Without scalpel, without going to the operating room or anesthesia, with little social eviction and rapid results… aesthetic medicine continues to attract more and more women.
However, “aesthetic techniques remain a medical gesture that must be performed with the same requirement of means and safety as any other medical act”, insists Dr. Nadine Pomarède, dermatologist. In other words, beware of unrealistic and enticing promises, high-sounding or meaningless titles, as well as insufficient information on the techniques offered, to say the least. Our pick of the most satisfying youthful strategies.
1. The wrinkle between the eyebrows
It’s a wrinkle that annoys, because it makes you look severe.
The solution: botulinum toxin, “essential for treating muscle contraction wrinkles on the forehead”, notes Dr. Pomarède. Three of them are authorized in aesthetics: Vistabel, Azzalure, and Bocouture, and their drug status guarantees greater safety. Officially, only surgeons, ophthalmologists and dermatologists have the right to use them.
In practice : Count one to two sessions – better a touch-up than a frozen forehead – spaced fifteen days apart: this is the time needed for the botulinum toxin to act. The injection is not painful, and unless the needle crosses a small vessel in its path, it does not create a mark. Headaches are possible after the injection. The result lasts an average of six months.
The price : from 200 to 300 €.
2. Wrinkles around the eyes
“The goal is to open your eyes, while keeping a few wrinkles because a smooth face does not necessarily look younger, especially if the neck, décolleté or hands betray your age”, says Dr Marie-Thérèse Bousquet, aesthetic doctor .
The solution : injections of botulinum toxin to ease crow’s feet wrinkles; from fractional C02 laser to reduce wrinkles under the eyes and densify the skin, the heat stimulating the fibroblates.
In practice : count for the laser two to three sessions spaced six weeks apart, and after each of them, three to five days off because the laser causes redness and swelling.
The price : around €300 for injections, €200 to €500 for a laser session.
3. A lack of radiance
To have young and luminous skin, correcting a grayish or olive complexion counts as much, if not more, than erasing a few wrinkles.
The solution : “Without a doubt, the superficial peeling. Without scarring, it is the best skin maintenance treatment,” says Dr. Pomarède. With fruit acids, this peeling exfoliates the superficial layers of the skin and leaves no visible trace. “With a clearer, brighter, more uniform complexion, you gain ten years! says Dr. Bousquet.
In practice : scheduling three to four sessions spaced 15 days to three weeks apart restores radiance, evens out the complexion and tightens pores. The result lasts about a year if you protect yourself well from the sun.
The price : from 50 to 120 € per session.
4. Always looking tired
“This is the most frequent request. The hollow features are due to the sagging of the skin and the loss of volume,” explains Dr. Bousquet.
The solution : injections of‘hyaluronic acid to fill the affected areas, the temples, dark circles, the valley of tears (under the dark circle, between the cheekbones and the nose), the nasolabial folds (between the nose and the mouth)….
“Reducing the shadows of the face restores a healthy glow, provided you don’t overdo it,” warns the doctor. A heavy face does not mean a young face. »
In practice : the injection is painless and normally leaves no trace. The result, visible immediately, lasts ten to twelve months.
Hyaluronic acid is a medical device controlled by the National Agency for the Safety of Medicines and Health Products (Ansm). Violations are always possible, and the PIP prostheses scandal in 2011 is there to remind us of this. But the inspection campaigns conducted by the Agency between 2009 and 2011 are rather reassuring.
The price : from 500 to 800 € depending on the quantity injected.
5. Very dehydrated skin on the neckline and hands
Very fine, very dry skin easily takes on a wrinkled appearance when it is not sufficiently hydrated.
The solution : the mesotherapy injections of hyaluronic acid very fluid, called skin booster, which deeply moisturizes and stimulates the skin’s natural production of hyaluronic acid.
In practice : count two to three sessions spaced 15 days to three weeks apart. The results are very good.
The price: from 250 to 300 € per session.
6. Wrinkles around the mouth
“A lip that retracts, which is less mobile when speaking in particular, looks old!” », Analyzes Dr. Bousquet.
The solution : injections ofhyaluronic acid more or less voluminous.
“Nine out of ten women, marked by unsightly results, are afraid to touch their lips. I suggest starting with skin boosters that will hydrate the mucous membranes and restore movement without creating volume, explains Dr. Bousquet. When the lip has become much thinner and the woman has difficulty putting on her lipstick, it is then necessary to recreate a slight volume, at the rate of an injection approximately every two years. I realize that is enough. »
The price : from 300 to 500 €.
7. Spots on the face, neckline or hands
These small brown spots are caused by sun exposure.
The solution : the pigment laser or flash lamp, in one or two sessions depending on the size of the stains and the person’s wishes. “Some women don’t want to erase everything overnight, because they are afraid of revealing that they have done ‘something’”, observes Dr. Bousquet.
In practice : the session is more uncomfortable than painful, it leaves some redness which must be taken care of by protecting it with sunscreen.
The price : from 100 to 250 € per session.
8. The oval of the face that changes
“This onset of loosening is more often due to loss of volume than a lack of firmness,” says Dr. Pomarède.
The solution : injections of‘hyaluronic acid to restore the volumes of the middle third of the face (valley of tears and cheekbones), very slightly lift the skin and regain a little curve.
The price : from 500 to 800 € depending on the quantity injected.
9. A lack of firmness
Face or body, the amount of collagen in the skin decreases with age. However, this molecule, with elastin, gives the skin its suppleness, its resistance and its elasticity.
The solution : the remodeling lasers where the radio frequency or infrared devices. The energy they deliver into the skin leads to collagen denaturation, followed by beneficial remodeling. It also stimulates fibroblasts to produce more collagen.
- “There are several devices on the market. The problem is to obtain reproducible results; that’s why I opted for infrared with the Titan”, recognizes Nadine Pomarède.
- For the face, Dr. Bousquet alternates between radio frequency, if the relaxation is moderate, and the fractional CO2 laser, if it is more important and the skin damaged by the sun, a little crumpled.
In the absence of comparative clinical studies, it is difficult to know which model is the best. In all cases, low energy is emitted, coupled with a cooling system.
Despite everything, the skin remains red a few days after the session. The result is not immediate, it appears after several months. Hence the importance of having a good discussion with your doctor beforehand: what will he offer you if the treatment is a failure? Count at least two to three close sessions, then one to two per year for maintenance.
The price : €800 for a session targeting the face, neck and décolleté.
10. Small rolls on the stomach and above the knees
Belly, fold of the bra, inner thighs or above the knees, some small bulges tend to settle over the years.
The solution : cryolypolysis is the most used process when the skin is still toned. The cold causes the destocking of fat cells, and studies suggest a loss of 30% on average in one treatment.
In practice : the device has a suction cup that the doctor places on the body. The session lasts about an hour, and it causes redness which disappears after one to two weeks. It takes one to three months before observing the result.
The price : from €650 to €1,500 depending on the area.
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