Day 1 :
Academy of Family Physicians of Malaysia, Malaysia
Chandran Rajagopal has completed his Graduation from the Madras Medical College, University of Madras in 1972. After his Graduation from MMC, he served in the Malaysian Health Service in the fields of Psychiatry and General Surgery. He continued his training in Dermatological Surgery in US with the American Academy of Aesthetic and Restorative Surgery in New Orleans, Louisiana under Professor George Farber and became a Fellow of the Academy and later as an International Fellow of the American Academy of Dermatologists.
Electrosurgery refers to four different methods: Electrocoagulation, electrodesiccation, electrofulguration and electrosection using high frequency to perform various procedures in dermatology and aesthetic surgery. Aim of this study is to ascertain the mode of operation in performing several procedures safely and successfully involving high frequency alternating current, which converts to heat by resistance as it passes through the tissue. The result of heat buildup within the tissue which results in thermal tissue damage, thus enabling several procedures, these modalities are commonly used for hemostasis, debulking procedures such as rhinophyma excision and treatment of benign and malignant skin conditions ranging from acrochordons (skin tags) to Basal Cell Carcinoma (BCC). Electrosurgery is a surgical technique which involves sequential curettage (scraping) of a skin lesion followed by electrodesiccation (a form of electronic cautery). The sequence is generally repeated 3 or 4 times. It is an alternative to more invasive surgery. It is used to treat benign and superficial malignant skin lesions including but not limited to seborrheic keratosis, may include observation, excision and curettage of actinic keratosis, nodular and superficial basal cell carcinoma, squamous cell carcinoma in situ. Risks include discomfort, pain, bleeding, burns, electric shock, recurrence, conversion to excision, infection, changes in pigmentation and scarring. Adequate training and understanding of the electrosurgical unit is very essential to the physician using this equipment to perform safe and successful surgery
University of Malaya, Malaysia
Kong Chee Kwan has double is a General and Plastic Surgeon. He started his career in general surgery in 2004. He served as a General Surgeon at the Ministry of Health Hospitals before underwent sub-specialist training and board certified as a Plastic and Reconstructive Surgeon. Consequently, University Malaya appointed him as a Senior Lecturer and Clinical Specialist in the Department of Surgery. He has trained many general surgeons as well as plastic surgeons. He has published numerous papers in reputed journals and has been serving as an Editorial Board Member of Malaysia Medical Journal.
The principle of facial aesthetic units is important in designing local flaps for facial reconstruction. Local flaps are routinely utilized for skin lesions that are too big to be closed primarily. The ideal local flap for reconstruction is the one that can be designed within the same aesthetic unit as that containing the lesion. Scars are best concealed by placing incisions along aesthetic margins. When a defect involves two or more aesthetic units, it is better to compartmentalize the reconstruction. Each skin flaps are planned to reconstruct the separate components of the defect that are located within separate aesthetic units. This may provide similarity of skin quality but, more essentially, places scars in the aesthetic margins. It is often beneficial to extend the primary defect by increasing the defect to an aesthetic margin or even to extend the defect to occupy an entire aesthetic unit. Reconstruction of the defect with a local flap will then position a border of the flap in an aesthetic unit for improved scar concealment.