Is there edema in lipedema?
Lipedema is a chronic condition characterized by a disproportionate increase in adipose tissue and pain in the legs and, sometimes, the arms of women. Its prevalence is largely unknown. The disproportionate increase in weight around prevalence is largely unknown. The disproportionate increase in weight around the legs usually starts in phases of weight gain that are mostly connected to hormonal changes, such as puberty, pregnancy and menopause. Years later and mostly after further weight gain, pain or the feeling of severe heavy legs may occur, at which point the condition meets the diagnostic criteria for lipedema. Lipedema often is confused with lymphedema; as a consequence, many doctors prescribe decongestive lymphatic therapy. Lipedema neither includes edema nor is there any scientific evidence for lymphatic insufficiency. For this reason, decongestive lymphatic therapy is an inadequate treatment for patients with pure lipedema. There is also considerable variation in how clinicians approach lipedema among different countries. This lack of homogeneity naturally affects patients, who are already distressed by the pain their condition causes as well as their legs not meeting the standards of the current beauty ideal.
Surgery for lipedema
The European Lipoedema Forum experts believe that the benefits of liposuction depend strongly on clearly defined patient selection, as not every patient with lipedema would benefit from liposuction. In order for patients to benefit from this procedure, the participants agreed on the following criteria presented in the International Consensus Document from 2020:
Håkan Brorson, MD, PhD
Professor Håkan Brorson, MD, PhD, Plastic Surgeon, Department of Clinical Sciences in Malmö, Lund University, Lund University Cancer Centre. His research is focused on adipose tissue deposition in lymphedema using CT, MR Imaging/Spectroscopy and Dual Energy X-ray Absorptiometry for gross anatomy, microarray and RT-PCR for genetic studies. He has trained 43 teams around the world to treat lymphedema with liposuction. He has given 308 invited keynote lectures, master classes and invited lectures. He has received 21 national and international awards and is author and co-author 221 original papers, reviews and proceedings, editor/co-editor of 6 books, and author of 60 book chapters. He was President of the 23rd World Congress of the International Society of Lymphology in Malmö, Sweden in 2011 and President of the International Society of Lymphology 2013-2015. In 2010 he was appointed Professor at Esculera de Graduados, Asociación Médica Argentina (EGAMA), Buenos Aires, Argentina and in 2022 appointed Honorary Professor at Macquarie University, Sydney.
The Penis (re)construction
The symbols of human genitalia have for ages and in many cultures been the personification of fertility, debauchery and even the divine. It is no wonder that as a reconstructive surgeon when you are (re)constructing the genitalia you are not only addressing the functional aspects of these organs but also the social and cultural contexts of these organs.
Unlike the vagina the human penis is every visible in the upright unclothe male and as such it has often been associated with virility and social status.
Therefore the (re)construction of the penis (phalloplasty) is one of the most challenging operations for us reconstructive surgeons. Not only do we have to make a phallus that can be used for urinating but also for penetration, insemination and social acceptance. But as surgeons we also must take in account the wellbeing of our patients by minimizing the morbidity of the procedures.
The reasons for a patient to request a phalloplasty are many; amputations, diseases of sexual development, transgenderism to name a few. The options to (re)construct the phallus are many with many donor sites each with their own (dis) advantages.
In this talk I will describe how we guide our diverse patients on their journey to choosing the phalloplasty operation that best suits their needs.
Dr. Ashkan Ghavami
Dr. Ghavami is a world-renowned expert level plastic surgeon who is board certified by the American Board of Plastic Surgery and is sought out globally by his colleagues to share his knowledge and techniques through invited lectures, textbook contributions, and scientific articles. He has made a name in the ultra-competitive Los Angeles area among celebrities as a “go-to” plastic surgeon for everything ranging from cheek fillers and Botox to advanced rhinoplasty, Flash Recovery Breast AugmentationÒ, and the S-Curve Butt LiftÒ. His mantra of “Keep Them GuessingÔ” distinguishes him as providing natural results that can be kept secret from the noisiest family members and friends. In addition to A-list celebrities, countless Social Media stars have sought out Dr. Ghavami to advance their careers with seamless results. Dr. Ghavami, however, takes most pride in serving as Assistant Clinical Professor at the David Geffen UCLA School of Medicine as well as serving as an Executive Board Member of the Rhinoplasty Society. He is an active and frequently invited expert lecturer for the American Society for Aesthetic Plastic Surgery (ASPS), the American Society of Plastic Surgeons (ASPS), and the International Society of Aesthetic Plastic Surgery. Lastly, Dr. Ghavami has a large “organic” social media following that is real and not based on paid-for followers, likes, tricks, and gimmicks used so commonly today.
High Resolution Ultrasound for Plastic Surgeons
High-resolution ultrasound (HRUS) has become increasingly prevalent in plastic surgery practices to detect implant rupture prior to revision surgery. It is also used to improve overall patient follow-up and better monitor implant patients. MRI has long been the gold standard of breast implant imaging, but it is expensive and lowly compliant. As a result, in 2019 the FDA released a guidance recommending the use of HRUS to detect rupture in asymptomatic women with breast implants2. Given this recommendation and the convenience of an ultrasound as a screening test, many physicians have begun to integrate HRUS into their plastic surgery practices.
The use of HRUS to image an implant is a relatively easy screening tool to learn to use, and the actual process of viewing an implant takes only several minutes. HRUS can be used to detect various implant issues outside of ruptures including shell failure, implant rotation, implant folds, hematoma, and seroma. HRUS is also a useful screening tool for patients who are anxious or concerned about a potential swollen breast or ‘silent’ rupture. HRUS is also a useful addition for other plastic surgery procedures such as body contouring surgery and facial procedures.
Breast Implant Illness: Discussion on Current Research
The ASERF Systemic Symptoms in Women Biospecimen study is the first prospective, blinded study comparing women with self-described breast implant illness to two control groups; women with breast implants who do not attribute their systemic symptoms to their implants and women undergoing a cosmetic mastopexy with no history of any implanted device. We evaluated qualitative data observed at baseline, 3-6 weeks, 6 month and 1 year as well as biospecimens collected on the day of surgery. At one-year, 94% of the BII cohort had at least partial symptom improvement after implant removal, and that improvement occurred regardless of the type of capsulectomy performed.
Biospecimen data revealed no abnormalities in CBC, Thyroid, or Vit D levels in either the BII or control cohorts. There were no statistical differences in Next Generation Sequencing (NGS) positivity for bacterial DNA on the surface of the implant or within the capsule between the BII and Non-BII cohort. Additional evaluation of biospecimens for abnormalities in serum cytokines, enterotoxins, capsule histology was completed. This study, published in the Aesthetic Surgery Journal, is good news for women who believe that their implants are related to their systemic symptoms. It adds to the growing peer reviewed literature that documents capsulectomy does not contribute to symptom improvement. We are currently drafting the fourth paper that will review the one-year study data and discuss the substantial evidence that supports alternate potential etiologies for the systemic symptoms that some women attribute to their breast implants.
Caroline Glicksman, MD, MSJ, FACS
In practice since 1992, Dr. Glicksman has authored numerous textbook chapters and peer-reviewed articles. She lectures nationally and internationally on the management of breast implant complications, Breast Implant Illness, High Resolution Ultrasound, and patient education in breast augmentation and revision surgery. She is a clinical professor of plastic surgery at Hackensack Meridian School of Medicine and serves as traveling professor for the American Society of Aesthetic Plastic Surgeons. She is the President-elect of the Aesthetic Surgery Education and Research Foundation (ASERF) and Co-Chair of the ASERF Scientific Research Committee. She continues to serve as Chair of the annual Aesthetic Society Experienced Insights Breast and Body Meeting and is a clinical editor for the Aesthetic Surgery Journal (ASJ).
She is the first woman Medical Director for a US breast implant clinical trial, the US Motiva Breast Implant Core Clinical Study. She holds three US patents related to breast surgery and in 2020 she completed her master’s degree in Pharmaceutical, Medical Device, and Compliance Law from Seton Hall Law School. She has four children, a Great Dane, and orthopedic surgeon/golfer husband.
Dr. Alfredo Hoyos
Dr. Alfredo Hoyos, Inventor of the High Definition Liposculpture technique and other innovative liposculpture techniques such as Eve High Def (Full High Def abdominoplasty) and Fit Mommy High Def (High Def mini-abdominoplasty)
Author of an unique books that presents all the advanced techniques in lipoplasty and autologous fat grafting for high-definition body sculpting: The first one that he called: High Definition Body Sculpting Art and Advanced Lipoplasty Techniques, and now his second book is launched Total Definer, Atlas of Advanced Body Sculpting.
Método personal para reducir la circunferencia de la cintura con conservación de costilla
Desde el año 2016 se han operado 248 pacientes que desean tener una cintura más estrecha, con un índice de masa corporal no mayor a 25. Cerca de la mitad de estos pacientes pretendían extirpar quirúrgicamente las costillas 11 y 12 bilateralmente, para estos pacientes se les ofreció una técnica alternativa. Para formar una cintura estrecha, todos los pacientes se sometieron a una corticotomía parcial correctiva con osteoclasia de 11 y 12, en casos específicos se realizó el mismo procedimiento sobre el 10 par costal, seguido de un corsé especial hasta que los fragmentos óseos se fusionaron en una posición más estética. Durante los primeros 5 años se operaron también 9 pacientes transgénero lo que convierte el procedimiento en parte del complejo de cirugías para feminización.
Los resultados a largo plazo: en el 94% de los pacientes, se logró la corrección de la parte inferior del tórax en forma de un estrechamiento de la cintura de 5 a 12 cm.
El método kudzaev para la reducción de la circunferencia de la cintura con preservación de las costillas es una alternativa a la resección de las costillas. Es mínimamente invasivo, menos traumático y respeta la anatomía corporal.
Dr. Kazbek Kudzaev
Kazbek Kudzaev: Se desempeña como jefe del Centro de Ortopedia y Cirugía Estética. Candidato a ciencias Médicas, cirujano de alta categoría, miembro de: Sociedad Rusa e Internacional de Cirujanos Plásticos y Estéticos, Sociedad Rusa de Artroscopia. Realizo su tesis doctoral en el Research Institute of Traumatology and Orthopaedics profesor ILIZAROV, estudios en USA (Michigan), con especialistas de República Checa, Alemania, Francia, Holanda, Italia. Profesor Honorario del Centro Ilizarov, Vladikavkaz, Rusia
The lecture will cover innovative options for eyelid reconstruction. This will range from modifications for flap reconstruction of medial canthal defects to challenges in eyelid reconstruction in children with complex eyelid defects.
New insights in post blepharoplasty
The lecture will discuss principles in approaching post-blepharoplasty middle-lamella contraction and addressing the lateral canthus.
Dr. Raman Malhotra
Raman Malhotra is a Consultant Ophthalmic and Oculoplastic surgeon at The Queen Victoria Hospital, East Grinstead, UK.
His specialist interests include oculoplastic surgery in ocular surface disease, facial palsy rehabilitation, reconstructive eyelid and orbital surgery, endonasal lacrimal surgery, facial dystonia and aesthetic eyelid rejuvenation. He also runs an international fellowship training programme.
He has developed the Malhotra endonasal DCR nibbler and endonasal punch. In 2013 he developed the Malhotra Platinum segment chain for upper eyelid loading in facial palsy. In 2015, he described and reported the post-levator aponeurosis fat pad, a layer of fat in the eyelid not previously recognised in anatomy textbooks.
He has published over 200 peer-reviewed research articles, book chapters and books. He has served as section editor of the British Journal of Ophthalmology for 10 years and is section editor for Clinical Experimental Ophthalmology. He sits on the editorial board of Orbit.
He has received the American Academy of Ophthalmology Achievement Award and a Silver National Clinical Excellence Award by the Department of Health.
He is a founder member of the British Oculoplastic Surgeons Society (BOPSS) and member of the European Society of Ophthalmic, Plastic and Reconstructive Surgeons (ESOPRS) and American Society of Ophthalmic, Plastic and Reconstructive Surgeons (ASOPRS).
Bespoke or Freestyle Face Lift
The goals of facial rejuvenation are a natural result, without the stigmata of a facelift, with minimal risk and morbidity. Speedy Recovery.
Not all faces age the same, not all faces have the same morphology nor should all faces be rejuvenated in the same fashion. There is no “one size fits all” or “face lift for all seasons.” The procedure should be individualized, custom tailored for each patient based on the patient’s morphology, extent of aging, degree of deflation, and skin changes. A Bespoke Procedure
There are many described techniques for facial rejuvenation. Each includes specific incision placement, incision length, levels of dissection, deep tissue repositioning, and suspension. All these numerous techniques have five things in common:
Each of the five factors above must be altered on an individual basis to fit the patient’s unique needs. Each Examples of how each is tailored on an individual basis with the Bespoke, “freestyle face lift” will be presented. Emphasis will be placed on how the length and location of the incision, extent of skin undermining, SMAS and volume management, and ancillary procedures are all individualized for each patient for optimal results. How each of the five effect the quality, longevity of the final result whilst minimizing morbidity.
Dr. Foad Nahai
Foad Nahai is the former Maurice J. Jurkiewicz chair in Plastic Surgery and Professor of Surgery at the Emory University in Atlanta, Georgia. He is the editor-in-chief of Aesthetic Surgery Journal and the past president of several organizations including the American Association for the Accreditation of Ambulatory Surgical Facilities, the American Society for Aesthetic Plastic Surgery, the International Society of Plastic Surgery and Chairman of the Plastic Surgery Research Council.
Professor Nahai has published over 260 peer reviewed articles, edited or co-edited 14 textbooks, covering all aspects of reconstructive and aesthetic plastic surgery.
Professor Nahai is internationally recognized as an innovator in the field of plastic surgery, where he has developed and refined many aesthetic and reconstructive procedures.
Professor Nahai has been invited to lecture and demonstrate plastic surgical procedures all over the world. In addition to numerous professional honors and awards, he is listed in the “Best Doctors in America” and has been listed in W Magazine as one of the top plastic surgeons in the world.
Professor Nahai is certified by the American Board of Plastic Surgery and served 6 years as a Director of the Board. He is a fellow of the American College of Surgeons. He has been honored by numerous organizations worldwide including Honorary fellowship of the Royal College of Surgeons of England and Thailand.
Lateral canthoplasty versus canthopexy in lower blepharoplasty
Preservation or restoration of an optimal eyelid contour and apposition is essential in lower blepharoplasty, a procedure mostly performed for esthetic reasons.
Various techniques are being utilized to achieve these goals. Selected techniques including single suture canthopexy and double suture canthoplasty via the lower eyelid are discussed, and the author’s preferences are explained and shown. The indications for canthoplasty and canthopexy are discussed, as well as the challenges of a negative vector in lower blepharoplasty, e.g. in case of proptosis or a flat maxilla. Finally, the choice of sutures is addressed: do we need non-absorbable sutures for a long-standing effect?
Surgical correction of lower eyelid retraction
Lower eyelid retraction has multiple causes. Shortening of the posterior lamella may result from conjunctival inflammatory conditions, e.g. allergic disorders. Anterior lamellar shortening may result from inflammatory skin diseases, (deep) scarring and/or excessive skin removal in lower blepharoplasty.
Restoration of a normal eyelid contour and apposition in patients with lower eyelid retraction if of benefit to the patient, not only functionally but also esthetically.
Following the assessment of the cause, the surgeon can address the proper management.
In this presentation we will discuss the surgical options for the correction of lower eyelid retraction, including the importance of adhesiolysis, the use of conjunctival grafs, spacers, free skin grafts and midface lifting. And… what factors may undermine the desired outcome?
Dion Paridaens, PhD MD
OCULOPLASTIC, LACRIMAL AND ORBITAL SURGEON
Research areas: Graves’ orbitopathy, specific orbital inflammatory diseases, periocular and intraocular tumors, and eyelid- & lacrimal surgery
Socially: Dion Paridaens is married and is the proud father of three teenagers.
Energy based devices to enhanced soft tissue contraction
Energy-based aesthetic devices are used for the treatment and management of wrinkles, sun-damaged skin and skin laxity.
This work analize how the remodeling of the skin ptosis can get a great tightening with EBD.
The energy-based device market is large and growing and there is a wide variety of treatments that utilize lasers and energy-based devices in aesthetic procedures.
In this work we describe the different characteristics of EBD on the market and their properties.
Energy-based aesthetic devices are used to address a wide range of aesthetic applications such as skin resurfacing, skin tightening, and body contouring. These devices are based on minimally invasive and non-invasive technology.
EBD are precise and targeted devices that include adjustable wavelengths that allow different treatment options.
The biggest demand for energy-based devices remains with the body – fat removal, body contouring and skin tightening on face.
Particularly, radiofrequency (RF) devices for skin tightening, work well but there are several strong contenders in the device-based fat reduction arena as well.
The key is to deliver energy deep enough so that it makes a difference without hurt the patient or surrounding tissues.
The global energy-based aesthetic devices market size was valued at USD 5.1 billion in 2021 and is expected to expand at a compound annual growth rate of 13.8% from 2022 to 2030. Moreover, technological advancements in aesthetic devices boost the growth of the market.
The key goal of energy-based aesthetic devices is to reduce the excess sagging skin or eliminate stubborn fat to achieve skin tightening.
Multimodal radiofrequency application for lower face and neck
The goal of the work is to highlight how the remodeling of the lower third of the face with this equipment allows us to restore the mandibular profile and the cutaneous ptosis of the neck, obtaining a good skin retraction.
By RF remodeling we mean the manipulation of the subcutaneous adipose tissue of the neck through a probe that emits a bipolar radiofrequency from a handpiece that has two electrodes, one external skin and one internal that is inserted in the subcutaneous and which are the two poles through which the radiofrequency heats the tissue for the entire thickness crossed by the handpiece.
MATERIALS AND METHODS
There were 68 patients treated in one year, of which 64 were females and 4 were males
The surgery was performed on an outpatient basis under local anesthesia for almost all cases except for three cases in which the method was associated with other interventions and therefore carried out under general anesthesia.
Inclusion criteria: Treated patients were aged between 28 and 67 years.
Exclusion criteria: excessive skin laxity, recent significant weight loss.
The treatment took place in an operating session except for one case that required retouching after 6 months.
Control and clinical feedback: immediate, at 1m and at 6m
Measurement and analysis methods: Standardized digital photography, patient satisfaction with response to a standardized mini questionnaire.
The results brought evidence of improvement in almost all patients who appreciated the restoration of skin tone in the neck and the improvement of the mandibular profile without significant complications.
Treatment with the use of RF had an extremely positive response from 95% of treated patients and satisfactory in 5%.
The reported complications were minor and transient: edema of the treated areas for about 20/30 days, hematoma in about 20% of cases, modest dysarthria in two patients for 48 h probably due to local anesthesia.
Dr. Pier Paolo Rovatti
Assistant physician at the 1st Clinical Division of Surgery of the hospital of Verona since 1984 and then with the help function jointly responsible to the Department of Emergency Civil Hospital of Verona until 2006.
• He attended as medical director of the Medical Laser Verona from 1986 to 1990 and later in charge of the operating unit of plastic surgery Laser Center until 1994.
• He has been vice president of the AMIA Association Italian Anti Aging Doctors since 2004
Private practice since 1985 in private structures in Verona and Milano.
Now is owner and director of PPR Day clinic in Verona a private day surgery clinic.
He has published 38 journal publications at national and international level. He has participated in workshops of specialization abroad:
User since 1984 CO2 Laser has developed personal techniques and contributed to the disclosure of laser technology through publication in scientific journals, book chapters science education and partecipation in many conferences as speaker.
In collaboration with Institute of Plastic Surgery University of Padova directed by Prof. Mazzoleni since 2004 has followed the procedures of standardization of endoscopic suture system guidelines for endoscopic facelift of the middle third.
He was vice president of AMIA (Association of Italian phisician of Anti-aging)
Teacher at the post-graduate school of aesthetic medicine and Anti aging at AGORA ‘in Milan regarding plastic surgery face and body.
It developed the protocol on the Italian method of using plasma lipolysis in collaboration with Dr. A. Minami (Tokyo) and Dr. T.Takahashi (Corea)
From 2009 to 2011 Chief of the operative cosmetic plastic surgery department of the Clinic Villa St. Anna Merano.
He was head of Eubeauty Aesthetic Surgery Medical Aesthetic Academy until December 2013 (Verona)
KOL for the Scientific Board of Merz Aesthetics Italy teaching courses masterclass and workshops to physicians in Italy and Europe most on a particular technique invented by him .
He ‘s invited on numerous television programs of the major television Italian networks.
Member of the scientific committee of Italian Society of Aesthetic Medicine AGORA’ .
He’s invited as speaker in great number of International and Italian scientific conferences.
He ‘s the official KOLtrainer for body and face contouring with RF for Invasix Ltd (Israel) and he’s invited to show his particular surgical technique in all countries of the world.
Organizer of training course every month for surgeons coming from all over the world teaching a particular surgical technique for lifting lower third of face well known everywhere created and modified by him
Dr. Bart Stubenitsky
Born in Washington DC, Dr Bart Stubenitsky graduated from the University Medical Center Maastricht, the Netherlands with a degree in Medicine, followed by a PhD degree.
He completed his residency training in plastic and reconstructive surgery at the University Medical Center Utrecht, the Netherlands. Dr Stubenitsky did three separate fellowships in Craniomaxillofacial, Cleft and Aesthetic facial surgery at the University of Toronto, Canada.
After working as a consultant in craniofacial & cleft surgery, he joined an Clinic doing aesthetic facial surgery and rhinoplasties in particular. He now has his own clinic exclusively focusing on rhinoplasties.
In his free time he volunteers for Operation Smile doing cleft surgery in third world countries.
Dimensional elements in deep plane face and neck lifting and the mastoid crevasse
This presentation will review advanced and extended, deep, plain face and neck lift procedures, focusing on the proper release of soft tissue tethering points in order to procure the most substantial and natural type of lift possible. This will incorporate learning points about advanced techniques for neck rejuvenation, including laryngeal setback, and mastoid crevasse.
Smas rejuvenation with PHAT (platelet hybridized adipose therapy
Using a combination of fat grafting, along with the use of nano, fat and adipose, derived stem cells, mixed with platelet rich plasma, we are able to get miraculous improvements for burn victims, hair, loss, patients, and patients with scarring in or under the skin.
Cupid Lift design for the deep plane lip lift
This presentation will review the deep plain lip lift technique, which allows the surgery to be performed with less risk and scarring. We will also review the Cupid lift design, which is a mathematical rendering of an artistic concepts to maintain balance during the lip lift procedure and improve outcomes and sensuality.
Vectored brow lifting with hybrid incisions and no endoscope
This lecture will help the audience better understand the vectors of brow aging and how to manipulate those vectors properly in the deep plane of the scalp in order to obtain a universal improvement for all parts of the brow and forehead during the brow lift procedure while improving the eyebrow, dynamic and frontalis function. We will also review the incorrect concepts of overcorrection fighting fixation.
Dr. Ben Talei
Dr. Ben Talei is a facial plastic surgeon in Beverly Hills, focusing in advanced aging face procedures, using deep plain techniques for the lip face and the brows as well as advanced procedures in the ocular region. He is a fellowship Director for the American Academy of facial plastic and reconstructive surgery, as well as a professor in Monterrey, Mexico for plastic surgery. He trained at Columbia University and Cornell University in head and neck surgery followed by two fellowships in New York City.
Liposuction for the treatment of lipoedema, yes, but…
Liposuction definitively is one of the treatment options for lipedema. But should or can all affected patients be treated by liposuction? Currently, most of the lipedema patients do not receive the right information about their disease and thus many of them are not correctly treated. One of the reasons is that many doctors and professionals involved in their treatment are misinformed. The most common misinformation points are obesity and pain relief after the liposuction. Lipedema syndrome is more complex than we believe, and its treatment definitively needs a multidisciplinary approach. For this reason, the International Lipedema Association (ILA) was created 2021 by experts in the treatment of lipedema from all over the world with the aim to offer the best treatment options for lipedema patients. All experts of the ILA agreed that liposuction can lead to an improvement in a patient’s lipedema, but the correct selection of patients according to medical criteria is the decisive factor for therapeutic success.
Nestor Torio-Padron, MD
Prof. Dr. Nestor Torio completed his residency training in plastic and reconstructive surgery at the Medical Center – University of Freiburg, Germany, and worked there as attending for further six years. Due to an intensive cooperation during this time with the Földi Clinic in Germany, Prof. Torio has 14 years´ experience in the conservative and surgical treatment of lymphological diseases and lipedema syndrome. Since 2015 he practices in a self-founded Clinic for Plastic Surgery in Freiburg (Germany) and Basel (Switzerland) and is specialized among others in the surgical treatment of lipedema patients. As a faculty member Prof. Torio additionally teaches at the Medical School of the University of Freiburg.
Value in breast aesthetics
Inflation is increasing, and the pricing of breast surgery is on a downward trend.
A multibillion-dollar breast surgery industry lacks pricing, value proposition, and product differentiation strategies.
Breast surgery is often seen as a commodity as many clinics offer the same thing.
Consumers are not able to differentiate the best solution for them and consideration times of breast aesthetics are four to seven years, something which is preventing the market from expanding.
The breast implant industry shows single-digit growth or stagnation in many markets.
Plastic surgeons often believe that price is crucial in breast aesthetics. Plastic surgeons are one of the least satisfied specialty groups in compensation compared to any other specialty.
Creating value is to maximize benefits with a proper price point.
Value propositions are designed to improve patient outcomes and are to surgeon benefits but are sometimes abused by low-cost alternatives.
Pricing to patients is based on what the competitors are charging, a price point that we often have any data to support. Price elasticity and data science are non-existent in a multibillion-dollar industry.
There is a need for alignment on quality standards, innovation, and thought leadership in the industry.
Creating new consumer benefits and adequate pricing is vital for breast aesthetics sustainability.
Mr. Johan Andersson
Johan is a serial entrepreneur and has started, led, and invested in multiple business across the health care, aesthetics, tech, med device and finance industries. He leads from up front and has been actively involved and instrumental in all his projects. Johan has been materially involved in building 8 plastic surgery clinics, one in which he stayed on to lead as CEO. In 2015, Johan became the Scandinavian distributor for Establishment Labs ESTA:NASDAQ, introducing the brand and building them to be the market leader within 2 years. In 2017, ESTA acquired his distributorship and retained Johan to lead and consult on commercial & marketing. Within his tenure, ESTA went public and grew from a market cap of $28M USD to a peak of $2B USD. Johan left his position as Head of Marketing in 2022 as he looked to pursue his next ventures.
Humberto C. Antunes, B.Sc.
Humberto C. Antunes, B.Sc., is an entrepreneur in healthcare. He has an active involvement in research to address the issues arising from the ageing demographics, helping technologies converge and participating in the digital transformation of healthcare.
Humberto led Galderma, a pharmaceutical company, for 20 years, promoted expansion of its businesses, created new channels, acquired new audiences and led successful transactions that exceed US$ 10 billion over his career. Humberto led research teams that achieved hundreds of New Drug Applications, patent filings and clinical trials.
Humberto is a member of the American Academy of Dermatology, an honorary member of the International Society of Dermatology, an active member of the Women’s Dermatologic Society, and Board member of the American Skin Association.
Humberto is a partner at Gore Range Capital.
Humberto graduated in Business Administration from the University of Nebraska – Lincoln and the IMD Lausanne, Switzerland.
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