Aesthetic Medicine vs Plastic Surgery
Dragonfly mouth, swollen cheekbones, grinning face of a hamster, toboggan nose ... on the red carpets, we invariably spot stars who have resorted to cosmetic surgery .
In Hollywood , because of collateral and irreversible damage, we no longer want to hear about it. Michelle Pfeiffer , for example, says she has seen too many failed operations to use it.
On the other hand, why deprive yourself of an injection or one of these new lasers which make it possible to erase a brown task, to soften a small bump on the nose, to rejuvenate a forehead, to attenuate the crow's feet who look sad when you keep your heart beating?
Simple gestures, light acts, well controlled, that light up a face, plump up a wrinkle and save ten years without transforming the personality . Small review of the "soft" techniques that make us more beautiful with natural.
Aesthetic medicine: my forehead is wrinkled
The solution Injections of botulinum toxin (Vistabel) that will paralyze for a few months the frontal muscle at the origin of the horizontal wrinkles, or the pyramidal muscle of the nose and the corregators at the origin of the wrinkles of the lion.
But always 1 cm from the eyebrows to avoid any spread of the product that would cause their sagging.
If you have the line of arched eyebrows, like Emmanuelle Béart , you will always keep some wrinkles, because in this case we can not correct them all. Take it or leave it.
For this reason, botulinum toxin is not recommended for large foreheads with low eyebrows, which is an endoscopic facelift .
Only an expert hand will avoid asymmetrical or pointed eyebrows (but the doctor will rebalance them after two weeks, with a second injection) and heavy eyelids (because of the lymphatic system which is slowed down, but the swelling gets soggy) a month).
After five months on average, it is necessary to start again with at least three months between the sessions . If you sting too often, you risk the "vaccine" effect (the body no longer reacts to the toxin).
Surprising detail : after several years of treatment, it happens that the forehead is no longer wrinkled in the same way because, by dint of regeneration, the nerve endings could migrate a few millimeters.
But that, only you see it! 350 € .
Aesthetic medicine: my paws are very marked
The solution Injections of botulinum toxin into the orbitular muscle . As a bonus, it opens the eye by slightly raising the tail of the eyebrow. If the wrinkles are very accentuated and do not disappear at rest, complete with an injection of hyaluronic acid .
But not during the same session!
Botulinum toxin does not act immediately on the muscles , you will have to wait two weeks.
350 € session of botulinum toxin or hyaluronic acid.
Aesthetic medicine: I have wrinkles under the eyes
The solution Especially not botulinum toxin. If the wrinkles are few but the skin is relaxed: fractional laser resurfacing.
The problem is solved in one to three sessions .
If your eyelids are very marked but your skin toned: ablative laser (type Derma K).
A session is sufficient, but it is followed by large redness requiring applications of Vaseline and no makeup for eight days.
200 € fractional laser session, from 450 to 600 € the session of Derma K.
Aesthetic medicine: my eyes are hollow
The solution It exists, provided you find the specialist experienced in this exercise (ask to see results), because here the skin is extremely fine.
The risk: a pocket instead of the ring !
A tear of hyaluronic acid is injected deeply, against the orbital rim bone, very gradually, in several sessions (about three, spaced a month apart). An important suborbital vein passing in this place, the bruise is frequent.
250 € the session.
Aesthetic medicine: I have a small bump on the nose
The solution Upstream and downstream of the bump, a deep injection of Radiesse , whose constitution, close to that of the bone, is perfect.
A slightly dense hyaluronic acid (Teosyal Ultimate, Juvéderm Voluma) also gives excellent results.
The nose is red during the day but without bruises. The result is stunning!
It can also be used to expand the edge, but avoid corrections of the tip, which might weigh it down.
300 € the hyaluronic acid injection, 600 € for the Radiesse.
Aesthetic medicine: my lips are too thin
The solution A deep injection of hyaluronic acid (Restylane Lipp type), through the inside of the lips.
Be careful to respect the initial shape of the mouth (always thinner up than down) to avoid the effect "grouper" .
The procedure is performed under anesthesia (the same as at the dentist). One leaves the cabinet with the crooked mouth, and the lips remain swollen during two or three days.
Excellent result eight to ten months after the first injection. But the more this region moves (the more we talk, smoke ...), the more quickly the product resorbs.
Never accept permanent implants in the lips . You risk granulomas (indurated balls under the skin) that are difficult to remove. From 500 to 700 € .
Aesthetic medicine: my upper lip is pleated
The solution An injection of hyaluronic acid in the hem of the lips to fade the wrinkles that bite on the vermilion, followed by a work, wrinkle by wrinkle, to smooth the upper lip.
The rosary of bruises is common.
On the other hand, if the wrinkles are very accentuated, only ablative laser gives good results, but with longer consequences.
From 500 to 700 € the hyaluronic acid injection, 550 € the ablative laser session.
Aesthetic medicine: I have a double chin
The solution A laser adipocytolysis performed under local anesthesia with one of these new devices: Smartlipo Cynosure or Lipocontrol Osyris .
The principle : via a laser fiber slipped under the skin, the tissue is heated to cause destruction of adipocytes, these fat cells that impasto.
Advantage : the skin retracts very well. Most of the time, one session is enough.
A compressive dressing is applied under the chin for four days.
Edema persists for ten to fifteen days.
From 800 to 1 250 € .
Aesthetic medicine: the corners of my mouth fall
The solution Some doctors recommend an injection of botulinum toxin in the triangular muscle of the lips (which is shortened with age and pulls the commissures down).
But you have to have a safe hand to avoid the spread of toxin that causes asymmetry of the smile , or even difficulties to drink without "drooling".
We therefore prefer the injection of hyaluronic acid , which is much more reliable. We leave the office with slight bruises.
300 € .
Aesthetic medicine: I have the oval relaxed
The solution A deep injection of Radiesse is preferred over the entire contour of the oval, for its volumizing and tensor effect, because highly crosslinked hyaluronic acid, by capturing water, tends to weigh down the lower face.
We leave the office with slight bruises.
Another technique: the Tripollar .
On the other hand, on large faces with thick jowls, a facelift is more appropriate.
From 400 to 800 € .
Aesthetic medicine: I have a wrinkled neck
The solution An injection of botulinum toxin very concentrated, magic on the "chicken neck" (thin neck with exposed cords) - provided, here again to find a "good" doctor , because the involuntary release of the toxin can lead to complications.
On the horizontal wrinkles of the neck, the Mesolift is very effective: we inject into the dermis non-crosslinked hyaluronic acid (Hyaluderm Revitalize) with a thin needle, forming papules that will capture the water of the skin, then gradually fade in two days.
That day, plan a turtleneck.
300 € the injection of botulinum toxin, 100 € the Mesolift.
Aesthetic medicine: my cleavage is damaged
The solution Everything depends on the extent of the damage.
Often, the region of the neckline requires to combine several treatments.
If there are spots, the dermatologist uses, as appropriate, a Q-switched laser or intense pulsed light .
For wrinkles and relaxation: laser remodeling or fractional laser.
It is always good, to deeply rehydrate the skin, to follow these gestures with a Mesolift : one session with hyaluronic acid , the other with vitamins (know that we always make the injections after treatment with light, never the opposite).
From 180 to 400 € the treatment of the spots, from 100 to 400 € the session of remodeling, 150 € the Mesolift.
