The procedures performed in aesthetic medicine encompass a range of non-surgical techniques and treatments designed to improve physical appearance and combat the signs of aging. They provide effective solutions for softening fine lines, filling wrinkles, firming the skin, redefining facial contours, reducing imperfections, and restoring the skin’s natural radiance. When the first signs of skin aging appear, such as wrinkles, fine lines, skin laxity, dark circles, or redness, aesthetic medical treatments can help prevent and correct these concerns. Hyaluronic acid and botulinum toxin injections are quick and effective solutions for smoothing expression lines, restoring facial volume, and filling deep folds. Facial rejuvenation can also be achieved through treatments such as chemical peels, mesotherapy, radiofrequency, lasers, and ultrasound.
These different techniques stimulate collagen production, improve skin quality, and restore the skin’s radiance. It is advisable to consult an experienced physician to determine the most appropriate treatment. During the initial consultation, the physician will assess the patient’s needs, establish a diagnosis, and propose a personalized treatment plan. Some treatments may require local anesthesia, but recovery is always minimal. In summary, aesthetic medical procedures are an option worth considering when the signs of skin aging become aesthetically or psychologically bothersome. Whether the goal is to redefine facial contours, soften wrinkles, tighten the skin, reduce imperfections, or improve skin elasticity, effective solutions are available.
The preliminary consultation before aesthetic-oriented medicine procedures is an important step for the thorough assessment of the patient’s needs and expectations.
The physician examines the skin condition, facial features, and complexion, allowing them to propose a personalized treatment plan.
This first meeting also makes it possible to establish an accurate diagnosis and to discuss the desired objectives while taking into account any possible contraindications. It is essential that the physician has solid training and proven experience.
Aesthetic-oriented medicine is practiced by several medical specialties : dermatologists, plastic surgeons, and general practitioners. However, the physician specifically trained in these techniques plays a key role. Each specialist brings their unique expertise : dermatologists focus on skin pathologies, plastic surgeons can intervene for more invasive procedures such as facelifts or rhinoplasty, while the physician trained in aesthetic-oriented medicine techniques enhances and corrects imperfections through non-surgical methods. Collaboration among these different specialties allows for a comprehensive approach to patient care, ensuring harmonious and natural results.
When choosing a physician, several factors must be taken into account.
First, it is important to ensure that the practitioner holds the required qualifications and is registered with the cantonal medical council.
Next, their experience and specific expertise in the field of interest should be verified : botulinum toxin injections, hyaluronic acid, laser, cryolipolysis, radiofrequency.
A good physician should also be transparent about potential risks and expected results, and be able to advise against unnecessary procedures.
Botulinum toxin injections are among the most common treatments in aesthetic-oriented medicine. They are mainly aimed at reducing expression lines such as forehead wrinkles, crow’s feet around the eyes, and frown lines between the eyebrows. The procedure consists of injecting the toxin into the muscles responsible for these wrinkles to induce their temporary relaxation. Results are visible after only a few days and generally last between 3 and 6 months. This treatment is appreciated for its quick action and natural effects when properly performed.
Hyaluronic acid is a substance naturally present in our body that can be used to fill wrinkles and restore facial volume that changes with age. Injections make it possible to treat various areas such as nasolabial folds, marionette lines, or to enhance the volume of the lips and cheekbones. This treatment has the advantage of being reversible, and the product used is biodegradable. Results are immediate and can last up to 18 months depending on the product’s density, the indication, and the patient’s metabolism.
Laser technology plays an important role in aesthetic-oriented medicine to treat various skin issues such as pigment spots, skin laxity, or to perform tattoo removal. Different types of lasers are used depending on the indication to be treated.
Results are often remarkable, but multiple sessions are usually required to achieve optimal outcomes.
Sculptra® injections are an aesthetic medicine treatment designed to gradually restore volume to the face and body while improving skin quality by stimulating the body's natural collagen production. Unlike hyaluronic acid, which provides an immediate volumizing effect, Sculptra® acts as a collagen stimulator : it triggers the gradual remodeling of the dermis, helping to correct age-related volume loss, improve skin firmness, and redefine the contours of the face and body. This treatment is particularly indicated for facial fat loss, early skin laxity, loss of skin density, and buttock augmentation. Results appear gradually over the weeks following the injections and last approximately two years.
Mesotherapy is an aesthetic medicine technique that consists of performing multiple superficial injections with very fine needles to deliver hydrating agents, vitamins, antioxidants, amino acids, and non-cross-linked hyaluronic acid directly into the skin. It is indicated to improve skin quality, restore hydration, enhance the skin’s radiance, prevent the first signs of aging, and treat certain forms of hair loss. Mesotherapy works by stimulating skin renewal and optimizing the environment of skin cells without altering facial volume. Performed alone or as part of a treatment protocol combining lasers, chemical peels, or Skinboosters, it helps make the skin brighter and more supple.
Excessive sweating, also known as hyperhidrosis, is the production of sweat beyond the body's normal physiological needs. When it affects the underarms without any underlying medical cause, it is referred to as primary axillary hyperhidrosis. This condition can have a significant impact on quality of life due to visible sweat stains on clothing, daily discomfort, and the social embarrassment it may cause. Botulinum toxin injections are currently the reference medical treatment for primary axillary hyperhidrosis. They temporarily reduce the activity of the sweat glands, significantly decrease perspiration for several months, and allow an immediate return to daily activities, without surgery or social downtime.
Skinbooster injections are an aesthetic medicine treatment designed to provide long-lasting improvement in skin quality through the injection of a lightly cross-linked hyaluronic acid into the dermis. Unlike volumizing injections, Skinboosters are not intended to modify facial volume, but rather to restore deep skin hydration and improve elasticity, firmness, and radiance. They are particularly indicated for dehydrated, crepey, dull, lax skin or skin showing the first signs of aging. Performed on the face, neck, décolleté, or hands, this treatment also stimulates fibroblast activity and contributes to the gradual improvement of skin texture and overall skin quality. Results appear progressively and are optimal after 3 weeks.
Eye rejuvenation encompasses aesthetic medicine treatments designed to correct the main signs of aging around the eyes without surgery. Depending on the indication, it may combine hyaluronic acid injections, botulinum toxin, mesotherapy, biorevitalization, lasers, or medical peels to treat hollow dark circles, crow’s feet, hollow upper eyelids, loss of skin firmness, eyelid wrinkles, or signs of tired-looking eyes. The goal is to restore a fresher, more youthful appearance while preserving the natural facial expressions. The choice of treatment is based on a precise analysis of the periocular anatomy, skin quality, and the specific causes of aging in each patient.
Aesthetic medicine for men addresses the anatomical characteristics and aesthetic expectations specific to male patients, with treatments designed to preserve a natural appearance while enhancing masculine features. Hyaluronic acid injections can define the jawline, enhance chin projection, correct dark circles, restore volume, or achieve facial masculinization, while botulinum toxin softens expression lines without freezing facial expressions. Lasers, chemical peels, Skinboosters, and hair restoration treatments complement this approach by improving skin quality, scars, enlarged pores, and hair loss. Each treatment is personalized to respect the proportions of the male face, tissue quality, and the aesthetic goals of each patient, providing a discreet, harmonious, and long-lasting result.
Surgical lifting used to be a popular option for patients seeking visible and long-lasting facial rejuvenation. Today, thanks to advances in aesthetic-oriented medicine, it is possible to achieve a lifting effect without resorting to cosmetic surgery. This can be done through injections of Sculptra and hyaluronic acid (the MD Codes technique invented by the Brazilian surgeon Mauricio de Maio).
Thread lifts represent another non-surgical alternative to the traditional facelift.
These resorbable threads are inserted under the skin to create tension, redefining the facial oval and stimulating the natural production of collagen. This technique is ideal for patients seeking a lifting effect without undergoing major surgery, with a much shorter recovery period.
Dr. Romano is not in favor of this technique due to its unpredictable results.
Radiofrequency uses electromagnetic waves to deeply heat skin tissues without damaging the skin’s surface. This method stimulates the production of collagen and elastin, helping to firm the sagging skin of the face, neck, and body. Highly appreciated for its effectiveness, this technique requires several sessions to achieve optimal and long-lasting results.
Buttock injections make it possible to increase volume, improve contours, and enhance the body's silhouette without surgery. Performed using Hyacorp® hyaluronic acid or Sculptra, they are indicated for patients who wish to correct insufficient projection, restore lost or inadequate volume, improve asymmetry, or redefine the hips and the transition between the buttocks and thighs. Unlike buttock augmentation with implants or fat grafting (lipofilling), this technique requires neither general anesthesia nor surgery, allowing an immediate return to daily activities. The treatment is fully personalized according to the patient's body shape, proportions, and desired outcome, in order to achieve a natural, harmonious contour that complements each individual's silhouette.
Cryolipolysis is an aesthetic medicine technique that reduces localized fat deposits through controlled cooling of fat cells, without surgery or anesthesia. This treatment is indicated for patients with stubborn fat resistant to diet and physical exercise, particularly in the abdomen, love handles, flanks, thighs, back, arms, or under the chin. The treated fat cells are gradually eliminated by the body over the weeks following the procedure, resulting in a natural and long-lasting reduction in volume. Cryolipolysis is not a treatment for obesity or a weight-loss method, but rather a body contouring solution intended for patients who are close to their target weight and wish to reduce localized fat deposits.
Intimate rejuvenation encompasses aesthetic medicine treatments designed to improve the quality of vulvovaginal tissues and address certain consequences of aging, childbirth, or menopause. Depending on the indication, treatment may combine vaginal laser therapy and hyaluronic acid injections to improve vaginal dryness, vaginal laxity, pain during sexual intercourse, episiotomy scars, mild to moderate stress urinary incontinence, or loss of volume of the labia majora. The goal is to restore hydration, elasticity, and intimate comfort while preserving the anatomy and function of the tissues. Each treatment plan is based on a medical examination to establish an accurate diagnosis and provide a personalized treatment tailored to the patient's symptoms, expectations, and gynecological history.
There is no ideal age to begin aesthetic medicine treatments. The appropriate approach depends primarily on the patient's individual needs, skin quality, genetics, and the first signs of aging. Some people seek treatment as soon as the first wrinkles appear, while others wish to restore lost volume, improve their skin quality, or prevent skin aging. A medical consultation helps determine whether treatment is appropriate.
In Geneva, the fee for an aesthetic medicine consultation at Dr. Romano’s practice is CHF 150. The cost of treatment varies depending on the technique used, the area treated, the amount of product required, and the patient's aesthetic goals. A consultation makes it possible to establish a personalized treatment plan along with a quotation tailored to each patient. The cost depends not only on the product used but also on the physician’s expertise, the anatomical assessment, and the complexity of the treatment.
The most commonly performed treatments include hyaluronic acid injections, botulinum toxin injections, Skinboosters, Sculptra, medical peels, laser treatments, PRP, mesotherapy, cryolipolysis, and collagen biostimulation treatments. Each technique has specific indications and can be performed either on its own or in combination with other treatments as part of a comprehensive treatment plan.
The duration of results depends on the treatment performed, the area treated, and each patient's individual characteristics. Botulinum toxin injections are generally effective for 3 to 6 months, while hyaluronic acid injections can last 10 to 15 months, depending on the products used. Treatments that stimulate collagen production, such as certain lasers or collagen stimulators, produce gradual results that can last for up to 2 years.
Yes. It is common to combine several techniques to address the different mechanisms of aging. For example, hyaluronic acid injections restore facial volume, botulinum toxin treats expression lines, while laser treatments or Skinboosters improve skin quality. These combinations often provide a more harmonious and natural-looking result than a single treatment alone.
Aesthetic medicine treatments should be performed by a physician trained in these techniques and with an in-depth understanding of anatomy, treatment indications, and potential complications. The choice of treatment, the safety of injections, and the management of possible side effects all rely on medical expertise that extends far beyond the technical procedure itself.
Aesthetic medicine improves certain aesthetic concerns without surgery, without general anesthesia, and with little or no social downtime. Cosmetic surgery modifies anatomical structures through a surgical procedure and involves a longer recovery period. The two approaches are complementary and are indicated for different situations depending on the degree of aging and the patient's expectations.
When performed using a personalized approach and a precise analysis of facial proportions, aesthetic medicine treatments can achieve natural-looking results. The goal is not to alter facial features, but to correct the signs of aging, restore volume, or improve skin quality while preserving the patient's facial expressions and identity.
Most treatments are well tolerated. Injections generally cause mild, short-lived discomfort, which is often minimized through the use of cannulas, topical anesthetic creams, or products containing a local anesthetic. Laser treatments and medical peels may cause a temporary sensation of warmth or tingling, which usually subsides quickly after the procedure.
Side effects are most often mild and temporary. After an injection, redness, slight swelling, localized tenderness, or bruising may occur for a few days. Laser treatments or medical peels may cause temporary redness or skin peeling. A prior medical consultation helps assess any contraindications and minimize the risk of complications.
Before any treatment, a medical consultation is essential to assess the patient's expectations, medical history, current medications, and any potential contraindications. Depending on the technique used, it may be recommended to avoid certain medications that increase the risk of bleeding, limit sun exposure before a laser treatment or medical peel, and postpone treatment in the event of an active skin infection. Recommendations are always tailored to the planned treatment and each patient's individual situation.
