Mene 2016

L`APPROCCIO DERMO-SISTEMICO IN MEDICINA ESTETICA:
SUPPLEMENTAZIONE ALIMENTARE
E TRATTAMENTI TOPICI.
IL RAZIONALE SCIENTIFICO E LA
CLINICA
ROMULO MENE, MD
RÔMULO MÊNE - RIO DE JANEIRO, BRAZIL
REGENT OF THE CHAPTER ON NON SURGICAL AESTHETIC PROCEDURES AND LASER SURGERY
OF THE BRAZILIAN SOCIETY OF PLASTIC SURGERY, BIENNIUM 2008/2009, 2010/2011, 2012/2013, 2014/2015.
PROFESSOR ASSISTANT FOR THE POST GRADUATION COURSES OF RECONSTRUCTIVE PLASTIC SURGERY OF THE
(MEDICAL POST GRADUATION INSTITUTE CARLOS CHAGAS) INSTITUTO PÓS GRADUAÇÃO MÉDICA CARLOS CHAGAS
INVITED PROFESSOR FOR THE POST GRADUATION COURSE IN PLASTIC SURGERY,
OF THE (RIO DE JANEIRO FEDERAL UNIVERSITY)
UNIVERSIDADE FEDERAL DO ESTADO DO RIO DE JANEIRO (UNIRIO)

IMPORTANT FACTS
1. CORRECT DIAGNOSIS
2. KNOWLEDGE OF THE INJURIES
3. TREATMENT PLAN
4. DESIGNING THE FUTURE: MAINTENANCE
5. LIFESTYLE RATE
6. BASE NUTRITIONAL PROGRAM
7. PHOTO PROTECTION
ROMULO MENE, MD
RIO DE JANEIRO, BRAZIL

VASCULAR FLOW
NATURAL
AGING PROCESS
- SKIN ATROPHY
- ATROPHY OF
MUSCULAR MASS
- OSSEOUS ATROPHY

NATURAL
PROCESS OF AGEING
(CHRONO AGEING)
• NUTRITIONAL FACTORS
• HYPOPROTEIC DIETS
• GENETIC COMPONENT
• ENVIRONMENT
• CHRONIC INFLAMMATORY DISEASES
• OCCUPATIONAL DISEASES
1

PREVENTION OF NATURALAGEING
(ENDOGENOUS)

N ENGL J MED 360,11
NEJM.ORG MARCH 12, 2009

M.F.A.P, 63 YO,FEM.
Roosevelt Silva Tesch, MD – Vitória (ES)-Brazil
DIABETIC ULCER
08/13/07 AFTER 25 DAYS07/19/07 BEFORE
17/02/08 AFTER 7 MONTHS
RESVERATROL
P.P. RECOVERY FORMULA
PRODEMIX
ADAPTIC
AZITHROMYCIN
SCLEROTHERAPY WITHOUT
COMPRESSION
TTO:
HYPERTENSIVE
DIABETIC
VARICOSE VEINS MMII

BEFORE
AFTER 69 DAYS
A.R, 82 Y.O, MALE - DIABETIC
TTO: POST-PEEL RECOVERY FORM.
RESVERA-VITTS
DOUBLE OMEGA-3
MIX ALBUMIN
Rômulo Mêne, MD - Rio de Janeiro - Brazil

PHOTO AGEING
•CAUSED BY EXCESSIVE
EXPOSURE TO THE SUN
•UVA: VASCULAR ATROPHY
•UVB: EPIDERMAL DAMAGE
2

36
CBCs
1
CEC
MELANOMA
DERMATOSES
Melanose
melanoma

2 Y.O.
67 Y.O.
20 Y.O. 32 Y.O.
57 Y.O. 60 Y.O. 80 Y.O.66 Y.O.41 Y.O.

FOOD
&
LONGEVITY
ROMULO MENE, MD

GILLIAN MCKEITH, NUTRITIONIST, 51 YONIGELLA LAWSON – CHEF DE CUISINE, 51 YO
Gillian js a television health guru and she defends a
holistic approach to nutrition and health, promoting
exercise, a vegetarian diet rich in and organic fruits
and vegetables.
She recommends detox diets, gastric lavage. and
supplements.
Nigella is a television chef who enjoys meat, butter,
desserts and some men!

79 ANOS
DEIXOU DE FUMAR AOS 102 ANOS

42 Y.O – 20
YEARS OF LOW
PROTEIN DIET
RômuloMêne,MD-RiodeJaneiro-Brazil
1 WEEK AFTER
(YELLOW PEELAND
PROTEIN DIET)
BEFORE

RômuloMêne,MD-RiodeJaneiro,Brazil
79 Y.O
85 Y.O

BEFORE
27 02 10
AFTER 9
MONTHS
16 11 10
U.P., FEM., 50 Y.O
TTO:
P. P. RECOVERY
ADVANCED BRUISE
DOUBLE ÔMEGA-3
PRODEMIX

KRASNODAR – RÚSSIA
OUT/2010

• REPLACEMENT OF SPECIFIC PROTEINS
WITH OMEGA-3 AND OTHER ESSENTIAL
FATTY ACID SUPPLEMENTS
• RESVERATROL
• VITAMINS AND MINERAL SALTS
NUTRITIONAL PROGRAM
ROMULO MENE, MD

Specific Protein replacement
Double Omega - 3, Flax Seed
Olive Oil
Resveratrol
Minerals /Vitamins
PROGRAM NUTRICIONAL
1997
2016 1997
MAINTENANCE
1997 2014
1- PRODEMIX ,
RESVERA-VITIS,
DOUBLE OMEGA - 3
2- FACE BODY CLEANSER
ADVANCED CREAM
C SILK TOUCH
POST PEEL R. FORMULA
2016

1997
RômuloMêne,MDRiodeJaneiro-Brazil
2016

AFTER 4 MONTHSBEFORE
1985

BEFORE
AFTER 2 MONTHS
BEFORE
1988
AFTER 2 MONTHS
- 8 KG
FACIAL GYMNASTICS 1985 / 1989

BEFORE
AFTER 2 MONTHS
- 8 KG
1988

BEFORE AFTER 2 MONTHS
1988

1988

BEFORE
1988
AFTER 3 MONTHS

l
1985
BEFORE 120 KG
1985
AFTER 9 MONTHS
61KG

1985
BEFORE 120 KG AFTER 9 MONTHS
120 KG 61KGBEFORE
120 KG

CHRONIC INFLAMMATORY
PROCESSES RELATED TO
AGEING:
• DIABETES MELLITUS
• ARTERIAL HYPERTENSION
• CHRONIC RENAL FAILURE
• HYPOPROTEINEMIA
ROMULO MENE, MD

I.L.W 87 Y.O, FEM 24
09 09

AFTER 60 DAYS DE TRATAMENTO
COM INT. SERUM P
BEFORE - PACIENTE, 78 Y.O.
BEFORE - PACIENTE, 80 Y.O. AFTER 60 DAYS DE TRATAMENTO
COM INT. SERUM P

AFTER 60 DAYS DE
TRATAMENTO COM
INTENSIVE SERUM P
BEFORE 78 Y.O

RômuloMêne,MDRiodeJaneiro,Brazil

BEFORE
Rômulo Mêne, MD - Rio de Janeiro - Brasil
AFTER 54 MONTHSAFTER 60 DAYS-SERUM P

100 Y.O
LOMA LINDA - CALIFÓRNIA
106 Y.O
SARDENHA - ITÁLIA

SKIN AND MUSCLE
ATROPHY
BY VASCULAR
TRAUMA
ROMULO MENE, MD

Rômulo Mêne, MD - Rio de Janeiro - Brazil6 YEARS AFTER FACE LIFTING

3 FACE LIFTING (ON 28,20,14 YEARS)
81 Y.O.

BEFORE AFTER 4 Y.O
88 Y.O

2001
2006
Rômulo Mêne, MD – Rio de Janeiro - Brazil

THE FAT COMPARTMENTS OF THE FACE-
ANATOMY AND CLINICAL IMPLICATIONS FOR
COSMETIC SURGERY
Rod J. Rohrich, M.D.
Joel E. Pessa, M.D.
Plastic and Reconstructive Surgery
June 2007 - Volume 119 - Issue 7 - pp 2219-2227

FOODS WITH
ANTI-INFLAMMATORY
AND
ANTITUMOR POTENTIAL
TOPICAL USE OF
SPECIFIC LIPIDS AND
RESVERATROL
Rômulo Mêne, MD Rio de Janeiro - Brazil

Role of Resveratrol in
Prevention and Therapy of
Cancer: Preclinical and
Clinical Studies
ANTICANCER RESEARCH 24: 2783-2840 (2004).
( BHARAT B. AGGARWAL, at cols), M. D. Anderson Cancer Center, The University of Texas
UCLA Center for Human Nutrition, David Geffen School of Medicine, 900
Veteran Avenue, Los Angeles, CA 90095-1742, U.S.A.
“A reappraisal of the potential chemopreventive and
chemotherapeutic properties of Resveratrol”.
- Gusman J, Malonne H and Atassi G:. Carcinogenesis 22: 1111-1117, 2001.

Resveratrol induces cancer cells to die off in a preferred manner
so their cellular debris will be digested by white blood cells
called phagocytes, a process called apoptosis. Cancer cells are
immortal. They refuse to grow up (mature) and die off in a
gradual manner as do normal cells. The normal process of cell
death is called apoptosis Toxic methods of killing cancer cells,
such as radiation and chemotherapy, harshly destroy cancer cells
by causing them to break open, release their contents and damage
neighboring cells and provoke inflammation. This is why cancer
treatment is fraught with side effects. The way that cancer cells
are killed may determine and severity of treatment-induced side
effects and the survival of the cancer patient.
HOW RESVERATROL KILLS
CANCER CELLS
The discovery, that resveratrol exerts profound ability to
induce apoptic cell death was described in the Federation of
American Societies for Experimental Biology Journal in
2003 (volume 117, p 2340). Resveratrol facilitates
apoptosis by converting lipids (fats) in the outer
membrane of tumor cells into a molecule called ceramide.
A more recent report shows that resveratrol, and some
altered resveratrol-like molecules, cause aggressive breast
cancer cells to die off in a preferred manner. [Journal
Medicinal Chemistry 48: 6783-86, 2005]

BEFORE
04 /2006 AFTER 18 DAYS
SQUAMOUS CELL CARCINOMA
AFTER 22 MONTHS
AFTER 1 MONTH AFTER 4 MONTHSAFTER 2 MONTHS
AFTER 9 MONTHS AFTER 12 MONTHS
P.P. RECOVERY FORM.
RESVERATROL
TTO:
AFTER 32 MONTHS
AFTER 5 ANOS
04/2011
2006/2011
O.P., MASC., 89 Y.O

AFTER 41 MONTHS
14 08 12
AFTER 33 DAYS AFTER 70 DAYSBEFORE BIÓPSIA
TTO.: P.P. RECOVERY FORMULA
RESVERATROL
SQUAMOUS
CELL CARCINOMA

“Resveratrol Prolongs Lifespan and Retards the Onset of Age-
Related Markers in a Short-Lived Vertebrate”
- ValezYEAR et al.
“Current Biology 16,296-300, February 7, 2006”.(Medical News UK).
“ Reversing Atherosclerosis: the new england
journal of medicine, march 12 2009, pags. 1144-46
“Sirtuins,a family of enzymes liked to a longer life span and
healthier aging in humans.”
- Published in the june 19 -23 / 2006 issue of Proceedings of the National
Academy of Sciences .
“Resveratrol, Suppresses Prostate Cancer Progression in
Transgenic Mice”.
- Lamartiniere Coral A.,Carcinogenesis, doi:10.1093/carcin/bgm144, of
the University of Alabama at Birmingham, on August 3, 2007.

BEFORE 23 03 09
AFTER 72 DAYS
02 06 09
11 11 09
02 12 09
AFTER 21 DAYS
2º TTO
ATT.:
67 Y.O., FEM.
HYPERTENSIVE AND DIABETIC
RESVERATROL
P.P. RECOVERY FORMULA

BEFORE
06 01 10 AFTER IMMEDIATE
AFTER 19 DAYS
25 01 10
KERATOSIS / PLANTAR
FISSURE
TTO: POST PEEL RECOV. FORM.
ÔMEGA-3

BEFORE
06 01 10 AFTER IMMEDITE
AFTER 19 DAYS
25 01 10
TTO: POST PEEL RECOV. FORM.
ÔMEGA-3
KERATOSIS / PLANTAR
FISSURE

BEFORE
08 09
AFTER 1 MONTH
09 09
TOPICAL DERMATITIS

BEFORE
08 09
AFTER 1 MONTH
09 09
TOPICAL
DERMATITIS
1ª 2ª 3ª

BEFORE
24 10 09
AFTER 2 YEARS AND 2 MONTHS
19 12 10
TOPICAL DERMATITIS

ACCELERATED SKIN REBUILDING FORMULATTO:
TOPICAL DERMATITIS

TOPICAL
REPLACEMENT
OF LIPIDS
EYE CONTOUR AND
FACIAL TREATMENT
1ª 2ª 3ª

Right Eye
Not treated
Left Eye
immediatly after
application of Intensive Serum W
After 45 days treatment with
Intensive Serum WPatient before treatment

BEFORE
AFTER 60 DAYS Rômulo Mêne, MD - Rio de Janeiro - Brazil

POST PEEL RECOVERY FORMULA
ACCELERATED SKIN REBUILDING FORMULA
1ª 2ª 3ª

Rômulo Mêne, MD -
Rio de Janeiro - BrazilAFTER IMMEDIATE
BEFORE
3ª
1ª
2ª
RômuloMêne,MD-RiodeJaneiro–Brazil

BEFORE
AFTER IMMEDIATE
3ª
1ª
2ª
RômuloMêne,MD-RiodeJaneiro–Brazil

BEFORE
27 08 11
AFTER 3 DAYS
19 08 11
AFTER 21 DAYS
07 10 11
AFTER 13 DAYS
29 09 11
09/2011 FRAC. LASER CO2
M.T.W.T.C.F., FEM.

09/2011
M.T.W.T.C.F., FEM.
BEFORE
27 08 11
AFTER 3 DAYS
19 08 11
AFTER 21 DAYS
07 10 11
AFTER 13 DAYS
29 09 11
FRAC. LASER CO2

TTO PPRF AND
ADVANCED BRUISE
CORT.: J. PAUL, MD
CURITIBA BRAZIL

DRUG
DELIVERY
FRACT. CO2 LASER
ROMULO MÊNE, MD
YURI MÊNE, MD
SABRINA GUIMARÃES MÊNE, MD
ADVANCED CENTER FOR SKIN THERAPY

 Oni G, Robbins D, Bailey A, Brown SA, Kenkel JM. An in vivo histopathological comparison of
double and single pulsed modes of a fractionated CO2 laser. Lasers Surg. Med 2012;44:4-10.

Le Qu, Austin Liu, Li Zhou, Chundi He, Grossman PH, Moy RL, at al. Clinical and molecular
effects on mature burn scars after treatment with a fractional CO2 laser. Lasers Surg Med.
2012;44:517-524.
Waibel JS, Wulkan AJ, Shumaker PR. Treatment of hypertrophic scars using laser and laser
assisted corticosteroid delivery. Lasers Surg Med. 2013;45:135-140.
Sang Ju Lee, In Kwon Yeo, Jim Moon Kang, Won Soon Chung, Young Koo Kim, Beom Joon Kim,
at al. Treatment of hypertrophic burn scars by comnination laser-cision and pinhole method using
a carbon dioxide laser. Lasers Surg Med. 2014;46:380-384.
Connolly KL, Chaffins M, Ozog D. Vascular patterns in Mature Hypertrophic Burn Scars Treated
with Fractional CO2 Laser. Lasers Surg Med. 2014;46:597-600.
Sobanko JF, Vachiramon V, Rattanaumpawa P, Miler CJ. Early Postoperative single treatment
ablative fractional lasing of mohs micrographic surgery facial scars: a split-scar, evaluator-blinded
study. Lasers Surg Med. 2015;47:1-5
BIBLIOGRAPHY
HYPERTROPHIC BURN SCARS TREATED WITH
FRACTIONAL CO2 LASER
DRUG DELIVERY

DRUG DELIVERY
FRACT. CO2 LASER
BEFORE
21 07 14
2014/2015
P.R.M., FEM., 22 Y.O
AFTER 9 MONTHS
1º DRUG DELIVERY
06 05 15
 Lin JY, Warger WC, Izikson L, Anderson RR, Tannous Z. A prospective, randomized contolled trial on the
efficacy of fractional photothermolysis on scar remodeling. Lasers Surg Med. 2011;43:265-272.

BEFORE
21 07 14
AFTER 48 HRS
3º DRUG DELIVERY
14 06 15
DRUG DELIVERY
FRACT. CO2 LASER
2014/2015
P.R.M., FEM., 22 Y.O
 Lin JY, Warger WC, Izikson L, Anderson RR, Tannous Z. A prospective, randomized contolled trial on the
efficacy of fractional photothermolysis on scar remodeling. Lasers Surg Med. 2011;43:265-272.

08/2015 DRUG DELIVERY
FRACT. CO2 LASER

09/2015 DRUG DELIVERY
FRACT. CO2 LASER
NELSON PICCOLO INSTITUTE / RÔMULO MÊNE CLINIC
BEFORE
14 09 15
POST IMMEDIATE
15 09 15
AFTER 48 HRS
17 09 15
POST IMMEDIATE
15 09 15

BEFORE
14 10 14
2014/2015 S.B.S.C., FEM.,
AFTER 5 DAYS
(3º DRUG DELIVERY)
14 11 15
POST IMMEDIATE
(2º DRUG DELIVERY)
18 03 15
PRE
(3º DRUG DELIVERY)
09 11 15
DRUG DELIVERY
(SET OF NATURAL LIPIDS)
LASER CO2 FRAC.
HYPERTROPHIC SCAR
TREATED WITH CORTICOID,
RESULTING IN SKIN ATROPHY
+
DELIVERY OF FATTYACID

DRUG DELIVERY
(SET OF NATURAL LIPIDS)
LASER CO2 FRAC.
2014/2015 S.B.S.C., FEM.,
BEFORE
14 10 14
PRE
(3º DRUG DELIVERY)
09 11 15
AFTER 8 DAYS
(3º DRUG DELIVERY)
17 11 15
HYPERTROPHIC SCAR
TREATED WITH CORTICOID,
RESULTING IN SKIN ATROPHY
+
DELIVERY OF FATTYACID

BEFORE
27 08 11
AFTER 3 DAYS
19 08 11
AFTER 21 DAYS
07 10 11

BEFORE
27 08 11
AFTER 3 DAYS
19 08 11
AFTER 21 DAYS
07 10 11
AFTER 13 DAYS
29 09 11
09/2011
M.T.W.T.C.F., FEM.
DRUG DELIVERY
FRACT. CO2 LASER

DERMAL
STIMULATION:
NEW CONCEPT FOR
SUPERFICIAL
CHEMICAL PEELINGS
ROMULO MENE, MD
PLASTIC SURGEON – RIO DE JANEIRO, BRAZIL

ALPHA BETA
COMPLEX PEEL
RÔMULO MÊNE, MD
RIO DE JANEIRO, BRASIL

BEFORE
03 04 13
POST IMMEDIATE
03 04 13
M.L.A., FEM., 83 Y.O
03/2013

BEFORE
03 04 13
AFTER 3 SEMANAS
03 04 13
M.L.A., FEM., 83 Y.O
03/2013

09/2014 M.C.S., FEM., 76 Y.O
ALPHA BETA
COMPLEX PEEL
(RF SURGERY)

Rômulo Mêne, MD - Rio de Janeiro, Brazil

BEFORE 24 HS AFTER YELLOW PEEL

BEFORE BEFORE
72 HS AFTER YELLOW PEEL 72 HS AFTER YELLOW PEEL

BEFORE
AFTER 30 DAYS:
2 ALPHA BETA PEEL
AND HOME USING OF
PHYTIC ACID CREAM Rômulo Mêne, MD - Rio de Janeiro - Brasil
ALPHA BETA
COMPLEX GEL

BEFORE
AFTER 3 MONTHS
6 ALPHA BETA PEELS
AFTER 3 MONTHS
6 ALPHA BETA PEELS
BEFORE
USO DOMICILIAR:
• LIGHTENING GEL
• PHYTIC ACID CREAM
• EYE C CONTOUR
PROGRAMA NURICIONAL:
• PRODEMIX
• OMEGA 3
• RESVERATROL

BEFORE
AFTER 3 MONTHS
6 ALPHA BETA PEELSINGS
RômuloMêne,MD-RiodeJaneiro-Brasil

BEFORE
AFTER 3 MONTHS
6 ABC PEELS &

ômuloMêne,MD-RiodeJaneiro-Brasil
08/2013
B.A.G., FEM.,
BEFORE
26 08 13
AFTER 14 DAYS
09 09 13

BEFORE
26 08 13
AFTER 14 DAYS
09 09 13
08/2013
B.A.G., FEM.,

BEFORE
AFTER 18 MONTHS
ALPHA BETA PEEL

BEFORE AFTER 8 DEEP PEELS WITH ALPHA BETA

ALPHA BETA
COMPLEX PEEL
09/2012
G.C., FEM.,
BEFORE
10 09 12
POST IMMEDIATE
10 09 12
AFTER 17 DAYS
27 09 12

ALPHA BETA
COMPLEX PEEL
09/2012
G.C., FEM.,
BEFORE
10 09 12
AFTER 17 DAYS
27 09 12
POST IMMEDIATE
10 09 12

ALPHA BETA
COMPLEX PEEL
09/2012
G.C., FEM.,
BEFORE
10 09 12
AFTER 17 DAYS
27 09 12 Rômulo Mêne, MD - Rio de Janeiro, Brazil
POST IMMEDIATE
10 09 12

PHOTO AGING YELLOW PEEL
10 DAYS AFTER
TREATMENT WITH FACE
YELLOW PEEL
67 Y.O.
15 DAYS AFTER
TREATMENT WITH FACE
YELLOW PEEL
15 DAYS AFTER
TREATMENT WITH FACE
YELLOW PEEL
BEFORE BEFORE BEFORE

AFTER 8 DEEP PEELS WITH ALPHA BETA
BEFORE

BEFORE
AFTER 12 MONTHS
FACIAL GYMNASTICS
PRODEMIX
FACIAL CREME 30%

• ACTIVATES THE VASCULARIZATION
• ACTIVATES THE FIBROBLAST SITE
• PRODUCTION OF GAG`S
• WATER RETENTION IN THE DERMIS
• DERMAL TURGOR
VISIBLE EXFOLIATION 3rd / 4th DAY
MECHANISM OF ACTION
YELLOW PEEL FACIAL
2

BEFORE
BEFORE
AFTER TCA PEEL + 2
ALPHA BETA PEEL
AFTER TCA PEEL + 2
ALPHA BETA PEEL
BEFORE
DOMICILIARY TREATMENT WITH POST PEEL RECOVERY
FORMULATES + FACE BODY CLEANSER +PHYTIC ACID CREAM
15-05-07 18-06-07
AFTER 33 DAYS
AFTER 33 DAYS
AFTER 2 ALPHA BETA AND
33 DYAS AFTER TCA

1 WEEK AFTER YELLOW PEEL
BEFORE
BEFORE
EXFOLIATION 3º DAY

3rd DAYAFTER THE
YELLOW PEEL FACIALAPPLICATION
4th DAYAFTER THE YELLOW PEEL FACIAL
APPLICATION

BEFORE AFTER 6 DAYS
YELLOW PEEL
AFTER 19 DAYS
YELLOW PEEL
VARSÓVIA 08-05-07

BEFORE 12 DAYS AFTER
YELLOW PEEL 12 DAYS AFTER
YELLOW PEEL
BEFORE
03-06-07 15-06-07

BEFORE 21-10-08
84 Y.O.
Rômulo Mêne, MD Rio de Janeiro - Brasil
AFTER 14 DAYS 04-11-08
2° ALPHA BETA + 2°YELLOW PEEL

BEFORE 21-10-08
G.M.R., 84 Y.O.
2° ABC PEEL +
2°YELLOW PEEL

AFTER 885 Y.O BEFORE38 Y.O

BEFORE 21 DAYS AFTER YELLOW PEEL
YELLOW PEEL FACIAL

DEEP YELLOW PEEL
AFTER 4 DAYS
BEFORE
DEEP YELLOW PEEL
AFTER 4 DAYS

AFTER 4 DAYS
YELLOW PEEL
BEFORE 2001 AFTER 2 YEARS
YELLOW PEEL 2004
BEFORE 2001
AFTER 2 YEARS
YELLOW PEEL 2004
RômuloMêne,MD–RiodeJaneiro-Brasil
1996

AFTER 6 YEARS
(YELLOW PEEL/LIGHTENING GEL)
BEFORE
BEFORE
PHOTOS WITH UV EFFECT

AFTER 11 YEARS
(YELLOW PEEL/LIGHTENING GEL)
BEFORE
BEFORE
PHOTOS WITH UV EFFECT

BEFORE AFTER 10 DAYS WITH
YELLOW PEEL
PHOTP WITH UV EFFECT PHOTO WITH UV EFFECT

STRATEGY FOR THE RENEWAL OF
THE LIPS AND NATURAL VOLUME
INCREASE (WITHOUT INJECTABLE)
• SMOOTH RENEWAL OF THE KERATINIZED
STRATIFIED SQUAMOUS EPITHELIUM.
• STIMULATES THE VASCULARIZATION
(MICROCIRCLE).
• INCREASES THE OXIGINATION OF THE TISSUE.
• INCREASES THE LEVEL OF GLYCOSAMINOGLICANS
(GAG’S).
• INCREASE THE WATER RETENTION IN THE AREA.
Yellow Peel Balm System

DO NOT APPLY TO THE CORNERS OF THE
MOUTH
CONTRA-INDICATIONS

AFTER 90 DAYS
BEFORE

BEFORE
AFTER 48 HS
Yellow Peel
Balm
System

Yellow Peel
Balm
System
BEFORE
AFTER 7 DAYS

AFTER 7 DAYS
BEFORE
Yellow Peel
Balm
System

BEFORE 21-10-08
Yellow Peel
Balm
System

Moisturized Lips
Dry Lips
5 years old

NEW STRATEGY
FOR ACNE
TREATMENT
ROMULO MENE, MD

TREATMENT PATHWAYS
Agents Affecting

AFTER 6 MONTHS
BEFORE
GLYCOLIC ACID GEL 70%
1992

AFTER 5 DAYS
GLYCOLIC ACID 70%
BEFORE 1992
AFTER 2 MONTHS AFTER 6 MONTHS
GLYCOLIC ACID GEL 70%1992

AFTER 6 MONTHSSEVERAL FROST POINTS CAUSED BY
GLYCOLIC ACID 70% GEL
BEFORE TREATMENT SEVERAL CROSTS

GLYCOLIC MASQUE 25%
IRRITATED AREA PROMOVED BY
VERY DEEP GLYCOLIC ACID GEL 70%
YEAR 1993

2007 2008

BEFORE AFTER 14 MONTHSAFTER 8 DAYS
GLYCOLIC MASQUE 25%
2007 2008

BEFORE AFTER 8 DAYS
AFTER 14 MONTHS
GLYCOLIC
MASQUE 25%
2007
2008

BEFORE GLYCOLIC MASQUE 25% AFTER 4 MONTHS
BEFORE GLYCOLIC MASQUE 25% AFTER 4 MONTHS
RômuloMêne,MD-RiodeJaneiro-Brazil AFTER 29 MONTHS
AFTER 29 MONTHS

BEFORE
AFTER
2005 2008

3 MONTHS AFTER TREATMENT WITH
GLYCOLIC MASQUE 25%
ACTIVE ACNE & OILY SKIN

GLYCOLIC MASQUE 25%
SELECTED AREAACTIVE ACNE & OILY SKIN

BEFORE
GLYCOLIC
MASQUE 25%
AFTER 8 MONTHS
SEPTEMBER 2008
AFTER 19 MONTHS
AUGUST 2009
GLYCOLIC
MASQUE 25%
2007
2008 2009

GLYCOLIC MASQUE 25%BEFORE
AFTER 8 MONTHS
SEPTEMBER 2008 Rômulo Mêne, MD - Rio de Janeiro - Brasil
GLYCOLIC MASQUE 25%
AFTER 19 MONTHS
AUGUST 2009
2007
2008 2009

3 MONTHS AFTER TREATMENT
WITTH GLYCOLIC MASQUE 25%
BEFORE
AFTER IMMEDIATE
GLYCOLIC MASQUE 25%
AFTER 9 YEARS Rômulo Mêne, MD - Rio de Janeiro - Brazil

GLYCOLIC MASQUE 25% 2007
BEFORE
GLYCOLIC
MASQUE 25%
2007

BEFORE
AFTER IMEDIATE
GLYCOLIC
MASQUE 25%

4 MONTHS AFTER
BEFORE
GLYCOLIC
MASQUE 25%

60 DAYS AFTER
BEFORE
GLYCOLIC
MASQUE 25%

AFTER 3 MONTHS
GLYCOLIC MASQUE 25%
BEFORE

AFTER 4 MONTHS
BEFORE
(Cortesia : Dr ARMANDO PARODI GENOVA-ITÁLIA)
GLYCOLIC
MASQUE 25%

BLEPHAROPLASTY WITH LASER
AND
LASER RESURFACING TREATMENT
FOR PERIORBITAL RESURFACING
AND
21 YEAR FOLLOW-UP
ROMULO MENE, MD

LASER SKIN
RESURFACING
CO2 LASER
ROMULO MENE, MD
1995

BEFORE AFTER 2 YEARS - 1998
AFTER 12 YEARS
LASER SKIN RESURFACING
CO2 LASER1996
APÓS 14 ANOS 2010 AFTER 19 YEARS
APÓS 14 ANOS 20102010
AFTER 14 YEARS
2008
2015

AFTER 7 DAYS
29 06 98
AFTER 2 YEAR
09 08 2000
AFTER 10 YEARS
11 09 08
AFTER 12 YEAR
29 03 10
SEQUEL OF CO2 RESURFACING
TREATMENT WITH ERBIUM YAG LASER

UNDERSTANDING
HISTOLOGY OF
LASER CO² ABLATIVE
1 PASS.
3 PASS.
1995

LASER SKIN
RESURFACING
ERBIUM-YAG LASER
ROMULO MENE, MD
1996

UNDERSTANDING
HISTOLOGY OF LASER ERBIUM:YAG ABLATIVE
1996

BEFORE
21 DAYS AFTER ERBIUM + CO2
1997

DAILY PAY
AFTER 60 DAYS - LASER ERBIUM-YAG
DEEP (VITAMIN MASK C)
RômuloMêne,MD-RiodeJaneiro-Brazil1998

AFTER 11 DAYSRômulo Mêne, MD - Rio de Janeiro, Brazil FEB 2009
BEFORE

FRACTIONAL
CO2
LASER
ROMULO MENE, MD
2006

Ponteira de 120µm
120tip : 4mJ
Prf : 100micron
Lrg : 86micron
120tip : 22mJ
Prf : 342micron
Lrg : 100micro
120tip : 60mJ
Prf : 952 micron
Lrg : 90 micron
Courtesia Dr. Kim Won-Serk
120tip : 160mJ
Prf : 2.4mm
Lrg : 195micron

10/2012
G.C., FEM., 83 Y.O
BEFORE
10 09 12
AFTER IMMEDIATE
FRAC. CO2 LASER
11 10 12
AFTER 6 DAYS
FRAC. CO2 LASER
17 10 12
AFTER 11 DAYS
FRAC. CO2 LASER
22 10 12
AFTER 48 HR
FRAC. CO2 LASER
13 10 12
FRAC. CO2
LASER
HOW TO AVOID
IATROGENESIS

ALPHA BETA
COMPLEX PEEL
09/2012
G.C., FEM., 83 Y.O
BEFORE
10 09 12
AFTER 17 DAYS
27 09 12
AFTER IMMEDIATE
10 09 12

ALPHA BETA
COMPLEX PEEL
09/2012
G.C., FEM., 83 Y.O
BEFORE
10 09 12
AFTER IMMEDIATE
10 09 12
AFTER 17 DAYS
27 09 12 Rômulo Mêne, MD - Rio de Janeiro, Brazil

AFTER 49 DAYS
(FRAC. CO2 LASER)
29 11 12
BEFORE
10 09 12
AFTER 17 DAYS
27 09 12
AFTER IMMEDIATE
(FRAC. CO2LASER)
11 10 12

08/2012
BEFORE
02 07 12
POST IMMEDIATE
06 08 12
AFTER 24 HR
07 08 12
AFTER 72 HR
09 08 12
M.L.P.B., FEM.,
FRACT. CO2 LASER
UPPER EYELIDS BLEPHAROPLASTY
DRUG DELIVERY
SET OF NATURAL LIPIDS
(ACCDELERATED SKIN REBUILDING FORMULA)

08/2012
BEFORE
02 07 12
AFTER 14 DAYS
20 08 12
M.L.P.B., FEM.,
FRAC. CO2 LASER
UPPER EYELIDS BLEPHAROPLASTY
DRUG DELIVERY
SET OF NATURAL LIPIDS
(ACCDELERATED SKIN REBUILDING FORMULA)
BEFORE
02 07 12

03/2015
T.M.O., FEM., 51 Y.O
BEFORE
10 11 14
AFTER 5 DAYS
16 03 15
AFTER 58 DAYS
08 05 15
POST IMMEDIATE
CO2 FRAC. LASER / DRUG DELIVERY
TREATMENT OF THE LOWER ORBICULARIS MUSCLE WITH FRAC. CO2 LASER
PARAMETERS: 20W - 800/300 - ST 5 - 2-3 PASSES
UPPER BLEPHAROPLASTY

BEFORE
10 11 14
AFTER 58 DAYS
08 05 15
03/2015 CO2 FRAC. LASER / DRUG DELIVERY

BEFORE
11 03 15
POST IMMEDIATE
11 03 15
AFTER 58 DAYS
08 05 15
03/2015

03/2015
BEFORE
11 03 15
POST IMMEDIATE
11 03 15
AFTER 58 DAYS
08 05 15

03/2014
AFTER 24 HRS
13 03 15
A.A.S., FEM., 49 Y.O
BEFORE
21 07 14
AFTER 88 DAYS
08 06 15
FRACT. CO2 LASER / DRUG DELIVERY
LOWER/ UPPER BLEPHAROPLASTY

03/2015
BEFORE
21 07 14
AFTER 88 DAYS
08 06 15

AFTER 4 DAYS
16 03 15
AFTER 24 HRS
13 03 15
03/2015
BEFORE
21 07 14
AFTER 88 DAYS
08 06 15

03/2015
AFTER 4 DAYS
16 03 15
BEFORE
21 07 14
AFTER 88 DAYS
08 06 15
TREATMENT OF THE LOWER ORBICULARIS MUSCLE WITH
FRAC. CO2 LASER

06/2015
M.G.M.F. ,FEM., 52 Y.O
BEFORE
15 12 14
AFTER 48 HRS
17 06 15
AFTER 98 DAYS
21 09 15
FRAC. CO2 LASER / DRUG DELIVERY
TRANSCUTANEOUS TREAT. OF THE LOWER ORBICULARIS MUSCLE
PARAMETERS DEKA: 20W – 500/300 – ST 5 – 2-3 PASS
LOWER AND UPPER TRANSCONJUNCTIVAL BLEPHAROPLASTY

06/2015
M.G.M.F., FEM., 52 Y.O
BEFORE
15 12 14
AFTER 98 DAYS
21 09 15
TRANSCUTANEOUS TREAT. OF THE LOWER ORBICULARIS MUSCLE
LOWER AND UPPER TRANSCONJUNCTIVAL BLEPHAROPLASTY

06/2015
BEFORE
15 12 14
AFTER 98 DAYS
21 09 15
M.G.M.F. ,FEM., 52 Y.O
TRANSCUTANEOUS TREAT. OF THE LOWER
ORBICULARIS MUSCLE
LOWER AND UPPER TRANSCONJUNCTIVAL
BLEPHAROPLASTY

LONG TERM CONTROL
FOLLOW-UP
20 YEARS
ROMULO MENE, MD

1998 ERBIUM:YAG LASER
BEFORE
22 06 98
AFTER 8 DAYS
30 06 98

ANTES
14 09 09
APÓS 72 HR
17 09 09
TCA09/2011
M.C.S., FEM.,

1998 LASER ERBIUM:YAG
ANTES
22 06 98
APÓS 42 DIAS
11 08 98

20101998
TRATAMENTO COM POMADA (LIPIDIOS
NATURAL) E ÁCIDO FÍTICO 4%

Specific Protein replacement
Double Omega - 3, Flax Seed
Olive Oil
Resveratrol
Minerals /Vitamins
PROGRAM NUTRICIONAL
1997
2016 1997
MAINTENANCE
1997 2016
1- PRODEMIX ,
RESVERA-VITIS,
DOUBLE OMEGA - 3
2- FACE BODY CLEANSER
ADVANCED CREAM
C SILK TOUCH
POST PEEL R. FORMULA
2016

APÓS 8 DIAS
10/2000
ANTES
11/1997
BLEFAROPLASTIA
TRANSCONJUNTIVAL COM
CANTOPEXIA
+
LASER RESURFACING ERB:YAG

11/1997 10/2000

1999/2000

PÓS 24 HRS
14 08 13
APÓS 5 DIAS
19 08 13
FRACT. CO2 LASER
08/2013
PÓS IMEDIATO
13 08 13

14 MONTHS AFTER BLEPHARO
AND ERBIUM-YAG LASERBEFORE
2005

14 MONTHS AFTER BLEPHARO
AND ERBIUM-YAG LASER
BEFORE
2005

BEFORE
26 11 14
11/2014 TRANCONJUNCTIVAL LOWER LID
BLEPHAROPLASTY
M.S.V., FEM., 80 Y.O
AFTER 8 MONTHS
01 07 15

BEFORE
26 11 14
11/2014
TRANCONJUNCTIVAL
LOWER LID
BLEPHAROPLASTY
M.S.V., FEM., 80 Y.O
AFTER 8 MONTHS
01 07 15

NEW IDEAS IN
ROMULO MENE, MD
•TOPICAL NUTRITION PROGRAM AND
ORAL NUTRITION PROGRAM
• LASER THERAPY

BEFORE
16 08 13
LASER FRAC. CO2
(NECK)
08/2013 G.Y., FEM.,
AFTER 10 DAYS
26 08 13

BEFORE
16 08 13
POST IMMEDIATE
16 08 13
LASER FRAC.
CO2
08/2013
G.Y., FEM.,

BEFORE
16 08 13
AFTER 7 DAYS
23 08 13
LASER FRAC.
CO2
08/2013
G.Y., FEM.,

BEFORE
16 08 13
AFTER 7 DAYS
23 08 13
08/2013
G.Y., FEM.,

FUTURE IN LASER &
CHEMICAL PEELS
ASSOCIATE WITH:
• NUTRITION PROGRAM.
• FAT STEM CELLS( ADSC).
• PRP OR PRPGF.
ROMULO MENE, MD

NEW IDEAS
• PRP / PRPGS WITH
LASER SKIN RESURFACING
ROMULO MENE, MD
• TOPICAL NUTRITION PROGRAM AND
ORAL NUTRITION PROGRAM
• DERMAROLLER

BEFORE
30 06 09
3º LASER
AFTER 24 HR
27 04 10
4º LASER
AFTER 05 DAYS
16 06 10
4º LASER
AFTER 10 DAYS
21 06 10
5º LASER
AFTER 05 DAYS
23 08 10
FRACT. CO2 LASER
RESURFACING

POST IMMED.
2º PRP
28 04 11
04/2011
V.G.S.P., MALE., 25 Y.O
PRP
AFTER 60 DAYS (1º PRP)
28 04 11
BEFORE
30 06 09

BEFORE
12 04 11
PRP C.M., FEM., 79 Y.O
AFTER 7 MONTHS
24 11 11

BEFORE
12 04 11
PRP
AFTER 3 MONTHS
2 PRP
21 07 11

PRP
BEFORE
12 04 11
AFTER 3 MONTHS
2 PRP
21 07 11

POST IMMEDIATE
25 03 14
AFTER 48 HR
27 03 14

AVERAGE CHEMICAL
PEELING
TCA CHELATED
30%
ROMULO MENE, MD

1 2 3
4 5 6
7 8 9
TCA CHELATED 30%
RESVERA-VITIS

TCA
CHELATED
LOTION
30%
Romulo Mene, MD - Rio de Janeiro - Brazil
FROST POST PEEL 5th DAY

BEFORE AFTER 4 DAYS AFTER 9 DAYS
Rômulo Mêne, MD Rio de Janeiro, Brasil
TCA CHELATED 30%

BEFORE
AFTER 4 DAYS AFTER 9 DAYS
RômuloMêne,MDRiodeJaneiro,Brasil

BEFORE
09 08 12
TCA CHELATED 30%
AFTER 46 DAYS
24 09 12
08/2012
M.M.R., FEM.,

ADVANCED CENTER FOR
SKIN THERAPY
Rua Redentor 143, Ipanema
Rio de Janeiro - RJ
CEP: 22421-030 - Brazil
TEL: (21) 2521 8570 / FAX: (21) 2287 1134
clinica.rj51@gmail.com
www.romulomene.med.br

Mene 2016

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