Dr. Vince Bertucci
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Rejuvenating the Face and Neck with Neuromodulators
Dr. Vince Bertucci's presentation focused on using neurotoxins across the face and neck and provides recommendations on how to use them most effectively. It is important to individualize treatment plans and assess the patient at rest, with expression, and during conversation. The traditional glabellar 5-point technique often leads to ptosis of the brow. The 3-point injection technique was created to minimize brow ptosis and elevate the brow. The 3-point injection should be a deep injection at the origin of the procerus and corrugators. If injected above the brow, the depth should be superficial to minimize spread to the frontalis muscle. Brow position is influenced by elevator and depressor muscles, and it is important to respect the line of convergence, minimizing injections below this line in order to reduce the risk of brow ptosis. Depth of injection on the forehead changes outcomes. Deep injections were shown to be more effective; however, they had a higher risk of adverse events. Overall, this presentation provides tips for dosing and the technique to target different muscles of the face. 
Dr. Brian Biesman
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Periorbital Rejuvenation with Injectables and Devices
Dr. Brian Biesman's presentation focused on characteristics, assessment, and therapies for periorbital rejuvenation. Signs that indicate periorbital youth include smooth curves, contours, sigmoidal shapes, fullness, and absence of wrinkles. Blepharoptosis, or droopy eyelid, is a common eyelid disorder affecting adults, particularly those over 50. It is slowly progressive and indicates aging. The use of Oxymetazoline Hydrochloride Ophthalmic Solution, 0.1% for the treatment of acquired ptosis can benefit, mild, moderate, and severe ptosis. When treating the periorbital area, it is important not to use standardized injection schemes. Each patient requires a personalized treatment plan with neurotoxins, dermal fillers, and energy-based devices, and some may require surgery. When treating blue periorbital veins, it is critical to use an eye shield. The long-pulsed 1064-nm Nd:YAG is a highly effective treatment option for periorbital veins.  Overall, the presentation provides valuable insights into periorbital rejuvenation and the various treatment options available.
Dr. Arisa Ortiz
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Controlled Subcision, Energy-Based Devices, and Injectables to Tackle Cellulite
Dr. Arisa Ortiz gave an overview of what’s new and what’s hot in cellulite treatment. When treating cellulite, Dr. Ortiz emphasized that patient selection is important, and different modalities can be effective for treating different aspects of cellulite. She highlighted that subcision is becoming popular again and discussed targeted verifiable subcision, which can be used to target discrete and distinct dimples. This procedure requires tumescent anesthesia, and while the procedure is safe, there can be post-procedural bruising and draining. She also discussed rapid acoustic pulse (RAP) technology, which exploits the viscoelastic nature of the tissue and shears the fibrous septae. RAP also stimulates collagen production.  Another advantage of RAP is that it can treat an entire area, rather than targeting specific dimples or areas. She highlighted that synchronous parallel ultrasound beam technology can be effective for skin laxity associated with cellulite. Finally, Dr. Ortiz discussed using dilute calcium hydroxylapatite for cellulite, which can also be used in other body sites such as above the knees for laxity. Cellulite continues to be a concern for patients, and Dr. Ortiz provided an excellent review of currently available technologies and also shared that there is room for innovation in cellulite treatment.
Dr. Vince Bertucci
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Male Aesthetics
Dr. Vince Bertucci discussed male aesthetics in his session on Saturday. He reviewed the craniofacial differences in male and female anatomy, addressing each cosmetic subunit. In general, men have a larger, more square face with a broad chin and prominent mandibular angle. The male forehead is flatter with frontal bossing, whereas the female forehead is fuller and more convex. Men have a larger bony orbit size, and they therefore tend to age in the periocular region more quickly than women. The male nose is typically larger, with an acute glabellar angle and a less projected nasal tip. Male cheeks are thinner with less soft tissue, whereas female cheeks project more anteriorly. In terms of the lower face, the male chin is broad and wide with more projection than the female chin. Men also have a prominent mandibular flare and a sharp mandibular angle, whereas the female chin is narrower, pointed, softer, and less angulated. Lastly, men have thinner and longer lips, with less vermillion show. Dr. Bertucci also discussed other differences, including behavioral differences; for example, men use sunscreen much less than women. Dr. Bertucci’s talk concluded with a reminder of the importance of tailoring your treatment to your patient’s unique needs, desires, and goals.
Dr. Pearl Grimes
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Pearl Grimes, MD bestowed this year's 2023 Richard E. Fitzpatrick Award
Dr. Richard E. Fitzpatrick was a pioneer in the field of lasers and cosmetics, and one of the founders of the Masters of Aesthetics Symposium. He was an innovator and the first to perform Co2 resurfacing. This award was given in his name to Dr. Grimes. Dr. Pearl E. Grimes is a globally recognized dermatologic expert and a leading international authority on vitiligo and pigmentation disorders. She is a dedicated clinician, researcher, and speaker, lecturing globally on pigmentation disorders, cosmetic procedures such as chemical peeling, fillers, and microdermabrasion. She serves as Director of the Vitiligo and Pigmentation Institute of Southern California and as a Clinical Professor of Dermatology at the David Geffen School of Medicine at UCLA.  Dr. Grimes is an accomplished author, having written over 100 professional articles, abstracts and two textbooks. Congratulations Dr. Grimes!