Good news ! Following the decision of the government authorities, we resume all our surgical and aesthetic medicine activities in Geneva and Genolier from Monday, April 27.

We will soon be able to receive you for your care and consultations.

We have also made tele-consultation available, where we can chat live and remotely, in order to get to know each other and address your needs.

téléconsultation esthétique à genève

Learn more about online consultation.

See you soon!

Dr Raspaldo’s Team

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Tomorrow I will the honor to participate in the London aesthetic congress. I will present my work there on the Nose Lift (medical rhinoplasty), and I will carry out a demonstration of jawline contouring injections, related to the high demand from Millennials.

Discover an exclusive video interview !

“Millennials”, or “generation Y”, refers to people in the 80s and 90s, graduates of higher education, very connected, committed and sensitive to environmental issues. In the world of cosmetic surgery, millennials are increasingly in demand for beautification, transformation and contouring treatments.

Learn more about medical rhinoplasty in Switzerland.
Learn more about jawline contouring in Geneva.

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Dear readers,

With this post, I would like to pay a personal tribute to Doctor Guy Jost, who passed away on January 16, 2020, at the age of 93.

He has been a mentor for several generations of French and foreign surgeons.

A few words about Dr. Guy Jost

Born in 1927, this French surgeon, trained in ENT and head and neck surgery, was known worldwide in the 70s and 80s as one of the pioneers of plastic surgery of the
face and neck, in particular cosmetic surgery of the nose and cervico-facial lift. He ardently participated in the development and recognition of facial cosmetic surgery and was president of the SoFCPRE (French Society of Plastic, Reconstructive and Aesthetic Surgery) in 1981.

His original and incisive spirit was already noticed when he was internal to Dr Redon, by inventing the suction drain, so useful in the aftermath of facelifts.

For a long time head of department at Lariboisière Hospital in Paris, he devoted himself to plastic surgery and in particular to cosmetic surgery of the nose, which he methodically modernized. He published, in fact, a new procedure allowing to modify the nose in all its parameters by internal and invisible incisions. This respects all tissues and also the integrity of the mucous membrane for better breathing. He then
develops extra-mucosal rhinoseptoplasty.

He wrote and co-wrote several works such as “Atlas of cosmetic surgery” in 1975, “Plastic and aesthetic surgery” in 1990, “History of plastic surgery” in 2003 or “Annals of plastic and aesthetic surgery” in 2004.

My personal experience with Dr. Guy Jost

He was a real character. Between the 70s and 90s, he attended all the symposia, all the international congresses. His voice carried, strong and grave. And his ideas commanded respect from American surgeons, which was no easy feat. Dr. Jost was feared and respected.

In December 1988, I was able to participate in my first major world conference of the International Society of Asthetic Plastic Surgery in Paris. Dr. Guy Jost was the President. It was, then, my very first course on rhinoplasty: impressive.

In September 1993, still in Paris, I had the honor of presenting my research on the subject of "Deep cervico-facial lifting: anatomical evaluation". It was a conference given at the City of Sciences and Industry, under the chairmanship of Dr. Guy Jost.

At the time, it was an ordeal and an honor to be able to walk through the doors of international congresses of this kind, to be able to show your techniques, and to be able to interact with the best cosmetic surgeons in the world.

I still practice, today, his rhinoplasty technique without visible scar, as well as his facelifts with muscle re-tensioning.

He is a great man who left us today and who will have marked the history of our profession.

My most sincere tributes,

Dr Raspaldo

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This Friday 2/7/20, we are going to celebrate in Nice the 80 years of Professor François Demard, whose brilliant career commands respect.

Former holder of the cervico-maxillofacial chair at the University of Nice, he was my first professor of surgery, my first university boss and one of the great men to follow.

Pr. Demard directed the Antoine Lacassagne center in Nice between 1985 and 1996, and was behind the creation of the University Institute for Face and Neck. This service later became the first service in France specializing in Face and Neck Surgery. François Demard received the Legion of Honor badges in 2018.

It was thanks to him that I decided in 1978 to move towards a career as a surgeon.

Let me tell you the story and the birth of a passion!

During one of the countless lectures given at the time, in the first year of medicine, we were feverishly awaiting a course in Head and Neck Anatomy. More than 900 students filled the benches of the Faculty of Medicine of Nice in the large amphitheater, avenue de Vallombrose, in an indescribable heckling. No tablet in these time immemorial, no smartphone, not even laptop. Notebook, pen, ears, big mouths and wide-open brains! 

As soon as Professor François Demard enters, suddenly there is silence. A silence of respect, of admiration in front of his presence and his elegance. 

The course then takes place in a fluid, clear, luminous way: the bones of the skull and spine, the muscles of the face and neck, the incredible vessels and nerves of
complexity, appear simple and obvious to us. 

All this illustrated by precise drawings, made with colored chalk, on a huge double blackboard 2 meters high and 10m wide, without the slightest hesitation or the slightest correction: a pictorial and anatomical masterpiece is reveals to our eyes young students. All in a communicative good humor, a faconde and a good oratorical ease. Result: the complex anatomy of the head and neck becomes a passion to explore and becomes obvious for the rest of my career: I would be a surgeon … like this gentleman. my path is being traced, to follow in the footsteps of this great man, without my knowing it yet.

I actually followed this path a few years later, in 1984, after successfully completing my internship competition. Once my internal diploma in specialized surgery in my pocket, I naturally made my first choice of internship in surgery in his department in 1984; then 5 years of training. Pr. Demard then appointed me his Head of Clinic- assistant of hospitals between 1989 and 1991 in his Department of Face and Neck Surgery in Nice. I am very pleased to attend, with my colleagues and friends, all of his former students, the birthday celebration of this great gentleman.

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From April 2 to 4, the 18th Monaco Congress will be held on aesthetic and anti-aging medicine. This is an opportunity to take an interest in the growing phenomenon of Millennials.

The term “millennial” or “generation Y” refers to people born in the 80s and 90s, graduated, very connected, committed and sensitive to environmental issues. In the world of cosmetic surgery, millennials are increasingly in demand for anti-aging treatments.

This is precisely the purpose of the next Monaco congress, whose main subject is:
“Get to know Millenial patients: from facial contouring to improving the skin quality”.

This congress will go through a number of subjects, through the following program, in which I participate about the nose and medical rhinoplasty:

  • Milennials: who they are? 
  • Anatomy & harmony of the ideal profile in the social media era
  • New generation of patients – face contouring as the most demanded treatment among Millennials
  • Perfect nose – dr Raspaldo
  • Jawline Live demo on
  • In pursuit for the flawless skin
  • Live Demo on NoseLift® – Dr Raspaldo

It will be an amazing symposium with lot of tips and tricks!

Know more about medical rhinoplasty.
Know more about jawline contouring.

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The FaceSculpture© concept: global facial beauty with hyaluronic acid and botulinum toxin

FaceSculpture© is a concept of beauty of the face as a whole. After a detailed facial analysis, we develop a global treatment plan based on injections of hyaluronic acid and botulinum toxin. We will be able to recreate reliefs, volumes, play on the shadows and lights and make the face a beautiful harmony.

Video showing an example of a global facial treatment:

The Wosiam site (World Society of interdisciplinary aesthetics & anti-aging medicine) presents a video of FaceSculpture© treatment:

SEE the video of the global treatment of the face.

We perform contouring (or profiloplasty) of the chin and jaws, as well as the upper and middle part of the face. The Chic Lift© is a good way to redraw the upper part of the face by raising the eyebrows, working on the temples and the entire outline of the eye. The Eiffel Tower Nose Lift©, or natural medical rhinoplasty, makes it possible to harmonize the nose.

Learn more about FaceSculpture© of the face.
Learn more about the Chic Lift© look.
Learn more about natural rhinoplasty.

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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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