Invited as Faculty in ISAPS 2016 Kyoto
Invited as Faculty in ISAPS 2016 Kyoto
This is an original article written by Dr. Minhee Ryu from RNWOOD Plastic Surgery in Seoul, South Korea, translated in English for convenience:
Dr. Minhee Ryu was invited as a faculty member to the International Society of Aesthetic Plastic Surgery (ISAPS) Congress 2016 held in Kyoto, Japan, where he presented “The Surgical Correction of Crow’s Feet Deformity Using Orbicularis Oculi Muscle Coagulation.” The technique, developed with Dr. Yong-Ho Shin, selectively coagulates the orbicularis oculi muscle using energy-based devices to achieve natural, long-lasting improvement in crow’s feet, overcoming the short-term effects of Botox. The meeting provided an opportunity to exchange insights with global leaders such as Drs. Foad Nahai, Bryan Mendelson, Bahman Guyuron, and Lee L. Q. Pu, and to discuss evolving approaches in Asian facial aesthetics.
Dr. Ryu emphasized the growing importance of refining facelift and rejuvenation techniques tailored to Asian patients, contributing to the advancement of aesthetic plastic surgery on an international stage.
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As Crow’s Feet are caused by the movement of the Orbicularis Oculi Muscle (OOM), the key to correcting this would be reducing the strength of this muscle. The most frequently used method is Botox (Botulinum Toxin), in which it partially paralyzes the muscle to prevent the formation of Crow’s Feet. Though its advantages lie in how easily it is used, it is limited to lasting between 4~6 months. Therefore, in order to overcome this limitation, many surgical methods have been presented: Dr. Aston’s “method of creating and splaying out an orbicularis oculi muscle flap,” Dr. Cornell’s “OOM division method,” and multiple surgeons’ “partial or whole resection of the OOM.” These techniques can result in optimal results, but it might cause partial recurrence or depression around the affected area.
In 2010, Dr. Yong-Ho Shin developed a technique for orbicularis oculi muscle flap coagulation using radiofrequency current. Together, we organized and presented the technique at the 2013 meeting of the American Society for Aesthetic Plastic Surgery (ASAPS) held in New York. It was subsequently published in the society's journal (Ryu MH, David K, Shin YH. Surgical Correction of Crow’s Feet Deformity with Radiofrequency Current. Aesthetic Surgery Journal. January 2014; 34:28–33)
(https://rnwoodplasticsurgery.blogspot.com/2013/04/presentation-on-crows-feet-using.html)
(https://rnwoodplasticsurgery.blogspot.com/2014/01/the-surgical-correction-of-crows-feet.html)
This is a method of selectively coagulating the orbicularis oculi muscle flap in the area that causes crow's feet wrinkles using radiofrequency. The coagulated muscle weakens and undergoes fibrosis, which leads to the improvement of crow’s feet wrinkles. Long-term follow-up over several years has confirmed that the results are both natural and lasting. The method being presented this time uses electrocautery instead of radiofrequency, and it is considered easier to apply.
Personally, the most meaningful part of this academic conference was the opportunity to meet all the incredible experts.
Dr. Foad Nahai serves as the Editor-in-Chief of the Aesthetic Surgery Journal, the academic journal of the American Society for Aesthetic Plastic Surgery. When I submitted and revised my facelift paper (Ryu MH, Moon VA. High Superficial Musculoaponeurotic System Facelift with Finger-Assisted Facial Spaces Dissection for Asian Patients. Aesthetic Surgery Journal. 2015;35(1):1–8), I was deeply impressed by his thoughtful guidance. Although the numerous corrections and comments initially made me feel uneasy, our exchanges of letters led me to reflect deeply on fundamental questions and helped me see the bigger picture rather than getting lost in the details. I had always hoped to meet him one day and express my gratitude, and I was finally able to do so on this occasion. When I showed him the paper, he welcomed me warmly with a kind remark.
Dr. Mendelson was also present. He watched my presentation and took interest in the slight changes in my surgical technique. It was an honorable moment for me.
Dr. Guyuron presented the “Super High SMAS with Tailor-Tack Plication.” I was pleasantly surprised that I was familiar with his concepts in regards to surgical technique and anatomy. I spoke about my surgical methods while I greeted him, and we were able to discuss anatomical structures. I have recently become the Editor-in-Chief of Aesthetic Plastic Surgery, the academic journal of the International Society of Aesthetic Plastic Surgery (ISAPS), and I promised to share my questions and discussion points in writing whenever possible.
Dr. Lee L. Q. Pu is an expert in American Plastic Surgery, and does plenty of academic academic activities in China as well. He recently published the a book titled Aesthetic Plastic Surgery in Asians. During the Faculty Dinner Party, I spoke about how my dream was to improve Asian Facelifts and be part of its historical development; I made sure to express my gratitude on how his book will become of great help in studying more in-depth concepts and conveyed my thanks in advance for continued guidance.
Other doctors from China attended from the Ninth People’s Hospital in Beijing and Shanghai, as well as Dalian Medical University. From Taiwan, many came from Chang Gung Memorial Hospital, including Dr. Yu-Ray Chen. I was happy to greet and meet with these colleagues as well.
I first saw Dr. Mario Pelle Ceravolo at The Cutting Edge 2013 Symposium held in New York. At the time, I was deeply impressed by his surgical dissection of the platysma muscle and his outstanding results in lower face and neck lifts. I remember exchanging several emails with him afterward, hoping to visit him in Rome to learn directly from him. With his stylish sunglasses and cigar, he embodied the image of a charismatic Italian gentleman. We greeted each other warmly, and he even attended my presentation, sitting in the front row, listening attentively, and asking questions — which showed his genuine interest.
I also had a great time with my Korean colleagues. Dr. Honglim Choi gave a presentation on his Extended Lower Blepharoplasty, which had been published in Plastic and Reconstructive Surgery (PRS). Interestingly, unlike our perspective, many of the international participants perceived it as a major procedure — a new and surprising insight for us. During the discussion, a Japanese speaker mentioned that even adding fat grafting can feel burdensome in their context, which made me realize how significantly perceptions can differ from country to country.
Dr. Mankoon Suh not only participated in the panel discussion but also delivered an Instructional Course lecture, which reportedly drew over 200 attendees. This clearly reflected the high level of interest in Asian rhinoplasty.
Dr. Myungjoo Lee’s presentation especially drew a lot of attention from Chinese doctors. Since last year, he has been based in Beijing, and he has often observed that the aesthetic preferences for nasal shapes among Chinese patients differ from those in Korea. Of course, it varies from person to person, but there is generally a tendency to prefer more prominent or glamorous features. For some reason, there also seems to be a strong perception that costal cartilage is particularly effective, which likely contributed to the high level of interest.
I had heard many positive remarks about the character and leadership of Dr. Takayanagi, the President of ISAPS. He shared that one of his personal missions was to support Korean plastic surgeons in contributing to the advancement of aesthetic plastic surgery in Asia and to help them gain opportunities to participate on larger international stages. His unwavering dedication to the successful organization of the international academic congress, along with his broad-minded vision and selfless attitude, left a deep impression on all the participants.
As the ISAPS Congress brings together plastic surgeons from around the world, the areas of interest vary greatly depending on region and ethnicity, and the range of topics covered is broad. However, with the rapid growth of the Chinese and Southeast Asian markets, there is a noticeable increase in both interest and focus on aesthetic procedures for Asian patients. I believe Korean plastic surgery has much to contribute to this global trend, and I hope to see continued participation not only in ISAPS but also in other international societies — growing and advancing together.
Dr. Minhee Ryu, M.D.
RNWOOD Plastic Surgery
Seoul, South Korea
(Source: https://blog.naver.com/rejuvemaster )
Dr. Minhee Ryu is a World-Class FACELIFT Specialist and Global Educator, who is deeply committed to sharing his facial rejuvenation surgery and anatomy expertise. As a lecturer, tutor, and demonstrator, he is invited to deliver DEEP PLANE FACELIFT presentations and perform live surgery and cadaver dissection Demonstrations in more than 15 countries, including Korea, the US, Europe, Singapore, Australia, Japan, and beyond.
Recognized worldwide for his expertise in DEEP PLANE FACELIFT, Dr. Ryu is a Faculty Member at MAFAC since 2016, a guest Faculty Member at Mayo Clinic since 2023, and an Editorial Board Member for the Aesthetic Plastic Surgery Journal (SCI) since 2019. He is an active member of KSPRS, ASPS, ASAPS, and ISAPS. As a global top-tier leader in Facelifts, Dr. Minhee Ryu makes dedicated contributions to academic advancement and surgical education.
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