. This, of course, creates a little imbalance.