GlOSSARY
Acne [Acne vulgaris], pimples
Acne is an inflammatory disease of the skin of varying severity and scope, affecting the pilosebaceous follicles (the glands that secrete sebum) at the root of hairs, and resulting in pimples. Regions most affected by acne are the face, neck, décolleté, shoulders and back. Typical forms of acne are seborrhea (oily skin), comedones (microcysts) and blackheads, papules (inflammatory bulges developping on a comedo) which are small and disappear on their own or evolve into pustules (pus lesions), and lastly nodules, the deep inflammatory lesions which eventually burst and leave a scar on the skin.
Alopecia
Alopecia arises from acceleration of hair loss. Among the different types can be distinguished: hereditary androgenic alopecia (the male pattern baldness), manifested by a decrease in the volume of hair or baldness, and affecting 70% of men; alopecia totalis may occur following a chemotherapy or a high stress; alopecia aerata may result from skin problems such as tumors, burns or radiation.
Blepharoplasty [eyelid surgery], eyelift
Blepharoplasty is the cosmetic surgical procedure to treat dermatochalasis (excess upper eyelid skin) resulting from the slackening of tissue. A horizontal fold of skin in the hollow upper eyelid may then impair peripheral vision. Lower eyelid blepharoplasty may also be performed to reduce skin wrinkling and improve eye circles. Practiced on both women and men, usually in their 40's, blepharoplasty may apply to both upper, both lower, or even four eyelids at a time.
Botulinum toxin or Vistabel™ [Botox™]
The trade name for botulinum toxin approved in France for aesthetics is Vistabel™.
Medication subject to marketing authorization, it can only be administered by a physician. It has many other indications in neurology, rheumatology, ophthalmology, pathological sweating conditions, and many other fields are constantly being explored. The areas most commonly treated are located on the upper face. As it is effective on almost any area of the face, its use requires the practitioner to have a deep knowledge of the muscular balance and a lot of dexterity.
The results are spectacular and natural. Its established versatility and its safety make it the undisputed “flagship” of cosmetic medicine.
It affects nerve transmission, without injury to the nerves or muscles.
It is usual to treat areas where expressions mark the most: at the forehead between the eyebrows (frown lines) or at the outside corner of the eye (“crow's feet”).
But it is increasingly common to treat many other sites: décolleté, neck, lower face, cheeks, the corners of the mouth, the nose tip...
Eyelids and eyebrows are an excellent indication. It is possible to use botulinum toxin to lift drooping upper eyelids, thereby giving a more radiant look to the eyes.
Botulinum toxin smooths wrinkles and gives a look rested, relaxed, while preserving the facial expressions.
The best is yet to come: more and more practitioners support the notion that aging is - among others - a phenomenon of muscular contraction. Used at low dosage and as early as 25 years, botulinum toxin provides a real preventive effect.
Treatment with botulinum toxin does not require pre-testing. There is no allergy, and the product is completely absorbable.
Most effects of the treatment are noticed after a short week (3-5 days), and are quite often spectacular though natural. They last between four and eight months.
The comparison with all other treatments, including surgery, simply highlights the unique role that botulinum toxin plays in medical aesthetics, thanks to its versatility, efficiency and reasonable price: it provides a temporary improvement in the appearance of moderate to severe glabellar lines.
Medication subject to marketing authorization, it can only be administered by a physician. It has many other indications in neurology, rheumatology, ophthalmology, pathological sweating conditions, and many other fields are constantly being explored. The areas most commonly treated are located on the upper face. As it is effective on almost any area of the face, its use requires the practitioner to have a deep knowledge of the muscular balance and a lot of dexterity.
The results are spectacular and natural. Its established versatility and its safety make it the undisputed “flagship” of cosmetic medicine.
It affects nerve transmission, without injury to the nerves or muscles.
It is usual to treat areas where expressions mark the most: at the forehead between the eyebrows (frown lines) or at the outside corner of the eye (“crow's feet”).
But it is increasingly common to treat many other sites: décolleté, neck, lower face, cheeks, the corners of the mouth, the nose tip...
Eyelids and eyebrows are an excellent indication. It is possible to use botulinum toxin to lift drooping upper eyelids, thereby giving a more radiant look to the eyes.
Botulinum toxin smooths wrinkles and gives a look rested, relaxed, while preserving the facial expressions.
The best is yet to come: more and more practitioners support the notion that aging is - among others - a phenomenon of muscular contraction. Used at low dosage and as early as 25 years, botulinum toxin provides a real preventive effect.
Treatment with botulinum toxin does not require pre-testing. There is no allergy, and the product is completely absorbable.
Most effects of the treatment are noticed after a short week (3-5 days), and are quite often spectacular though natural. They last between four and eight months.
The comparison with all other treatments, including surgery, simply highlights the unique role that botulinum toxin plays in medical aesthetics, thanks to its versatility, efficiency and reasonable price: it provides a temporary improvement in the appearance of moderate to severe glabellar lines.
Breast hypertrophy [macromastia]
Defined by an excessive volume of the breast ranging from 300 to 1,500 g, breast hypertrophy can cause disability both physical and psychological, with loss of self-confidence, social withdrawal or difficulties to get fitting clothing.
Cellulite [orange peel], body fat
Cellulite is an accumulation of fat under the skin often found on the hips, buttocks or thighs, but also on the arms. Many women suffer from it. The cellulite fat mass, also called “orange peel” has a characteristic dimpled aspect resulting from the enlargement of adipocytes (fat cells of the hypodermis) and water accumulation in the dermis and the hypodermis. Preventing blood flow to eliminate metabolic waste properly, it tends to grow.
Collagen
After having been the standard injectable filler, collagen had disappeared from the therapeutic arsenal in the aftermath of the Creutzfeld-Jacob disease. A new type of collagen, totally safe and absorbable, has been recently produced by genetic engineering.
Collagen has pretty much the same indications as hyaluronic acid, but seems to be preferred in following cases:
Lip augmentation: collagen is more malleable, thereby giving a more natural result and a suppler mouth. Also the very rare cases of lump in the lip occurring with hyaluronic acid, which is less easy to shape, do not exist with collagen.
Dark circles plumping: results obtained with collagen appear more convincing.
However the two products have nearly the same advantages in terms of duration, safety, ease of use, and patient satisfaction.
Collagen has pretty much the same indications as hyaluronic acid, but seems to be preferred in following cases:
Lip augmentation: collagen is more malleable, thereby giving a more natural result and a suppler mouth. Also the very rare cases of lump in the lip occurring with hyaluronic acid, which is less easy to shape, do not exist with collagen.
Dark circles plumping: results obtained with collagen appear more convincing.
However the two products have nearly the same advantages in terms of duration, safety, ease of use, and patient satisfaction.
Eye circles [eye rings], eye bags
Dark eye circles are colorful, carved or swollen blemishes which appear below the lower eyelids. A congestion of blood and lymphatic capillaries present around the eye, where skin is four times thinner than on the rest of the body, is the most common cause.
Filler injection - Hyaluronic acid
Hyaluronic acid (also called Hyaluronan) has become a leading dermal filler.
It is a substance (complex sugar) naturally found in connective tissue of the dermis and an essential component of its structure.
Due to its high biocompatibility and its common presence in skin tissues, there is no side effects. Over time the body produces less hyaluronan and it degrades, causing an alteration of the skin. Gradually, the volumes are lost and wrinkles appear.
By its nature, hyaluronic acid retains water which helps to hydrate your skin and add volume.
Available in various grades of density and viscosity, hyaluronic acid (Hydrafill® Softline), can treat all kinds of wrinkles and volume loss.
Hyaluronan helps to repair drawn features and to make a tired face appear more lively and fresher, and in some cases, to restructure select areas of the face.
Treated areas include the temporal fossae, glabellar lines (frown lines), cheekbones, rings, cheeks, contour and volume of the lips (lip definition and fullness), naso-labial folds (also called marionette lines), lower cheek areas, chin and deep jaw lines. It is therefore possible to plump up both fine wrinkles and deeper furrows, and also to restore all volumes. The results are stunning and immediate.
Products with uncrosslinked hyaluronic acid are used in the Mesolift procedure for their fluidity property. Other denser products act like fat transfer, though without the inconvenience of an operation.
Hyaluronan is fully absorbable. Two sessions are often necessary to obtain a satisfactory result which lasts 8 months on average.
It is a substance (complex sugar) naturally found in connective tissue of the dermis and an essential component of its structure.
Due to its high biocompatibility and its common presence in skin tissues, there is no side effects. Over time the body produces less hyaluronan and it degrades, causing an alteration of the skin. Gradually, the volumes are lost and wrinkles appear.
By its nature, hyaluronic acid retains water which helps to hydrate your skin and add volume.
Available in various grades of density and viscosity, hyaluronic acid (Hydrafill® Softline), can treat all kinds of wrinkles and volume loss.
Hyaluronan helps to repair drawn features and to make a tired face appear more lively and fresher, and in some cases, to restructure select areas of the face.
Treated areas include the temporal fossae, glabellar lines (frown lines), cheekbones, rings, cheeks, contour and volume of the lips (lip definition and fullness), naso-labial folds (also called marionette lines), lower cheek areas, chin and deep jaw lines. It is therefore possible to plump up both fine wrinkles and deeper furrows, and also to restore all volumes. The results are stunning and immediate.
Products with uncrosslinked hyaluronic acid are used in the Mesolift procedure for their fluidity property. Other denser products act like fat transfer, though without the inconvenience of an operation.
Hyaluronan is fully absorbable. Two sessions are often necessary to obtain a satisfactory result which lasts 8 months on average.
Genioplasty
Genioplasty is any chin plastic surgery aiming at restoring facial profile balance and harmony. If there is no aesthetic canon in this area, a vertical line drawn from the forehead's most prominent part can distinguish between a receding chin located behind this line (microgenia or retrogenism) and a protruding chin located forward of this line (macrogenia or progenism). It is recommanded to wait until complete ossification of the face (18 years of age +) before considering a procedure.
Hymenoplasty
Hymenorrhaphy, also called hymenoplasty, hymen repair or reconstruction surgery. Although it is impossible to fully restore a broken hymen, the goal of the surgery is to let bleeding occur during sexual intercourse.
New Fill
Polylactic acid is another product commonly used in cosmetic. It has similar characteristics to that of hydroxylapatite (biodegradability). However, the result is not immediately visible.
The “pot-belly”
The “pot-belly” is characterized by a localized, resistant to diet, fatty infiltration, which persists despite regular exercise, in a patient whose skin is of good quality and the muscular wall of good tonicity.
A liposuction alone is then indicated, which can be performed under local anesthesia, possibly with a sedative administered orally or in IV (neuroleptanalgesia).
The incision of less than one centimeter is made in an area where it won't cause a visible scar, either just above the pubic area or at the navel.
The procedure removes definitively the displeasing and stubborn fat excess.
The result however will be visible only after six to eight weeks. Indeed, as is the case after any liposuction, swelling and bruises appear and resolve themselves gradually.
This painless intervention, requires in its postoperative course that you wear a compression garment to control swelling and allow for proper tissue healing.
A liposuction alone is then indicated, which can be performed under local anesthesia, possibly with a sedative administered orally or in IV (neuroleptanalgesia).
The incision of less than one centimeter is made in an area where it won't cause a visible scar, either just above the pubic area or at the navel.
The procedure removes definitively the displeasing and stubborn fat excess.
The result however will be visible only after six to eight weeks. Indeed, as is the case after any liposuction, swelling and bruises appear and resolve themselves gradually.
This painless intervention, requires in its postoperative course that you wear a compression garment to control swelling and allow for proper tissue healing.

