Face and neck

The techniques of cosmetic surgery and medicine are part of a process aimed towards achieving a result. They are an integral part of a decision-making process, which includes the consultation, the patient’s choices, the treatment and finally the  satisfactory outcome. The media frequently tells us about the latest things in cosmetic medicine and surgery, but are they universal?  Do they apply to everyone? It is the doctor’s role to verify this.

Chirurgie esthétique

The consultation

It is a precise and personalized study of the aging of the face and neck.
It evaluates the aesthetic characteristics of the face: its dynamics and its emotional dimension.
What aging  mechanisms are at play ? How can they be analyzed ? What solutions are available to us ? Answers to these and others questions will be found on in the following pages.
At the end of the consultation, the treatment plan proposed will be devised from the various elements established by the cosmetic surgeon :

  • Aging mechanisms (study of older photographs)
  • Digital technology (photos, IOMA sphere® (fig 1), simulation)
  • Photos of similar cases as yours, from patients having undergone comparable treatments (fig 2)*
  • Orchestration of the techniques.

Diagnostic analysis of the skin

It is clinical and technological. The technology used is the IOMA sphere®, which gives instant imagery of the skin. 5 snapshots reveal cutaneous most often invisible to the naked eye:

  • Analysis of volumes (normal lighting)
  • Analysis of wrinkles and lines (polarized light)
  • Analysis of redness (cross-polarized light)
  • Analysis of colored spots (UV light)
  • Analysis of bacterial activity (blue light)

Treatments according to your needs

Aging of the face and neck

Aging is hard to accept: because of it, we lose our beauty, youth, agility and health even though we might think of ourselves as still being young.
We only have to look in the mirror or at a photograph to be confronted with reality and, as a result, we suffer loss of self-esteem and self-image. It is with regard to these loss, that cosmetic surgery and medicine identifies one of its missions—reconstruction of identity.* (book)

* « Philosophie de la Surgery esthétique. Une Surgery nommée DESIRS »

Book available at Odile Jacob.

How do we age?

A medical classification * médicale identifies three models of aging :

SINKING : The face sinks in and becomes skeletal.

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SAGGING : Ptosis, falling cheekbones, oval of the face, and neck.

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THICKENING : Lack of balance in facial features; excess weight.

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Inflammation is one of the characteristics of aging of the skin. It is accompanied by a number of symptoms:

  • Oxydation
  • Dehydration
  • Thinning
  • Seborrheic imbalance
  • Slackening
  • Change in coloration, texture and grain. The skin takes on a reddish color through neovascularization (couperosis); it appears is brownish , when there are colored spots ; and it looks grayish through loss of thickness.
  • Around 30 years ; Dermis : beginning of loss of collagen and elasticity. Appearance of nasolabial folds.
  • Around 40 years : Expression lines (the dynamics of the face) deepen.
    Cellular renewal is slower and folds become lines or permanent wrinkles.
    Skin color changes.
  • Around 50 years : Appearance of brown spots , couperosis, dilated pores, lines and wrinkles.
    Relaxation (slackening) of the skin with loss of elasticity.
    The lips become more pursed and laughter lines (also called bitterness lines) appear.
  • Around 60 years : The skin is thinner and sagging.
    Brown spots and couperosis are becoming increasingly apparent.
    Wrinkles are deeper.

Aggravating factors

  • Sun
  • Tobacco
  • Exposure to weather
  • Lack of cosmetic care
  • Poor diet
  • Stress
  • Sleeplessness.

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Slackening of the face and neck

Excess skin and loss of elasticity are the main causes of slackening of the skin.The sunken appearance of the face becomes worse.

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Result of Cervico-facial lif


As time passes, lips have a natural tendency to become thinner and to lose volume. This makes them appear thinner as they lose their former shape. Once wrinkles begin to form around the mouth, we have what is called the bar code effect.

The concept is to redefine the Cupid’s bow, treat the outline of the lips, increase their volume, hydrate them, balance them, correct any asymmetry and reshape the area of the philtrum.

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Result of Hyaluronic acid

 The eyebrows

The eyebrows are part of the aesthetic whole, contributing to the balance and dynamism of the face.

Signs of aging  of the eyebrows

  • Hair loss
  • Ptosis
  • Sunken eyes

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Result of botox

 Facial oval and jowls

Jowls are formed by relaxation of the fat-containing skin of the facial oval, and is most visible when standing (less so when lying).

It is seen with aging or when overweight.

Recommended therapy depends on the desired outcome.

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Résultat du lifting

 Heavy Eyelids

There are many ways of describing the aging of the eyelids: heavy eyelids, tired look, bags, excess skin, drooping eyelids, sunken look and dark circles, among others.

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Result of Eyelid Surgery

 Bags (under the eyes)

These are defined as circular depressions of the lower eyelid.

They result in the first signs of the ‘tired look’.

The signs of bags

  • Ochre-colored – dark circles (hyperpigmentation). Most often seen on highly colored skin. Aggravated by exposure to the sun.
  • A blueish bag is caused by contraction of the veins. Aggravated by fatigue.
  • Thin skin
  • Sinking (deep bags).

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Result of Hyaluronic acid injection

 Aging of the nose

Aging of the nose, which is linked to aging of the skin, cartilage and bones.

The signs

  • Appearance of a bump on the bridge of the nose
  • Downwards pointing tip
  • Flattening of the bridge
  • Bifid nose (double tip)

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Result of Rhinoplasty

 Colored Spots

Colored spots are the result of an imbalance if in the production of melanin. Exposure to the sun aggravates them. Dark complexions are subject to them. They appear mainly on exposed areas—face, front of the neck and upper side of hands.

How can we protect the skin and treat the marks?

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Couperosis describes the neovascularization of the small vessels of the face. Couperosis is sensitive to any irritating factor, including heat, cold, weather, tobacco and inflammation.

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Acne is an inflammation of the sebaceous glands

The blackheads that form become the seat of a proliferation of bacteria, which then turn into infected spots. Acne is usually present in areas with a high density of sebaceous glands.

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