The silhouette

In all civilizations, art has always represented female bodies as beautiful and sensual. With time, their representation has become more realistic and more connected to beauty.

Chirurgie esthétique

How do we visualize the body today ?

The silhouette is an object of desire and of sensuality.

Excessive media coverage of the body, its slimness, idealization of curves and standardization of measurements, create tension for people who do not match that ‘ideal’ geometry, and can lead to problems related to the image one has of one’s body.
The body image can be defined as an intimate perception of one’s own body. This subjective assessment is compared and contrasted with the real – i.e. objective – silhouette. The role of cosmetic surgery is to reconcile the perceived body with the real one.

The first subject for discussion in the consultation is weight. Healthy weight, ideal weight, and variations in weight are the basic elements with which the doctor has to work. The fact remains that slimming is certainly one of the best techniques in the medical arsenal. The skeletal and muscular structures are also evaluated.

How can we acquire a more harmonious, or balanced, silhouette ?

There are no ideal solutions: just ones that are adapted to what the body is telling us, what its analysis reveals, what medical techniques may be used, what are the patient’s expectations and what will be the potential, realistic, results.

Is the anatomy of skin and fat identical in all the parts of the body? From the surface to the deep layers we find:

  • The outer skin, which differs, depending on where it is located on the body
  • Superficial fat
  • Which is separated from deep fat, by superficial fascia
  • Superficial fascia is a fibrous layer which sends fibrous spars, or threads, to the dermis, creating fatty particles which are at the origin of cellulite.

Unbalanced Silhouette

This is what affects the body shape.

All the layers are involved

  • The skin (slackening)
  • Superficial fat (cellulite)
  • Deep fat (areas of excess)
  • The muscles and their changes.

Treatment for each alteration

Cellulite type 1, II, III, IV

Excess weight

Ratio fat / lean

  • Change of diet
  • Sport activity

Fat Deposits or Localized Fat

Localized fat (spare tyre, saddle bags and the like) is a deposit of fat at a specific point  of the silhouette. It contributes to the imbalance of the overall silhouette.


At a healthy weight (a weight acceptable to the patient, and a BMI of less than 22), localized fat deposits no longer respond to diet or sport activity (even people practicing high-level sports occasionally have saddle-bags).



Cellulite or Orange Peel

Cellulite is an excess of fat located under the skin in the upper layer of the female structural fat mass (which is the reason why men generally do not have this problem).

Cellulite depends on hormonal factors, lifestyle, blood and lymphatic circulation, and genetics.

Types of Cellulite (four stages)

Stage 1 : fatty cellulite – the orange peel (dimpling) stage

  • There is an accumulation of fat without consequence to circulation.

Stage II: Edematous cellulite.

  • Circulatory problems appear as a worsening of the previous stage. Irregularities in the skin become apparent. There is no discomfort.

Stage III: Fibrous cellulite.

  • Appearance of deep nodules, pain, signs of inadequate veins.
    Stage IV: vascular cellulite, causing what is called heavy legs.

Stage 4 : Cellulite vasculaire

  • Vascular cellulite, causing what is called heavy legs.

How can cellulite be reduced ?

The aim is to gradually return to stage one.

Stretch marks

After 30 years of age, almost all women are affected.

Causes include :

variations in weight, pregnancy, menopause and certain medications.

A stretch mark is an irreversible fracture of the elastic fibers in the dermis. When they appear they are red, but turn whiter with time and leave a slight depression.

How can they be prevented ?

  • Keep control of weight
  • Engage in sport activity
  • Aoid long periods of exposure to the sun (anti-stretch creams have little effect).

How can they be treated ?

Slackening of The Skin

Loss of skin tone and firmness.


  • Improve blood circulation (cold water, sport activity, self-massage)
  • Diet high in vitamins A, E, B5 and C (antioxidants), high in proteins (to act on the supporting tissue)
  • Avoid exposure to the sun

Flat buttocks

Slimness per se does not attract admiring looks, but a shapely silhouette does. It is hard to hide unattractive shapes when standing in front of the mirror, or relaxing on a Mediterranean beach.

These shapes are expressions of fertility and femininity, as countless artists have confirmed since the dawn of time.

The buttock muscles shape the buttocks. On top, a thin layer of fat is needed to shape  the buttocks; then the skin adds a final touch by providing texture and firmness.

The roundness of the buttocks depends on the width of the pelvic area (hips), the narrower the hips, the more prominent the muscles (steatopygia). The buttocks then have to form a part of the overall harmony of the silhouette, which includes waistline, hips, lower back and thighs.

Which treatment suits which situation ?

Slackening of the stomach (loose tummy skin)

With time, it is inevitable that we end up with excess skin, and certain events in our lives aggravate that situation – putting on weight, pregnancy, menopause and sedentary lifestyles.

Besides dieting and sports practice, several techniques are available:

Flabby arms

With age, the skin crumples and slackens.

What solutions does medicine offer ?

Skin slackening on the inner side of the thigh

Here, the skin is finer than on the rest of the leg, and shows its weakness over time.

Our solutions


Hairless skin has become the norm, for both women and men.

Our solutions