Imaderm is an aesthetic clinic in Geneva where Dr. Raspaldo practices cosmetic surgery. Dr. Raspaldo published an article about bichectomy. If you want to know more about this surgical intervention, read the text below:

When you hear this barbaric word for the first time, it’s hard to imagine what hides behind it. Even if bichectomy is a particularly popular aesthetic operation, it is still strangely unknown in Switzerland. Bichectomy is currently all the rage, as it is a simple and efficient surgical intervention to get a thin and slender facial oval.”

What does Bichectomy mean?

This term comes from the Bichat fat pad, deposits located just below the cheekbones in the deep part of the cheeks, which gives the latter a rounded shape. These two fat pads on both sides of the face are more prominent in some people than others. That explains the difference between a thin face and a “chubby” face. If they are too visible, these fat deposits do not melt, even after a drastic diet.

What is the purpose of bichectomy?

Demand for this kind of simple and risk-free surgery to get a thinner face has grown exponentially, both among women and men, even among relatively young ones. Moreover, unlike a liposuction of the cheeks which gives a moderate improvement, the reduction of the Bichat’s fat pad offers very clear results: the cheeks and the face become immediately thinner.

How does it work in practice? 

The surgical operation is performed on outpatients, under local or general anesthesia, and does not last more than 45 minutes. It consists in removing half or two thirds of the well localised fat pads, though not in full in order to keep smooth facial V-shaped lines over the years. The result is 100% guaranteed and is particularly interesting for young women or men showing a “baby face”.

Models who wish to appear more to their advantage on photos, with a more structured, sculpted and reshaped face – especially at the level the jaw – can also be particularly interested in this surgical operation. Bichectomy is an ideal treatment in addition to facelifts and fat re-injections. It should be noted that the surgical intervention takes place inside the mouth, at the level of the mucous membrane, and does not cause any bruises. It is nevertheless necessary to foresee about 5 days of social eviction.

LEARN MORE about bichectomy in Geneva.

WATCH a video of the operation.

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An increasing number of men are having cosmetic treatments or surgery. Dr Hervé Raspaldo, a specialist face and neck surgeon who founded the Face Clinic in Geneva, gives us an insight into the types of procedure that have become popular among men.

The shape of the eyebrows for men

Some men want to correct the shape of their eyebrows primarily for social reasons. To make the eye area as attractive and harmonious as possible, the eyebrows should be positioned horizontally and should not be too raised. Botulinum toxin injections are the best way of achieving this. In the professional world, this straightforward treatment – which leaves no bruising, swelling or visible marks – is a great asset for anyone who wants to make their personality more positive or open, and it also rejuvenates their appearance and makes them more attractive. In addition to significantly reducing fine lines, wrinkles and expression lines, the botulinum toxin softens their resting face, erasing certain negative expressions such as glabella lines and forehead lines. We are even seeing more and more couples seeking treatment together.

Eyelids surgery for men

The eyelids play an essential role in the aesthetics of the eye area. When the botulinum toxin is no longer effective, the eyebrows and eyelids start to droop. In this case, upper eyelid surgery – called blepharoplasty – is a very straightforward and highly recommended procedure. The operation only takes an hour, is performed in outpatient surgery, and involves removing any excess skin and fat. The scars are located in the eyelid fold and are therefore practically invisible. It is worth bearing in mind that some super cial marks (post-treatment bruising and swelling) will be visible for at least two weeks after treatment.

As for lower eyelid surgery – which is most often carried out under potentiated local anaesthetic and in outpatient surgery – the aim is to get rid of any unsightly under-eye bags by going through the inside of the conjunctiva; this is what we call trans-conjunctival blepharoplasty. It leaves no visible marks or scars. Thanks to this method, we can achieve natural-looking and permanent results. It is worth noting that we can operate on the upper and lower eyelids in the same session. In the Face Clinic Geneva, we often perform “double eyelid surgery”, a choice treatment for Asian men, which allows us to create a digni ed-looking fold above the eyelid.

Neck treatments for men

Our neck really gives away our true age. Its shape can also be a problem if the patient has a weak chin. We can correct it by using a 2.0 technology, with 3D photos and morphing to accurately digitalise and give a rough idea of the projected result. The neck treatment technique mainly involves removing any excess fat with deoxycholic acid injections or through liposuction. A three-point neck lift (without any scars in front of the ears) might also be considered.

To improve the results, or in the case of a weak chin, we inject a new type of hyaluronic acid that is very thick, very cohesive and stable, in order to create a better structure. The product acts a bit like a exible prosthetic. This is called medical genioplasty. Neck treatments o er fantastic results and give patients a quick and noticeable boost of youthfulness.

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Over the years, skin and fat accumulate on the upper eyelid.

This melting of volume and distended skin forms what is commonly called “the cap”. The upper eyelid becomes heavy, the palpebral fold is hidden and make-up becomes more difficult.

There is a cosmetic surgery which allows to treat this problem: blepharoplasty, the eyelid surgery.

The result of blepharoplasty is extremely significant for all patients who felt complexed by the effect of a cap and drooping eyelid that closes the eyes. The eyelid is naturally repositioned, the eyes are 10, 15 or even 20 years younger.

Before any treatment, we will proceed a 3D consultation in order to evaluate your needs and to have an idea of what you face will look like thanks to a simulation of your eyelid surgery.

Feel free to contact us for any question and come to visit our aesthetic clinic in Geneva.

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If you find that your face is too round or too wide, we invite you today to discover three techniques to make your face look thinner. This article has been written for Anti-Age Magazine.

Get slimmer cheeks thanks to bichectomy

Bichectomy consists in removing the deep fat pads from the cheeks by getting rid of the so-called ‘Bichât fat pads’. The ‘Bichât fat pads’ are located just below the cheekbones and give the cheeks their rounded shape. You may wish to reduce the volume of your cheeks because you find them too round, or simply to highlight their hollow and, by doing so, to get a slimmer face.

Learn more about bichectomy to remove the fat pads from the cheeks.

Get a slimmer face using liposuction of the (lower) cheeks

It is possible to correct a too round face using liposuction to remove excess fat located in the face, including the cheeks, the lower part of the cheeks, the chin and the neck. Liposuction of the face helps to make the contour of your face slimmer again.

Contact us if you want to know more about face liposuction in Geneva.

Reduce a too strong square jaw thanks to botulinum toxin injections

Masseter muscles (or masticatory muscles) define the shape of the jaw. If they are too large, the angle of the jaw will look wider. It is possible to reduce the shape of the jaw by injecting botulinum toxin into the masseter muscles. The muscles will relax and therefore loose some of their volume. The hollow of the cheeks will be highlighted and the face will become slimmer.

Learn more about botulinum toxin injections to make your jaw slimmer.

For more effectiveness, it is definitely possible to combine these three techniques.

Doctor Raspaldo, aesthetic surgeon in Geneva

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Surgery of the nose: corrective rhinoplasty (or nose reshaping)

This article, written by Dr. Raspaldo and published on the website www.imaderm.ch, explains in detail what rhinoplasty consists in. Indeed, the patients frequently ask to have the shape of their nose corrected. From Cleopatra to Jennifer Aniston or Cyrano de Bergerac, the nose and its aesthetic appearance trigger passions without a fight. This cape, this peninsula, has been at the centre of many conversations! Dr. Hervé Raspaldo, Imaderm‘s face and neck specialised aesthetic surgeon, tells us everything we have always wanted to know about rhinoplasty, without ever daring to ask.

 

Dr. Raspaldo, when a patient wants to slightly modify or completely change the shape of his/her nose, which techniques do you recommend and how can one make a choice?

There are two different types of treatment: the first one is surgical, the second one is medical. Thanks to a three-dimensional technology specifically developed for the face, it is easier to determine the best option. For example, by rotating the image of the face in 3D on itself, we can record precisely the height of the bump of the nose. If the latter is too large, in other words, if the frontonasal line is too high (or if the nose is too long), injections should not be considered, at the risk of filling the frontonasal angle to the top of the eyebrows and, by doing so, to shape a too aquiline nose, similar to the one of the characters in the movie Avatar. In case of a flat and wide nose, the 3D images will determine if it is possible to create the illusion of a finer nose thanks to injections. The latter will shape a better drawn nose bridge. But if the nose is too wide, especially the tip, injections will not help making it look smaller. In this case, surgery will be more appropriate.

In case of medical rhinoplasty, what are the advantages?

The major advantage lies in the simplicity of the treatment, as there is no need to go to the operating room and no anaesthesia. Moreover, the procedure can be repeated because hyaluronic acid is a resorbable substance. The duration of the lifting effect varies from 12 to 18 months, depending on the type and dose of hyaluronic acid used. Over the time, the results always improve thanks to, among others, the production of natural collagen and fibroblasts. Finally, and this point is essential for the patients, injections are a first step, often useful when one is afraid of surgery and willing to postpone a surgical operation. Let’s precise that, after injections, a patient can always have (if wished) a surgical rhinoplasty.

What does the treatment consist in?

I have developed a technique called Eiffel Tower Nose-Lift®,with an obvious reference to the famous Eiffel Tower in Paris. This technique, first and foremost, consists in observing and redrawing the tip of the nose, by injecting hyaluronic acid to correct the nasolabial angle (the line between the nose and the lips). In a woman, this angle is comprised between 100° and 110°. From 90°, we talk about a “falling tip”. We inject hyaluronic acid at the base of the nose, which corresponds to the “first floor” of the Eiffel Tower. Thanks to this first intervention, we can find, step by step, floor by floor, the ideal position of the tip of the nose, by further injecting hyaluronic acid where needed. By doing so, we can get a harmonious profile, well balanced with the forehead, the chin and the lips. The procedure is painless and takes place at my medical office, without any trauma nor social eviction. And, at last, it is less costly than a surgical rhinoplasty.

 So, what about surgical rhinoplasty?

These are performed in a clinic and require an operating room. Two different techniques currently exist. The first one is called “natural”. It lasts 1 hour on average and leaves no visible scar. Performed on an outpatient basis, the surgery takes place inside the nostrils. This method allows us to correct the imperfections of the nose and to get a natural, harmonious and artistic result, in perfect balance with the rest of the face. This flexible technique requires an excellent knowledge of the anatomy through the skin. With this surgical procedure, it is not necessary to “open the nose” to analyse and understand its imperfections (bones and cartilage). The secret is to imagine the structures under the skin and to visualise the corrections needed in order to get a result as harmonious as possible, without any devastating effect.

I also have realised many specific surgery operations called “ethnic rhinoplasty” on the nose of African, Asian, Indian or Middle-Eastern patients. I have developed a specific technique described in an article published several years ago in the journal of the ‘Société française de Chirurgie plastique et esthétique’ (French Society of Plastic and Aesthetic Surgery). This technique is ideal when the nose is very flared and flattened with large nostrils, among others. Knowing the physical and cultural specificities, as well as the canons of beauty of each and every one, is paramount to understand and to adapt to the origins and the cultural environment of the patient.

A second type of intervention, very old and revisited in the 1990’s, can also be considered. Performed externally with a scar, it consists in ‘uncovering’ the whole nose. Then, the surgeon removes cartilage and makes grafts to support the nose. The post-operative consequences are heavier than after a “natural” rhinoplasty and the procedure lasts between 2 to 4 hours. This technique is used especially in the case of cleft lips, if the patient had several previous nose surgery operations, when his/her nose shows too many bumps or if the nose is too badly injured after an accident. Rhinoplasty is a trend in some countries, but the operation should be considered cautiously and seriously, as its aftermaths are heavy. Ideally, it is recommended, if possible, to favour the “natural” method which is less traumatic and more flexible in terms of results.

 

Rhinoplasty is one of the aesthetic surgery operations which can be performed in Geneva, as well as other treatments: blepharoplasty, facelift, hyaluronic acid injections, etc.

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We all have different face shapes and we would often like to correct certain aspects: a small bump on the nose, a too drooping tip, a too small chin, a profile not harmonious enough, etc. Many things that can now be treated thanks to aesthetic medicine and injections of hyaluronic acid and botulinum toxin.

We offer a truly comprehensive facial treatment to give it a more pleasant aspect to look at, according to the standards of beauty.

Regarding the nose, we can perform a rhinoplasty without surgery by injection, according to the principle of “Eiffel Tower Nose Lift”. Injections of hyaluronic acid will help to support a falling point and fill the hollows, thus giving the illusion of removing a bump. We redraw in this way the nose naturally.

At the chin level, we can practice injections of hyaluronic acid to redraw it. A chin too fleeing in men, or not sharp enough in women, can be improved. The double chin can also be removed with deoxicholic acid (Belkyra©) injections.

Regarding the oval of the face, we will have already worked the main elements (nose and chin for an ideal profile). Then, we will be able to work on masseter muscles that can sometimes give a jaw too square or too angular, thanks to the injection of botulinum toxin.

Read the article in the magazine “Anti Age Magazine” about facial treatment.

Read the article “Anti Age Magazine” on the treatment of the face in three points in pdf format.

 If you have any questions about cosmetic surgery in Geneva, do not hesitate to contact our medical clinic.

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The skin under the eyes, the so-called ‘eye outline’, is a very fragile area and one of the first to show signs of ageing. It is necessary to intervene gently and to worry about it in time. The goal will be to revive, lighten or simply give a boost to a fatigued look.

Hollow (or sunken) eyes… What is it actually?
Hollow eyes result from a lack of fat in the area around the eyes. In most cases, it affects the upper eyelid, but also the lower eyelid. If the pockets of fat under the eyes give a tired look, hollow eyes can contribute to a sick appearance.

Lipofilling offers a definitive and natural-looking solution to freshen up the look, conceal dark circles under the eyes and lift up falling eyebrows.

What is lipofilling?

Lipofilling, also called Coleman’s method or nano-fat grafting, is a gentle cosmetic surgery operation. It consists of using a small amount of excess fat in the body (neck, knee, abdomen, for example) to re-inject it (after purification of more or less fine fat particles by filtering or centrifugation) in the hollow under the eyes, in the cheekbones area, in the chin, or simply to boost the skin. Using ultrafine cannulas guarantees the absence of scars. Most of the time, the patient is locally anesthetized and the result is clearly visible after just a few weeks.

Learn more about the treatment of dark circles and bags under the eyes.

If you have any questions about cosmetic surgery, do not hesitate to contact our medical clinic in Geneva.

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In the field of visual arts like sculpture and painting, beauty refers to a set of rules in terms of proportions and dimensions.

By extension, beauty is defined in the same way, and consists of almost divine proportions, at least according to the standards of a particular period of time in History.

But your beauty is timeless and knows no borders, whatever your age. Even if some faces become thinner, they still keep their radiance…

Your complexion has to look fresh in all circumstances, flawless, with or without make-up! Your life must be healthy, tobacco-free, and driven by passion! Different concerns come with each age, and cosmetic surgery is to be considered as one of your closest ally to help you maturing smoothly and in all confidence.

Beauty is actually a question of attitude, behaviour and philosophy of living.

As a cosmetic surgeon in Geneva, Dr. Raspaldo places the concept of ‘beauty and proportions’ at the heart of his concerns. In the framework of his research around the concept of “Heart of Face”, which later gave birth to the “Facesculpture” one, the harmony of the dynamics and volumes of the face, and the texture of the skin are key elements to a global rejuvenation of the face.

If you want to know more about facial rejuvenation by injections, do not hesitate to contact us

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Human beings need rhythm and changes to exist. 

The alternation between day and night, for instance, is fundamental. The days, the weeks, a year that ends, another that begins, are crucial beacons in time. They allow us to apprehend our environment and our existence.

The transition to a new year also places us in a universal dimension, because humanity as a whole is concerned.

The temporality of the universe is the same for all of us. This brings us back to a certain form of humility, as we realise we are just individuals. But it also triggers a strong feeling, a sense of belonging to a community of more than six billion people.

December 31st is an important milestone in the year. It means taking the time… to take the time, among others to whish a happy new year to our beloved ones!

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Belkyra®: a brand new treatment to get rid of a double chin

This procedure is a major breakthrough in aesthetic treatments to melt fat below the chin and in the neck area. Belkyra®, or deoxicholic acid, can eliminate an embarrassing and unsightly double chin which can appear because of ageing, weight gain or hormonal disorders.

Until now, there were few solutions to remove chin and neck fat. Liposuction was used, but to a very small extent. Deoxicholic acid is naturally present in the body and facilitates the absorption of fats by the intestines.

As an aesthetic treatment, it is used to get rid of fat (or adipocytes). The clinical studies carried out so far prove the effectiveness of the treatment for a lasting loss of chin and neck fat.

Learn more about the non-surgical treatment of double chin.

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The look is a key element to a harmonious and beautiful face. Therefore, we all seek solutions to intensify, rejuvenate and magnify it.

The Imaderm clinic, the consulting practice where we welcome you, has published a very interesting article on the matter. It deals with the different methods which exist to magnify the look.

Imaderm offers aesthetic solutions such as eyelashes extensions, dermopigmentation or the permanent shaping of eyelashes. Imaderm also proposes the Chic Lift®, an in-house solution to rejuvenate the look thanks to injections :

‘To correct and repair the damages of ageing, Dr. Hervé Raspaldo, a well-seasoned practitioner, has designed an innovative technology. Thanks to a 3D-device, he provides the patients with a real subtle sculpture of their face, which enables them to interactively view the imperfections of their look. By dint of analysing pictures of models, I have discovered a form of C invariably present around their eyes. To recreate this C, it is necessary to fill the dark circles, the cheeks, the temples, the eyebrows and the forehead zones in a harmonious and discreet way with hyaluronic acid and Botox injections. I have called this treatment Chic Lift®, as it automatically magnifies the look of patients’, summarises Dr. Raspaldo.”

Read the full version of the article published by Imaderm (only available in French).

Watch our video and discover ‘in real time’ the injections given in the frame of a Chic Lift®.

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On November 11th, I will have the honor of receiving 15 Thai doctors for a visit of the Allergan laboratory in Switzerland.

In the clinic of Genolier, which will welcome us, I will lead courses on injections and will also do a live demonstration. This session will follow the concept of global facial rejuvenation through injections of hyaluronic acid.

Our program will be:

Time Topic
10.00 -11.00

(60 min)

Science behind HA dermal filler
11.00 -12.00

(60 min)

Anatomy review & facial assessment
12.00 -13.00

(60 min)

Break for lunch
13.00 -15.00

(120 min)

Live demonstration:

Total face rejuvenation with HA dermal filler (1 case)

15.00 -15.15

(15 min)

Coffee break
15.15 -15.45

(30 min)

Best practice tips
15.45-16.00

(15 min)

Q&A
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