Illustration of facial aesthetic treatments

WHICH SIGNS OF AGING CAN BE TREATED WITH MEDICAL PROCEDURES FOR AESTHETIC PURPOSES ?

Dernière mise à jour : 15 June 2026

Facial ageing is natural, gradual and inevitable. It results from a complex interaction between genetics, lifestyle, environmental exposure (sunlight, pollution and oxidative stress) and, of course, time. However, it involves more than the appearance of wrinkles, affecting every facial structure — the skin, muscles, deep fat tissues and even the skeleton.
Over the years, these changes alter volume, contours, firmness and therefore overall facial expression. This process influences both how others perceive us and our own self-image. Lost freshness, pronounced features and sagging facial contours : signs that sometimes do not reflect our inner vitality.
For over twenty years, facial aesthetic medicine has offered gentle, personalised and minimally invasive options to support these changes.
Hyaluronic acid injections, for example, reduce wrinkles and restore lost volume in certain facial areas.
The aim is not to look artificially younger, but to look better, with a more rested, coherent and radiant face. An aesthetic approach centred on naturalness, movement and authenticity.
But which signs of facial ageing can aesthetic medicine actually address ? When can treatment be considered ? And what results can be expected in the short and long term ?

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Facial skin laxity

Skin laxity is among the first visible signs of facial ageing. It results from gradually reduced elasticity, deterioration of collagen and elastin fibres, and slower activity of fibroblasts — cells essential to dermal regeneration. The skin becomes less firm, thinner and tends to sag under gravity and the loss of deep volume.
This laxity is particularly noticeable on the cheeks, facial contours, neck and around the lower eyelids, sometimes creating a tired or aged appearance that does not match how the patient feels inside.
Several non-surgical options now firm the skin gradually and naturally. Skinboosters, lightly cross-linked hyaluronic acid, improve deep hydration and gently restart dermal synthesis. Tissue stimulators, such as polylactic acid (Sculptra), stimulate neocollagenesis, meaning the body's production of new collagen.
Energy-based technologies, such as medical radiofrequency or non-ablative fractional lasers, complement these options by heating deeper skin layers to induce controlled regeneration. These techniques improve skin firmness without altering its surface.
The most effective technique remains hyaluronic acid injection, particularly the non-surgical lift protocol.
When addressed at a moderate to medium stage, facial laxity can be effectively corrected by these medical treatments, which offer a gentle alternative to surgical lifting.

Facial volume loss and hollows

Over time, the face undergoes deep changes extending well beyond surface wrinkles. One major change is gradual loss of natural volume, linked to shrinking or shifting deep fat compartments. Cheekbones flatten, temples hollow, nasolabial folds become pronounced and facial contours lose definition. This alters youthful facial curves and can create a harsher, sadder or more tired expression regardless of the person's actual emotional state.
This is not simply volume loss but an imbalance in volume distribution that disrupts facial harmony. Today's aesthetic medicine can precisely address this through non-invasive, tailored techniques.
Precisely performed hyaluronic acid injections restore lost volume while respecting facial dynamics. The doctor uses gels of different densities according to the areas treated — temples, cheekbones, tear troughs, chin and jawline — to support deep structures, redefine contours and soften transitions between facial areas. The aim is not swelling, but subtle reconstruction of lost volume while preserving natural expressiveness.
This comprehensive approach, called facial Beautiphication, considers the whole face. It goes beyond correcting an isolated flaw, reconsidering overall architecture by harmonising volume, lines and proportions.

Facial expression lines and fine lines

Wrinkles are an integral part of a face's history. They reflect our emotions, expressiveness and experiences. Over time, however, certain wrinkles may become pronounced enough to convey a harsher or more tired appearance than we feel inside. In these cases, aesthetic medicine offers targeted solutions that respect facial identity.
There are two types of wrinkles. Expression lines, such as forehead lines, crow's feet or lines between the eyebrows, result from repeated muscle movements. Botulinum toxin reduces them by relaxing the relevant muscles without freezing the face. The eyes look more open and features more relaxed while retaining natural expression.
Static wrinkles arise as skin becomes drier, loses elasticity or thins with age. Treatments that deeply hydrate the skin and stimulate renewal can improve them : Skinboosters, mesotherapy and PRX-T33 peels. These treatments restore skin suppleness, radiance and comfort.
The aim is not to erase every wrinkle, but to restore a fresher, more rested appearance while respecting each patient's expressions and personality.

A dull complexion, skin irregularities and enlarged pores

Skin ageing also manifests as a duller complexion, less even skin, enlarged pores or irregular texture. These often subtle but visible signs give the face a tired or lacklustre appearance, even at rest.
Several factors contribute to this : slower microcirculation, oxidative stress or chronic sun exposure that weakens and unbalances the skin's surface.
To correct these signs and restore natural facial radiance, aesthetic medicine offers different non-invasive options adapted to each skin type.
Superficial or medium-depth medical peels smooth the skin, tighten pores and even out the complexion. By removing superficial epidermal layers, they stimulate cell renewal and restore facial brightness.
Laser photorejuvenation improves skin quality, promotes collagen production and restarts local microcirculation.
Finally, lasers treat redness, pigmentation spots and fine skin irregularities. These technologies provide a gradual "radiance boost", visible from the first sessions and lasting over time.

Facial pigmentation spots

Pigmentation spots are very common visible signs of skin ageing. They may be solar lentigines (sun-related brown spots), melasma (often hormonal) or post-inflammatory spots appearing after skin irritation or injury. The main cause generally remains chronic sun exposure, although other factors such as hormones or certain treatments can contribute.
Before any treatment, a precise medical assessment is needed to identify the type and depth of pigmentation. This allows selection of the most appropriate method and avoids any risk of rebound pigmentation, particularly in olive skin.
Several options provide targeted correction of these spots .
These treatments should always be combined with appropriate topical skincare (brightening creams and antioxidants) and daily sun protection, essential to prevent recurrence.
Correcting pigmentation spots addresses more than an aesthetic request. It also restores a more even complexion, brightens the face and gives the skin a healthier, more radiant appearance.

Aesthetic medicine in Geneva : a response adapted to every stage of ageing

One major strength of aesthetic medicine is its ability to adapt to every stage of facial ageing. It can provide prevention from one's thirties, with gentle treatments to slow early ageing signs, but also at 40, 50, 60 and beyond, restoring volume, correcting imbalances or improving overall skin quality.
This gradual approach avoids abrupt aesthetic changes. Rather than intervening late with a marked surgical transformation, aesthetic medicine provides adaptable, regular support that follows the face's natural changes. It helps maintain a coherent appearance at every age.
It is not about erasing the years, but moving through time more gently.

Dr Valeria Romano

Article written by Dr Valeria Romano

Dr Valeria Romano supports each patient through a comprehensive approach to facial, body and intimate aesthetics, as well as skin and hair quality. Every treatment is based on a personalised medical assessment.

Learn more about Dr Valeria Romano
Contact Dr Valeria Romano : +41 78 209 02 89 dr.romano.valeria@gmail.com

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