In aesthetic medicine, there are two main directions: plastic surgery and cosmetology. Not so long ago only operative intervention was the only way for rejuvenation and changing the appearance. However, when modern hardware and injecting methods appeared cosmetology has reached a new level, and today gives an opportunity to improve the appearance without surgery. What do patients prefer today: plastic surgery or injection procedures? Read the blog of the world-famous plastic surgeon, member of ASAPS, ISAPS and Sofcpre Hervé Raspaldo.

Are non-surgical methods more popular now, than the plastic surgery

According to the statistics, the popularity of the plastic surgery has grown on 3-6 % but compared to the fillers or botulinum toxin, which popularity has grown on 22-23%, it is not too much. What I see – I do now more injections for patients, especially with my FaceSculpture® method (global approach),. I do also more injection of the temple, nose and chin. These methods need less time and they cause less pain.
But after a couple of years, people understand that they have to inject botulinum toxin every six months and fillers every year. Also, they realize that when they have the sagging of the eyelid, the brows, or the neck, they have to do surgery. I show my patients all problems on their face on the 3D image, and what can we do with it — and it increases the quantities of plastic surgery. And it’s amazing because a few years ago we were afraid that the plastic surgery may disappear. But finally, we know that more injections mean more patients – and more plastic surgery.
I see every month , some of my regular patients, or long term patients that come to ask for surgery: Endoscopic Face-Lift, non-traumatic Rhinoplasty, minimal invasive Blepharoplasty.

What do you think about the skin-boosters

I think it’s great , but not a one shoot treatment. It is the complementary treatment with botulinum toxin, fillers, and surgery. To work with good skin is better than work with rough, thin or very dry skin. Skin Boosters work, but all depends on the product. Some of them, you have to inject every week, some of them – every month or every 3 months. There are a lot of brands in the market so my choice of the booster depends on the patient skin. In the past, we thought that boosters are like the face cream but now we understand that is not. It is a really deep hydration of the skin.

Article published on ESTET PORTAL
(https://estet-portal.com/doctor/blog/plasticheskaya-hirurgiya-ili-inekcii-kakie-metody-segodnya-bolee-populyarny)

Here we see the third part of the course of a rhinoplasty: the result.

We proceed in this video to the removal of the splint after cosmetic surgical rhinoplasty, which took place 6 days earlier. The tip is refined and more elegant. The hump of the nose is gone and the profile is perfectly aligned, while maintaining a very natural result. There is very little edema or bruising. This allows a recovery of activities and a very fast social life.

Here we see the second part of the course of a rhinoplasty: the surgery.

We will correct the bump of our patient’s nose, soften the tip and improve her profile alignment.
Cryotherapy, performed before and after the procedure, prevents swelling.

Here we see the first part of the course of a rhinoplasty: the consultation.
The purpose of the consultation is to understand the patient’s motivations and to explain the course of the intervention.
We also perform a 3D simulation (morphing) that opens the discussion and allows to better understand the patient’s demand and expectations and the realistic possibilities of the result.

The new book “Life in plastic” about cosmetic surgery, written by a friend of mine, worldwide opinion leader, Dr Woofles Wu (Singapore), has become a best-seller in a few days! I wish to congratulate him for his work.

As mentioned in the magazine “Straits Times Press”, he describes his childhood in London and his job of Doctor at Singapore and he brings you in his fascinating world!

Ask for Chic-lift to improve your look this summer !

The eyes rejuvenation is by far the most performed procedure, even in summer. So why is it so popular?

The reason is that our gaze is the reflection of our inner self. Sadly, time often causes alterations that gives us a tired look, which no longer reflects our inner youth, and our unaltered appetite for life.

Luckily, new techniques and injectables have led to a holistic approach in the treatment of signs of aging.

I wanted to offer my patients the best possible approach, so a few years ago I decided to create the “Chic-Lift” protocol.

This helps me provide a detailed and practical guide to restoring the volume of the mid-face and rejuvenating the eyes area, using the solid recommendations of an expert consensus.

The combined treatments, for example the botulinum toxin injections, the Hyaluronic Acid and the volumizing products provide undeniably an optimal embellishment and rejuvenation of this area, by creating a C-shaped harmonious area around the eyes.

The protocol includes the eyebrow, forehead, temple, eye rings and cheekbones treatment, in order to soften the transition areas around the eyes.
The first consultation will use 3D imaging and morphing, allowing you to visualize your face, and explain the desired improvements, which helps us offer you the appropriate treatment according to your needs and explore all the possibilities of the most innovative treatments.

Twenty years ago, women came into the office seeking for rejuvenating treatments. Today, their concern is how to look more rested. As early as their thirties, almost a third of female patients complain about their dull skin and tired-looking face. They are disappointed to see that this look doesn’t improve even after a good night’s sleep.

The problem is that they often live a hectic life, and when the body has drawn too much energy, it causes several visible symptoms: dull complexion, deep dark circles, sagging skin around the eyes, sagging tissues, contracted muscles – like the lion’ wrinkles on the forehead, the mouth folds – and all this makes a person look ten years older.

There’s a real change in the metabolism hiding behind these external signs of skin fatigue.

An exhausted body generates a large amount of ”waste” that prevents the skin from recovering. When the body is overworked or stressed, not only does the melatonin level (powerful antioxidant and universal cell repairer) drop, but the cortisol level (which is a collagen destroyer) goes up. And that’s not all. Glycation, which is responsible for the stiffening of the skin fibers, causing wrinkles,  accelerates. At the same time, the proteasome, the cell scavenger responsible for cleaning the damaged proteins, is overwhelmed.

Acting on the skin brightness alone is not enough, we have to treat all signs of fatigue and strengthen the cellular regeneration mechanisms that are at work at night.

This is the aim of the “regeneration” protocol that we discuss with our patients.

Cosmetic products help you get a nice skin, but using an additional LED treatment will really improve your skin’s quality.

Acne, oily skin, dry skin… these are all daily concerns to many women and men. Taking care of your skin is a must when it comes to building self confidence.

During a led-light therapy, several rows of light-emitting diodes will deliver a soft, “cold” light that penetrates the skin and produces a biochemical reaction called photo-modulation.

The blue light is used to treat acne and reduce the production of sebum, whereas the red light stimulates collagen and reduces skin inflammation.

How does it work?

Skin cells have receptors and they capture the light in a way that is a similar to plants photosynthesis. The led light direct stimulation will lead to a cell ”reprogramming” that will result in chemical and physical changes.

The skin cells become a little lazy over time. This treatment will stimulate them so they start synthesizing more collagen and elastin. The result is visible very soon after the treatment.

During the first consultation, the practitioner will discuss the procedure with you and he will suggest the best and most innovative treatment according to your needs.

Men also seek to have a seductive look and when it comes to rejuvenating the eyes area, the eyebrows shape plays an important role in how they look.

Two essential rules are to be followed:

– The inner edge of the eyebrows must be vertically aligned on the outer edge of your nose.

– The outer edge of the eyebrows, of the eyes and of the nose must be aligned.

Did you know that blepharoplasty can be combined with a fronto-temporal facelift to correct the drooping eyebrows?

When estimated necessary, the blepharoplasty, whether aesthetic or functional, concerns the eyelids and the surrounding area as well as the dark circles.

This surgery can often be combined with a facelift or lipomodelage as part of a rejuvenating treatment.

Men blepharoplasty protocol is pretty much the same as women blepharoplasty.

Since men often seek for a younger, more dynamic look, it is not uncommon nowadays that they choose to get a blepharoplasty.

During the first consultation, the practitioner will discuss the procedure with you and he will suggest the best and most innovative treatment according to your needs.

Before you consider a wrinkle treatment with fillers, you must choose your ”injector” wisely.

You need a practitioner who will help you achieve the best outcomes, the most natural-looking results, with maximum safety and comfort during injections.

Here is the first golden rule: never agree to get injected by someone who is not a highly qualified, board-certified doctor.

For facial injections, you need a qualified surgeon, preferably one who specializes in face treatments.

A facial injection is not to be taken lightly, because the face has several risk areas. In order to anticipate complications, your injector must have advanced knowledge in facial anatomy, and especially the nerves and blood vessels structure.

Regardless of the filler and the injecting technique, whether you target the forehead and upper face wrinkles, or the face and neck wrinkles, a qualified practitioner is the only one who can guarantee the proper use of the injectables.

During the first consultation, 3D photos will be taken. Your practitioner will discuss your specific needs with you and he will suggest the most innovative and efficient treatments according to your goals and needs.

Just imagine: local anesthesia is all it takes to place these small clips under the skin, at the doctor’s office, in a totally relaxed and friendly atmosphere, miles away from the stress of the operative room and the surgery clinic.

I can’t help but sharing this amazing discovery with you. Did you know that if you have protruding ears, you can treat this condition without going under the knife?

Earfold implants permanently correct the shape of the ears, especially the prominent ears, and it’s a quick and simple procedure. No need for bandages, nor postoperative bandages.

The practitioner will simply make a tiny incision and place the small clips under the skin, which will automatically move the ears closer to the head. The procedure takes only 20 minutes and is performed in the doctor’s office. Only local anesthesia is required, and you will have immediate and lasting result, with no recovery time.

The Earfold implants are shape memory implants, made of a particularly elastic material, which helps them maintain their shape for a long time.

They really have important advantages compared to an otoplasty.

During the first consultation, the practitioner will discuss the procedure with you and he will suggest the best and most innovative treatment according to your needs.

Besides, you will be able to try the clips on your ears, in order to simulate the results and see them on a screen.