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Monday, Tuesday & Wednesday
Aesthetic medicine is a medicine that started in the United States in the 90s and then very quickly spread to Europe, in particular to France. This discipline exploded completely with the arrival of anti-wrinkle treatments (collagen, hyaluronic acid, etc.) and especially with botulinum toxin (Botox). The goal of aesthetic medicine is to slow down or correct the signs of aging, such as wrinkles, sagging and hollowing out of the face by gestures that are not surgical. The 2 methods that fall under this medicine and that do not need to be done in an operating room are:
These treatments can take place before surgery or as a supplement depending on the cas. What is important is that all the products used for these acts are for medical devices, that is to say that only doctors are authorized to use them. As a result, any doctor, whether general practitioner or specialist, can consider themself fit to perform these procedures as long as they have taken the oath of Hippocrate.
In France, aesthetic medicine is not recognized as a specialty, it is often the laboratories that organize training for doctors in the use of their products, which is why there are general practitioners, gynecologists, ENT specialists etc. and of course plastic surgeons and dermatologists who practice it routinely.
However, in view of the demand and the development of this medicine, two large aesthetic medicine associations, AFME (The French Association of Aesthetic Medicine) and SFME (French Society of Aesthetic Medicine) were formed. Their goal, in addition to the regrouping and training of doctors, is to help aesthetic medicine to become, like cosmetic surgery, a specialty in its own right and recognized. Apart from providing training for their members, these associations organize conferences, symposiums, and have a website and a journal (Journal of Aesthetic Medicine and Dermatological Surgery).
In short, Aesthetic medicine treatment methods and techniques:
There is not really a specific age to start using cosmetic medicine. What we can say is that the first indication is most certainly the appearance of the first signs of aging, which in general is around 30/35 years. Obviously, this is an average age here because it all depends on the family background and the person’s lifestyle. For example, in some families the nasolabial folds are marked very early, a person who smokes and / or who exposes themselves to the sun too often tend to develop wrinkles faster than others. But the demand can also be a psychological criteria and for that, age is cannot be taken into account. For example, a young person may well feel bad because they find that their forehead wrinkles are too noticeable for their age and wish to be injected with botulinum toxin. It is therefore the patient who makes the request and it is the doctor if who judges if that person is too young (less than 25 years old) and should come back at a later date.
Even if it is true that there are simple treatments such as mild fruit acid peels, the doctor must always identify their patient’s request in order to be able to advise them correctly. When the request comes from a person over 60, here again the doctor must be clear because aesthetic medicine cannot work miracles and it is not fillers that will, for example, tighten saggy tissues. If they deem it useful, the doctor should advise surgery rather than agree to perform regular but ineffective aesthetic interventions.
Aesthetic medicine mainly concerns the face, from fine lines to furrows, including wrinkles and sagging skin.
Fine lines are the small breaks in the skin that are mainly caused by facial expressions, but disappear when the face is at rest, the typical example is the crow’s feet that appear around the eyes when a person smiles. Then there are wrinkles that are more marked and can be seen even when the face is at rest. The groove it is a well marked line that is very deep and most often caused by the aggravation of a wrinkle but also to the sagging of the tissues, this is the case for example for the nasolabial folds that are on either side of the nose, which are all the more marked and deep due to the fact that the cheek is sagging.
Fine lines cannot be filled in, but they can be reduced with botulinum toxin, which will relax the muscles, unlike wrinkles and furrows which are the primary indication.
But aesthetic medicine can also be concerned with other parts of the body, such as the hands, on which spots can appear or which can become wrinkly due to dryness of the skin.
As stated above, aesthetic medicine is not a medical specialty recognized by the medical order board. It can therefore be performed by any doctor without being certain of their training. In general, it is skin specialists who practice it most commonly: dermatologists, plastic surgeons, but many general practitioners give up the practice of general medicine to start practicing aesthetic medicine exclusively.
Due to the non-“specialization” of those who are authorized to practice aesthetic medicine, it still seems more prudent to address yourself to the people who know the skin best, that is to say to dermatologists and plastic surgeons (cosmetic and repair surgeons). It is obvious that a gynecologist is less familiar with skin-related problems than their dermatologist colleague, of whom this is the real specialty.
As for mouth-to-ear, this method is good but has its limits because unlike cosmetic surgery where the results are visible over a fairly short period of time, in aesthetic medicine complications can start to appear several months or even several years. later.
Before entrusting your face to any doctor, you should therefore make sure that they are competent with the products they are using. If this information is not always easy to obtain, certain leads can still help guide your choice: The doctor must be able to explain to you the nature of the product they are using very clearly, as well as tell you about the risks and advantages, etc. and they must explain to you why they think this product is suitable for you.
When faced with a doctor who would refuse or simply who would be unable to give you clear explanations, the best thing to do is to ask for other opinions! The laboratories regularly present new products, more durable, less expensive … etc and offer doctors to test them for free. They will therefore have to tell you how long this product has existed and since when they have been using it.
No, there is never coverage for any act of aesthetic medicine, unlike cosmetic surgery where certain acts, such as breast surgery, can be covered if the request is justified (lack of breasts, breasts too large, hypertrophy). When the surgeon judges that the operation is necessary because it causes physical and psychological problems in the woman, they then submit a request for prior authorization to their patient, which she sends to the social security. However, this coverage requires very strict control by the social security and they judge that the request is not justified, they then summon the person to give their approval or refusal. If, following a request for prior agreement, the social security fund does not respond, it is considered that the coverage has been accepted. However, the entire operation is not covered and the patient must pay the surgeon’s and the anesthesiologist’s excess fees. Finally, it should be noted that in view of the exaggeration and the growing number of requests in recent years, few people can benefit today from this care and that a certain number of surgeons are subject to control by the social security.
Yes, absolutely and, moreover, it is an obligation of the practitioner to inform you of the type of product they intend to use. This obligation aims to avoid two types of problems: allergies, for example, collagen which was widely used at one time still requires a small “test” injection in the forearm or behind the ear to inform the doctor about the reaction of the organism, and to avoid the use of incompatible products that could give rise to later complications.
However, in practice we find that very often people do not know what they are being injected with or what they have already been injected with because they did not have a document and the explanations given were insufficient or unclear. This ignorance is far from being devoid of consequences when we know, for example, that a person who has received a non-absorbable product in the skin and who then receives an absorbable product can activate a reaction in the body, which generally is local.
For the sake of prudence and safety, it is therefore recommended to use different types of products and it is very important, if you are a follower of aesthetic medicine, that you always write down the names of the products and the dates they were injected into you. This information will be useful for the doctor to know if they can perform a certain act on your face, it will also inform them of the possible complications that may arise.
The complications resulting from an act of aesthetic medicine are essentially local, that is to say that it is not a question of a general disease that would affect the whole organism, but more of a reaction that can occur at the treatment area. Moreover, these complications depend on the type of product used. We must distinguish two types of complications, early and late. The distinction is made in relation to the onset of the complication. Among the early complications we can mention
When granulomas appear, the doctor tries to work with anti-inflammatory drugs, especially corticosteroids, as this is initially a local inflammatory problem. Usually the doctor suggests that you start with the application of topical corticosteroids, but unfortunately these creams are often ineffective, so it is necessary to offer the injectable solution. The corticosteroids used are so-called “delayed” corticosteroids so that they work slowly and try to slow down the reaction process. The major downside to these types of drugs is that sometimes they are too effective! As a result, they melt the cyst but also the fat that is around these cysts. They can also atrophy to the skin. This type of treatment should therefore only be offered for cases of large and rebellious granulomas because the risk of ending up with “hollow areas” is real.
Finally, if this treatment is impossible to perform because the person is too reactive, the last possible solution is to resort to surgery, but again this is not really ideal because the person then ends up with scars on their face!
Botox®, Dysport®, Vistabel®, Azzalure®, behind these trade names hides an extraordinary drug: botulinum toxin.
It is a neuromuscular paralytic agent, a protein toxin made by the bacterium Clostridium botulinum which causes muscle contraction to decrease. In cosmetic surgery, using very low doses, injected directly into specific muscles, the action of the muscle is weakened and the wrinkle secondary to the hyperaction of this muscle disappears.
The botulinum toxin injection (1ng) blurs the marks of aging for three to six months. A few drops in the muscles that close the eyelids “erase” the folds at the corners of the eyes (crow’s feet), by pricking the frontal muscle we erase the frown lines between the eyebrows as well, the muscle that connects the eyebrows and the upper part of the nose.
When the vocal cords contract too much, spreading poorly when speaking, it is difficult to be heard. This disease called Laryngeal Dystonia is treated with Botox. An injection into the vocal cord of 0.1 to 0.2 ng of botulinum toxin makes it less tonic and this injection without anesthesia makes it possible to regain the voice for 6 months.
Following a neurological injury that has resulted in paralysis of a limb, some people find themselves with several fingers folded into the hand or with an ankle that goes inward. Their continuous contractions can be painful, distort a joint and limit movement. To allow these muscles to relax, botulinum toxin is injected, the amounts of which can vary from 2.5 to 13.5 ng.
In the following three pathologies, strabismus, thyroid myopathy (the eye undergoes a vertical deviation) or nystagmus (jerky involuntary eye movements), one of the muscles controlling the movements of the eye contracts too much, “pulling” on the eye orbit and thus deviates the direction of the gaze. Botulinum toxin can stop the overactivity of this muscle, and the line of vision is corrected for several months.
For the 1% of adults who sweat pathologically under the armpits due to overactive sweat glands, botulinum toxin is a solution. The injection of the toxin blocks the secretion of sweat from the glands. With about 2ng, hyperhidrosis is treated in more than 90% of patients for almost seven months.
In these three pathologies Blepharospasm (eyelids which involuntarily close), bruxism (jaws which tighten too much) and facial hemiplegia, botulinum toxin effectively reduces symptoms by paralyzing hypertonic muscles.
Having a stiff neck is not like having a sore neck after sleeping in the wrong position. Spamodic torticollis is a severe neurological disorder in which several muscles in the neck contract continuously. Botulinum toxin, administered to the five muscles of the neck and back of the neck, keeps the head upright for more than three months.
1 nanogram (ng) = 1 billionth of a gram
It is widely used in aesthetic medicine for the treatment of wrinkles thanks to its paralyzing action on the facial muscles. Its use during pregnancy remains controversial. However, due to the increase in the number of injections and the increasing average age of pregnancy, the number of women exposed is increasing. The objective of this study is to assess, through a review of literature, the potential risks of botulinum toxin injections in pregnant women, all therapeutic indications combined.
Since 2004, 35 pregnancies in 27 women injected with botulinum toxin have been published. Most of the injections were given during the first trimester when the pregnancy was unknown. No complications directly related to botulinum toxin injections have been identified. Botulinum toxin injections would therefore not pose a risk to the pregnancy. However, the potential benefit-risk ratio should be assessed on a case-by-case basis and caution should be exercised, especially when injections are performed for cosmetic purposes.
This is the name of the 1st botulinum toxin authorized in France for the treatment of wrinkles. Initially vistabel (botox) was the only toxin with an MA for this indication but since then two other toxins have been on the French market: Azzalure and Bocouture .
Not all doctors are authorized to perform these cosmetic injections.
Only doctors authorized in France:
Botulinum toxin causes a decrease in muscle contraction through a partial chemical blockage of the muscle, resulting in a decrease in partial and localized muscle contraction. When injected into a muscle, it prevents the muscle from contracting. The effect usually appears between 3 and 10 days after the injection.
Expression lines or wrinkles caused by muscles. Indeed, the action of the muscles can cause or exacerbate skin breaks or wrinkles on the face.
Botulinum toxin has been used for over 20 years in millions of patients (4 million injections / year in the USA). It is a proven product. However, like any medical treatment, there can be side effects.
The most common side effects are:
Botulinum toxin is contraindicated in patients with:
Do not take aspirin or anti-inflammatory drugs for at least 1 week before and after treatment.
Avoid any pressure, such as lying on the treated area or massaging the treated area for 12 hours after treatment.
The current treatment only takes a few minutes. Effects start to appear within 3 to 8 days and are optimal on the 15th day after injection. Gradually, after 4 to 6 months, the effects diminish and the muscular action reappears.
After a few injections, the muscle contraction gradually decreases and the necessary adjustments become less important and more spaced. Thus, the first year, the frequency of injections is every 4-6 months and gradually decreases with use, sometimes reaching 12 months.
However, when the wrinkles become permanent, the botulinum toxin must be combined with other treatments since by this time the collagen is already destroyed.
Excessive sweating can be secondary to certain medical conditions like diabetes, thyroid dysfunction, menopause, anxiety disorder, nervous trauma, etc. The vast majority of cases of excessive sweating are of idiopathic origin, that is, without a known specific cause. However, it is believed to have a possible hereditary origin.
About 3% of the general population have it and 30% have a family history.
In addition, excessive sweating has direct consequences on people’s lives. Serious studies with 320 patients show that:
Botulinum toxin is a protein produced in the laboratory by a bacterium (Botulinum type A). Highly specialized extraction and purification methods isolate the toxin, which works by blocking the triggering of the messenger responsible for sweating. So when the body sends a nerve signal to the sweat glands to start to sweat, the botulinum toxin stops that signal, which prevents over-sweating.
Thanks to its pneumatic system, the U225 pistol, which functions like a submachine gun, injects at a rate of 500 shots per minute a cocktail of vitamins and uncrosslinked hyaluronic acid (NCTF-HA from Filorga) into the face, décolleté and / or hands. This technique awakens the production of fibroblasts, activates cells that release inflammatory cytokines, growth factors (TGF betal) and platelet factors.
When a cell is hit by a wave of light, depending on the wavelength of the light ray, it will “resonate” and the agitation caused by the absorption of light energy will cause chemical and physical changes that will stimulate the activity of the cell. Skin cells have receptors and the principle of capturing light is similar to photosynthesis in plants.
Stimulation of cells by LED light triggers metabolic reprogramming which will accelerate or calm various processes.
In addition to their direct healing benefits, LEDs also have psychological benefits directly related to regular exposure to red and infrared light sources.
The specific formula of the treatment directly injected into the superficial dermis of the scalp improves the quality of hair from root to tip. The pores are thus opened and allow better reception of specific LEDs against hair loss or brittle hair.
Hair loss is considerably slowed down, the hair is restructured and strengthened, the scalp is rehydrated.
In acne, the infection / inflammation combination plays a key role which can be combated by the biological properties of light. LEDs are mostly low energy cold light sources.
Stretch marks appear as linear streaks. They are often multiple and symmetrical. They currently affect around 50% of the population. The first appearances can take place during puberty (25% of affected girls, 10% for boys) but mainly during pregnancy (60 to 70% of women, mid 6th / 7th month).
Skin rejuvenation by LED is the interaction of light, delivered by light-emitting diodes (LEDs or LEDs), with cell receptors, thus creating a production or multiplication of collagen. One of the original applications of LED is Photo-Dynamic Therapy (PDT), using photoactive topicals for the treatment of acne keratosis or precancerous lesions.
Other light-based skin treatments, including laser and pulsed light, rely on thermal effects caused by collagen, water or blood vessels to make changes in the appearance of the skin. LED skin rejuvenation is not based on thermal energy and its tissue alterations to effect changes. Therefore, patients are not prone to such damage and scarring.
Stretch marks on black skin are larger and the affected areas less usual (shoulders, inner arms).
In populations with black skin, the melanomas produced are larger as their melanin content is more dense. On the contrary, in white populations, melanomas, whose characters contrast with those of the preceding ones, are associated in vesicles limited by a membrane.
Thus, each melanocyte contains 5 times more melanomas in an Asian subject than in a white individual and 8 to 10 times more in a black subject than in a white. Sun exposure leads to stimulation of melanogenesis and an increase in the number of melanocytes. It is therefore necessary to expose yourself to the sun’s rays, reasonably, for all skin types but especially for colored skin.
In phototherapy, for light to exert a biological effect, it must first of all be absorbed by a molecule. When it is irradiated under good conditions, it acquires excess energy, it is said to be “excited” which allows it to trigger a series of biochemical reactions.
Thus, the waves emitted by LEDs can stimulate all the mechanisms of cell regeneration.
The light emitted by the LED is a cold, monochromatic light. LEDs emit enough energy to stimulate a cellular response in the body for healing. Light is a wave made up of multiple wavelengths characterized by a specific color. Visible waves are called “colors”, others are invisible, such as UV and infrared. Each of them produces specific electromagnetic vibrations.
LEDs offer a completely natural, non-invasive method of skin rejuvenation.
LED light interacts with cells and generates new production of collagen and elastin. Studies confirm that this same LED energy can be used to inhibit collagen formation, which can be useful in the treatment of scars. Depending on the wavelengths, cells can be open or closed. Red LED lights are used for photo-rejuvenation. The blue LED lights are used for the treatment of acne.
This varies depending on individual skin, but most people see and feel a difference after about four sessions. Depending on the skin, some will see results almost immediately after the first session, and others will need more sessions. As the treatments are progressive, we recommend a treatment duration of at least 10 weeks, for optimum results.
Visible results after treatment of 10 sessions and associated with a dermabrasion session.
LED treatments are proven to be effective on all skin types. The success rate is over 90% among people using our system.
No studies have shown any harmful effect on the eyes when the system is used correctly. However, we recommend that you do not attach the LEDs directly, and we provide eye protection for your convenience.
Yes. Skin rejuvenation by LED can be provided alone, or in synergy with other treatments. It is strongly complementary with other skin treatments as well as with non-invasive laser or IPL treatments.
All over the world, doctors, dermatologists and cosmetic surgeons are using LED skin rejuvenation as their favorite treatment for fine lines, hyper-pigmented lesions (brown spots and freckles) and other age-related skin damage.
Yes. Skin rejuvenation by LED can be provided alone, or in synergy with skin care products. Many doctors use LED treatments in addition to skin care products to enhance their effects.
The association of a session of Dermabrasion or Peeling promotes and accelerates the process of reducing stretch marks.
No. The treatment is very relaxing. The transmission of LED energy to the skin is completely painless. The energy delivered by LEDs is gentle enough to treat all skin types.
Most patients return to their activities immediately. Patients greatly appreciate that SLE skin rejuvenation is a rapid treatment. They do not miss any of their activities.
Using a medical practice called conscious sedation. It uses a drug prescribed and used by dentists, pediatric emergency departments, dermatologists. This medicine is inhaled through a mask. This medication can be prescribed for children (over one month) to the elderly. Conscious sedation promotes your physical and mental comfort by making you relaxed and relaxed without falling asleep.
Tel: +33 (0) 1 47 20 40 07
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Centre CLEAGE : Anti-Aging Clinic
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