Aesthetic indications for MD Codes
MD Codes are indicated for patients seeking overall facial rejuvenation or harmonisation of their features without surgery or changes to their expression. They address both early signs of laxity in relatively young patients and more mature faces with loss of support and hollows.
In the upper third, MD Codes support the eyebrow tail, fill hollow temples and reduce the impression of a heavy or drooping forehead, often combined with botulinum toxin to relax certain muscles responsible for expression lines.
In the middle third, cheekbone restoration and treatment of tear troughs and nasolabial folds help correct a tired appearance and restore facial volume.
In the lower third, injections target facial contours, the jawline, chin and marionette lines to redefine contours, remove a potentially sad appearance and rebalance volumes around the mouth and lips.
MD Codes can also correct certain congenital imbalances or subtle asymmetries within the limits of a medical procedure.
Use of this photograph was authorised by Dr Mauricio de Maio.
Applying MD Codes
MD Codes are a facial injection map designed to reveal and refine each face’s beauty, reinforce positive emotions and eliminate negative ones.
For the first time, facial ageing can be treated by addressing causes rather than consequences.
The face is divided into anatomical units defined by a letter. Each letter is accompanied by a number defining injection order. For each desired result, an equation provides the treatment plan.
For example, facial rejuvenation may use this equation : CK1+ CK2+ CK3+ CK4+Tt1+ Tt2+ Tt3+Lp1+ Lp2+ Lp3+ Lp4+ Lp5+ Lp6+ Lp7+ Jw1+ Jw4+C1+C2.
Variations of MD Codes
Several treatments are possible with this revolutionary technique.
- Treatment of each facial feature : a reproducible treatment map has been designed for every anatomical structure.
- The 8 points lift : non-surgical facial lifting.
- The 7/9 points shape : facial contouring.
- Facial masculinisation.
- Facial feminisation.
- Profile reshaping.
- Restoration of facial dynamics and elimination of negative emotions.
MD Codes : the technique
MD Codes variations use hyaluronic acid and botulinum toxin injections.
Hyaluronic acid is injected according to a measurement standard, making its use reproducible and mathematical.
This technique must be performed by an experienced doctor, becoming an MD Codes expert cannot be improvised !
Everything is specified for each facial feature.
- Quantity to inject : the injecting doctor nevertheless adapts the quantity to the patient’s anatomy.
- Injection depth : against bone, subcutaneous, deep dermal.
- Technique : bolus, fanning, retrograde threading.
- Product type : density, cross-linking, firmness.
- Chosen MD Codes variation : several variations are often used.
- Type of muscle modulation required.
How an MD Codes session in Geneva works
An MD Codes session always begins with a detailed consultation : listening to the request, medical history, current treatments, possible photograph analysis, and facial assessment from the front and in profile, at rest and in motion. Dr Romano then explains the method’s principles, priority target areas and proposed treatment plan. Hyaluronic acid selection depends on areas and goals : denser gels for deep support and projection, moderately cross-linked gels for subcutaneous volume restoration, and softer gels for superficial or mobile areas. Injections are performed with a needle or cannula, respecting the depth specified by the code (supraperiosteal, deep fat, superficial fat, subcutaneous) and using measured volumes, often in micro-boluses.
Results and after-effects
Results are immediate for hyaluronic acid injections and visible after one week for botulinum toxin.
After-effects are minimal, with rare, very small bruises.
Performed by an experienced doctor, this technique restores facial volume, improves wrinkles, eliminates negative emotions, defines the face and boosts radiance. Results are natural and harmonious.
The main patient requests are addressed : looking less saggy, less sad, less tired, less stern, slimmer, younger, more feminine or more masculine.
Codification promotes reproducible results : at a later session, the doctor has a clear record of previously treated points, quantities used and areas to prioritise or adjust. For the patient, this means clearer care, more precise follow-up and better anticipation of results
Why choose MD Codes treatment in Geneva ?
In Geneva, MD Codes meet a demand for very natural results compatible with an active professional life and high expectations for safety and discretion. Patients seek structured, reasoned treatment based on detailed facial analysis rather than isolated injections driven by individual requests.
MD Codes provide this framework : a doctor trained in the approach can offer a genuine, clear and adaptable treatment plan rather than an isolated procedure. Patients gain a clear understanding of goals, treated areas, products and expected results, with ongoing follow-up and respect for facial identity.
MD Codes : prices
The price of MD Codes treatment mainly depends on the number of injected areas, the overall strategy defined during consultation and the quantity of product required. The approach is fully personalised, so price variations between patients are normal.
Hyaluronic acid injections cost 600 CHF per syringe, regardless of the injection type within the MD Codes map. Several syringes may be needed depending on facial structure and the desired correction. The exact number is determined according to the patient’s anatomy.
Botulinum toxin treatment may be incorporated when justified by overall facial balance. One area costs 300 CHF for women and 350 CHF for men. When two areas require treatment, prices are 450 CHF for women and 500 CHF for men. Full upper-third treatment — including forehead, glabella and crow’s feet — costs 600 CHF for women and 650 CHF for men.
A precise quotation is provided only after medical examination.
The reference publication on MD Codes describes a method for planning hyaluronic acid injections based on facial analysis. It specifies injection points, depths and products to select according to the corrections sought. The aim is to restore volume and improve contours while respecting facial proportions. This article presents a clinical method.
In a retrospective study involving 250 patients, treatment combining hyaluronic acid and botulinum toxin was planned according to MD Codes. Three months later, patients expressed significantly less distress about their faces. These results show a perceived benefit after treatment. However, the absence of a control group cannot establish whether MD Codes planning offers an advantage over another method.
Source: Non surgical facial reshaping using MD Codes. Journal of cosmetic dermatology, 2020.
A preliminary study involving twelve female patients assessed a consultation intended to better define their expectations before injections. Expressed wishes, such as looking less tired or regaining more defined contours, were then linked to specific corrections according to MD Codes. This approach aims to build treatment around the patient’s expectations and facial examination.
Frequently asked questions about MD Codes
What are the advantages of MD Codes™ over traditional injection techniques ?
MD Codes™ offer a more precise, personalised approach to hyaluronic acid injections. Benefits include : facial harmonisation, structured and safe treatment, more predictable results adapted to the patient’s anatomy, and an approach considering facial emotions and expressions for natural results.
Are MD Codes™ suitable for all facial types and age groups ?
Yes, MD Codes™ suit all facial types and age groups. In young adults, they improve contour definition and facial harmony and correct asymmetries. In older patients, MD Codes™ restore lost volume, smooth wrinkles and improve facial contours. The method is fully personalised to each patient’s needs and expectations.
What is the difference between MD Codes™ and other hyaluronic acid injection techniques ?
The main difference lies in the strategic, scientific approach of MD Codes™. Unlike traditional techniques that often target isolated areas, MD Codes™ use precise mapping and consider relationships between different facial areas. The aim is to restore volume coherently and naturally, considering expressions and emotions for more harmonious, lasting results.
Can MD Codes™ be combined with other aesthetic treatments such as botulinum toxin or chemical peels ?
Yes, MD Codes™ can be combined with other aesthetic treatments to optimise results. For example, botulinum toxin injections can complement treatment by smoothing expression lines, while chemical peels improve skin quality and radiance. This comprehensive approach achieves more complete, natural results by treating volume, firmness and skin quality together.
