AESTHETIC MEDICINE

Botulinum toxin injections are among the most common aesthetic medicine treatments. Their main aim is to reduce expression lines such as forehead wrinkles, crow's feet around the eyes and frown lines between the eyebrows. The procedure injects the toxin into the muscles responsible for these wrinkles to relax them temporarily. Results are visible after just a few days and generally last between 3 and 6 months. This treatment is appreciated for its rapid action and natural effects when performed correctly.

Hyaluronic acid is a substance naturally present in our bodies that can fill wrinkles and restore facial volume that changes with age. Injections can treat various areas such as nasolabial folds and marionette lines, or increase lip and cheekbone volume. This treatment has the advantage of being reversible, and the product used is biodegradable. Results are immediate and may last up to 18 months, depending on product density, indication and the patient's metabolism. 

Laser technology plays an important role in aesthetic medicine for treating various skin concerns such as pigment spots and skin laxity, or for tattoo removal. Different laser types are used according to the indication.

• Fractional lasers for skin rejuvenation.
• Vascular lasers for treating spider veins and redness.
• Pigment lasers for tattoos and brown spots.

Results are often striking. Several sessions are needed.

Sculptra® injections are an aesthetic medicine treatment designed to progressively restore facial and body volume and improve skin quality by stimulating natural collagen production. Unlike hyaluronic acid, which provides an immediate volumising effect, Sculptra® acts as a collagen stimulator : it triggers progressive dermal remodelling, correcting age-related volume loss, improving skin firmness and reshaping facial and body contours. This treatment is particularly indicated for facial fat loss, early skin laxity, reduced skin density and buttock augmentation. Results develop gradually over the weeks after injection and last around two years.

Mesotherapy is an aesthetic medicine technique involving multiple superficial injections with very fine needles to deliver hydrating ingredients, vitamins, antioxidants, amino acids and non-cross-linked hyaluronic acid directly to the skin. It is indicated to improve skin quality, restore hydration, revive the complexion, prevent early signs of ageing and treat certain forms of hair loss. Mesotherapy stimulates skin renewal and optimises the environment of skin cells without changing facial volume. Performed alone or within a protocol combining lasers, peels or Skinboosters, it helps make the skin more radiant and supple.

Excessive sweating, also known as hyperhidrosis, means sweat production exceeds the body's normal needs. When it affects the underarms without an underlying medical cause, it is called primary axillary hyperhidrosis. This condition can significantly affect quality of life through visible sweat patches on clothing, daily discomfort and social embarrassment. Botulinum toxin injections are now the reference medical treatment for primary axillary hyperhidrosis. They temporarily reduce sweat gland activity, significantly decrease sweating for several months and allow an immediate return to activities without surgery or downtime.

Skinbooster injections are an aesthetic medicine treatment designed to provide lasting improvements in skin quality by injecting lightly cross-linked hyaluronic acid into the dermis. Unlike volumising injections, Skinboosters do not aim to change facial volume, but to restore deep skin hydration and improve elasticity, firmness and radiance. They are particularly indicated for dehydrated, crepey, dull or loose skin, or skin showing early signs of ageing. Performed on the face, neck, décolletage or hands, this treatment also stimulates fibroblast activity and progressively improves skin texture and quality. Results develop gradually and are optimal after 3 weeks.

Eye area rejuvenation includes aesthetic medicine treatments to correct the main signs of ageing around the eyes without surgery. Depending on the indication, it can combine hyaluronic acid injections, botulinum toxin, mesotherapy, biorevitalisation, lasers or medical peels to treat hollow dark circles, crow's feet, hollow upper eyelids, loss of skin firmness, eyelid wrinkles or tired-looking eyes. The aim is to restore a more rested, youthful appearance while respecting natural facial expressions. Treatment selection is based on a precise assessment of periocular anatomy, skin quality and each patient's particular causes of ageing.

Aesthetic medicine for men addresses male anatomical characteristics and aesthetic expectations, with treatments designed to preserve a natural face while enhancing its features. Hyaluronic acid injections define the jaw, project the chin, correct dark circles, restore volume or masculinise the face, while botulinum toxin reduces expression lines without freezing the features. Lasers, peels, Skinboosters and hair treatments complement this approach by improving skin quality, scars, enlarged pores or hair loss. Every treatment is personalised to respect male facial proportions, tissue quality and each patient's aesthetic goals, for a subtle, harmonious and lasting approach.

A surgical facelift was a popular option for female patients seeking visible, lasting facial rejuvenation. Advances in aesthetic medicine now make a lifting effect possible without cosmetic surgery. This is achieved through Sculptra and hyaluronic acid injections (the MD Codes technique developed by Brazilian surgeon Mauricio de Maio).

Thread lifts are another nonsurgical alternative to a traditional facelift.
These absorbable threads are inserted beneath the skin to create tension, redefine the jawline and stimulate natural collagen production. This technique is ideal for patients seeking a lifting effect without major surgery and with a much shorter recovery.
Dr Romano does not favour this technique because of its unpredictable results.

Radiofrequency uses electromagnetic waves to heat skin tissues deeply without damaging the skin surface. This method stimulates collagen and elastin production, firming loose skin on the face, neck and body. Popular for its effectiveness, this technique requires several sessions for optimal, lasting results.

Buttock injections increase volume, improve contours and harmonise the figure without surgery. Performed with Hyacorp® hyaluronic acid or Sculptra, they are indicated for patients wishing to correct insufficient projection, restore shape, improve asymmetry or reshape the hips and the transition between the buttocks and thighs. Unlike augmentation with implants or fat transfer, this technique requires neither general anaesthesia nor surgery and allows an immediate return to daily activities. Treatment is fully personalised according to body shape, proportions and the desired result, creating natural, harmonious curves suited to each patient's figure.

Cryolipolysis is an aesthetic medicine technique that reduces localised fat deposits through controlled cooling of fat cells, without surgery or anaesthesia. This treatment is indicated for patients with bulges resistant to diet and physical activity, particularly on the abdomen, love handles, flanks, thighs, back, arms or double chin. The treated fat cells are gradually eliminated by the body over the weeks following the session, providing a natural, lasting reduction in volume. Cryolipolysis is neither an obesity treatment nor a weight loss method, but a body reshaping solution for patients close to their stable weight who wish to treat localised excess fat.

Intimate rejuvenation includes aesthetic medicine treatments to improve vulvovaginal tissue quality and address certain effects of ageing, childbirth or menopause. Depending on the indication, treatment may combine vaginal laser treatment and hyaluronic acid injections to improve vaginal dryness, vaginal laxity, pain during intercourse, episiotomy scars, mild to moderate stress urinary incontinence or volume loss in the labia majora. The aim is to restore hydration, suppleness and intimate comfort while preserving tissue anatomy and function. Every approach is based on a medical examination to establish an accurate diagnosis and propose personalised treatment suited to the female patient's symptoms, expectations and gynaecological history.