Cellulite toxins journal

The patient was menstruating and had been using Vaginal sampling and tampon culture revealed TSS [ Syndrome toxinique staphylococcique, forme atypique de syndrome de Kawasaki ou scarlatine staphylococcique Staphylococcal toxic syndromeatypical presentation of Kawasaki syndrome or staphylococcal skin syndrome Both clinical and bacteriological features led to discuss Staphylococcal scalded skin syndrome Syndrome de choc toxinique TSS Syndrome de choc toxinique streptococcique STSS Syndrome de choc toxinique Le syndrome de choc toxinique TSS Todd chez sept enfants Syndrome de choc toxinique streptococcique TSS staphylococcique, la relation caus [ Comparative effects of clindamycin and ampicillin Improved outcome of clin Intravenous immunoglobulin therapy for streptococcal toxic shock syndrome.

TNF alpha,interleukine-1 bêta, interleukine 6, interleukine 2, interféron gamma,TNF bêta à l'origine de la réaction inflammatoire et pour certaines le développementdes streptococcies sévères cellulite nécrosante, syndrome du choc toxiquestreptococcique L'incidence des infections graves comprenant les bactériémies, cellulitesnécrosantes et syndrome du choc toxique Quelques observationsde plusieurs cas groupés de syndrome du choc toxique ou cell [ D'autres maladies ayant des présentations cliniques proches tels que le syndrome d'hypersensibilité médicamenteuse et le syndrome de choc staphylococcique Current knowledge and key points The occurrence of Kawasaki disease is unusual in adults and 52 cases only Seventy-one per cent of cases occur between 18 and 30 years Parfois les petites lèvres sont removing all of the pubic hair does highlight any minor de- totalement extériorisées des grandes lèvres.

ANTI-AGE MAGAZINE #35

On parle alors fects, such as asymmetric inner lips. Sometimes the inner lips de ptose il faut alors les réamarrer à la partie supérieure de la protrude from the outer lips. This is a kind of ptosis so we fente vulvaire et les réduire de façon raisonnable.

Le but est must refix them to the upper part of the vulvar cleft and re- de redonner confiance à la patiente sans pratiquer de gestes duce them slightly. La nymphoplastie est donc dédiée aux labia minora. Labiaplasty is Il existe plusieurs gestes de nymphoplastie en fonction des for the labia minora. There are many types of labiaplasty and anomalies à traiter, de réduction et de remodelage de façon the choice depends on the issue to be treated and whether the à ce que la vulve puisse se fermer plus facilement.

Catherine Bergeret-Galley Chirurgien plastique et esthétique, spécialisée dans la chirurgie intime féminine. Aesthetic surgeon, specialised in female intimate surgery. In the past, the labia minora were called the nymphaea, after the nymphs in ancient mythology who guided the flow of spring water. Described for the first time inbefore the era of anaesthetics, a nymphoplasty or labiaplasty was only carried out in pathological cases until just a few years ago. It is never observed in young girls, but develops during puberty.

Colombia removed their pubic hair. The vulva, connaitre les raisons principales de la suppression des poils which used to be hidden by hair, is gradually being unveiled. Cette labia to be hidden by the outer labia and not protrude from vulve, autrefois cachée par les poils, va aussi se dévoiler peu the vulvar cleft.

Women à peu. This technique allows us to cut away the hyperpigmented edge Les douleurs post opératoires sont minimes et aucune patiente of the inner labia. The wound is bloodless and, using the same technique, we can resect the secondary folds on either side of the clitoral hood. How many women were unaware of this surgery and swear Les autres techniques chirurgicales de nymphoplastie de they would have had it done sooner had they known it existed?

So, ip box regime us if imperfection were a good thing? Membre du GRIRG groupe de recherche et innovation déboucher sur la rigidité et le stress car parfaits, il faut le res- en restauration génitale. Sur la solitude aussi, car parfaits, nous serions entourées chirurgie reconstructrice et plastique pelvi péritonéale. Surgery and Medicine for the Pelvis-Peritoneum region. Soin protecteur teinté anti- 3. Concilier bronzage rayonnant et peau uniforme.

Protective anti-wrinkle and firming A radiant tan and an even complexion. This Monaco-based brand has managed to tinted face care. With this new sun care product, Esthederm are addressing a combat the appearance of marks and premature aging by creating formulas that series of sun-related issues: getting too much sun is dangerous, but so is getting blend sun protection with anti-aging cares.

Their Full Light and anti-aging too little, tanning without aging is possible, and a tan is the most natural and long- technology, anti-pollution complex and radiance boosting duo are found in the lasting protection… So, say YES to tanning and NO to danger!

La protection solaire Anti-Age. Lait en brume hydratant. Que du bonheur! Anti-aging Sun Protection. This is the first sun care Moisturising Milk-Mist. Sun Secure is a sun care range that includes a stick, a range that promises anti-aging benefits from the outset.

Let summer begin! The ml against aggressions caused by sun exposure. Toutes les peaux ont le droit 7. Vegan et cruelty free. Trois nouveautés très haute cette marque suédoise avec cette mousse nettoyante qui laissera votre peau toute protection viennent enrichir la gamme solaire Barésium : la Crème Teintée, le douce.

Parfait bouclier contre huiles minérales, vegan et cruelty free. Vegan and cruelty-free. The Swedish son complexe Cx qui associe des actifs apaisants et anti-oxydants. En tube de brand is innovating with this foam cleanser that leaves your skin clean and soft. All skin deserves a great complexion! Three new high-protection products have just been mineral oil, and is vegan and cruelty-free.

Un nouveau système de bronzage intelligent. Pas cette marque qui renouvelle ses soins which combines soothing and antioxidant actives. Equilibre parfait entre innovation, plaisir et Hydraglow et de nouvelles fragrances. Un nouveau produit également : Gradual efficacité.

Soin phare de la marque, il régénère vos cellules et les oxygène avec sa Tan In Shower Médium, une lotion qui offre un hâle plus profond en version Light formule Trio-Moléculiare. A coupler avec les autres produits Gradual Tan. A new, intelligent tanning system. Who are you calling orange?

Certainly not éliminer les toxines et de Céramides Végétales pour son hydratation. The perfect this brand, which is renewing its sun care range with a new formula that contains balance of innovation, pleasure and efficacity. It also includes a new product: Gradual Tan in Shower Lotion, which gives a golden contains borage oil to slow down aging, vitamin A for its antioxidant properties, sun-kissed glow and is available in Light and Medium tones.

Pair with the other red algae to eliminate toxins and plant ceramides for hydration. Gradual Tan products. The bedrooms are luxurious with a wealth of refined details, such as the cotton satin bed linen, black granite mosaic ba- throoms and outdoor views, some boasting a patio that leads straight out to the swimming pool. In Tsé Fung, whose attendent chacune vous plongeant dans un univers unique : When it comes to dining, there are five mouth-watering op- menu was created le Loti et ses voyages savoureux, le Tsé Fung avec une carte tions, each immersing diners in a different atmosphere: Le Loti by Frank Xu.

Nous nous attarderons sur le Tsé Fung, un haut lieu de gastro- We particularly enjoyed the Tsé Fung, a hot spot for Chinese nomie chinoise. Son chef Franck Xu a fait de son canard laqué gastronomy. Chef Frank Xu has made traditional Peking duck en deux services une référence culinaire et son décor de laque his culinary signature, and the black lacquer décor will trans- noire vous entrainera dans le Shanghai des année Egalement both maintain your youthfulness with a high jeunesse avec une forte concentration huit choix dont le Soin Platinium Rare concentration of anti-aging actives.

Rajeunissant Ultime. Résultat : une peau complètement problem areas, and the actives that fully expérimentée et qui travaillera sur les renouvelée! La Prairie is famous for its Exclusive Cellular Complex, which is blended with precious ingredients such as caviar, gold or even platinum. Result: intensely renewed skin! Sous Depending on which package you choose, it may la marque Nescens, bien connue de nos lectrices, il participe or may not include entry to the spa.

traduire de

Avec 56 personnes dont 17 thérapeutes, 17 Better Aging universe. Nous ment, with treatments for the body, face, eyes and lips. Dans notre which is for body and face and lasts 90 minutes. Our massage prescription, notre masseuse avait utilisé un gel nettoyant, therapist used a cleanser, a metabolism-activating toner, a un tonique activateur métabolique, un sérum réhydratant bioidentical rehydrating serum, a cell-renewal emulsion and bio-identique, une émulsion renouvellement cellulaire et une a molecular regenerating emulsion, a sequential micro-peel régénération moléculaire, un micro-peeling séquentiel pour and, to round it all off, a bioidentical reconstituting mask and finir par un masque reconstituant bio-identique et un masque renewing gel mask.

Our skin has rarely been treated to so many gel rénovateur. Nous effectuons avant tout démarrage un bilan pour proposer des solutions personnalisées notamment pour la nutrition. Le tout accompagné de 3 séances de coaching sportif et de 3 repas santé personnalisé. First of all, we carry out an assessment to offer personalised solutions, namely with regard to nutrition. We also offer appointments with an osteopath, a dietician and an anti-aging specialist.

A quelques encablures de la ventative Medicine in the Genolier Clinic. Les check-ups médi- and identify any risk factors. Including a prévention réussie. Un programme prevention programme is then recommended, with or without individualisé de prévention est ensuite proposé, avec ou sans a medical prescription. This anti-aging approach was drawn up by Professor Jacques Cette approche anti-âge a été élaborée par le professeur Proust, who researches the biology of aging at the Geronto- Jacques Proust.

He is the founder and director of the Nescens Centre for Johns Hopkins, il est le fondateur et directeur du Centre de Preventative Medicine. He also formulated the cosmeceutical médecine préventive Nescens. Il a également formulé les pro- products for the Nescens range. A total de Valère et Hôpital de la Providence. Finally, if you would like to have some cosmetic surgery done, Enfin pour finir, si la chirurgie esthétique fait partie de vos all of the most common procedures — such as a breast reduc- attentes, sachez que des interventions comme par exemple tions, face or body lifts, liposuction, rhinoplasty, etc.

La Clinique Nescens Paris Spontini. After many years of research and experiments, Allergan and Brazilian cosmetic surgeon Dr Mauricio de Maio are presenting doctors from all over the world with a choice way of performing hyaluronic acid injections according to a rational method made up of codes and equations.

Des chiffres, des lettres, des équations pour embellir? It is a protocol that takes into account the face as a whole.

Ce protocole est complété par des équations regroupant certaines lettres accompagnées de leur chiffre. Ces différentes équations sont censées répondre aux demandes émotion- nelles les plus courantes des patients. The protocol is completed with equations that group together Dans ce système, une équation vient donc répondre à chacune certain letters accompanied by a number.

These different des huit demandes. Il était donc fondamental de les inclure. Within this system, a different equation is applied to address Après avoir effectué cette reconnaissance chez le jeune patient, each of these eight requests. They have be- come a constantly-evolving work and research basis for Dr de Pour tout le monde pareil? Maio, who is continuously refining his approach. Surtout pas! It was therefore vital to nécessaire de prendre en compte les différences structurelles include them.

Here, every muscle is analysed and treated so as de la connaissance des MD CodesTM, le médecin retenu par le to increase or reduce their action within the facial expressions patient pour faire ces injections est seul garant du résultat. En that are being treated. The experiments and research carried effet, appliquée à la lettre, cette méthodologie peut aboutir à out to produce this system have shown that muscle modulation une banalisation de la personnalité, une forme de clonage, tant is possible thanks to the depth of the implantation in relation to redoutée par les patients.

Appliqués judicieusement, après the muscle: either above to reduce their contraction, or below réflexion et dans des mains expertes, les MD CodesTM contri- to increase their contraction. This is what we call mechanical bueront à un embellissement et un rafraichissement naturel modulation. Cette locution, qui englobe by using hyaluronic acid injections to reinforce the weak area. A whole programme of protocols!

Is everyone treated in the same way? Let us not forget that every face has its own unique charm, and your chosen doctor owes it to you to recognise and res- pect that. This phrase, which today covers almost all professions, is applied to anyone who produces top-quality and useful work. Now, more than ever, doctors who specialise in aesthetics have to be worthy of this name. We owe him a lot for this.

Thanks to this codification, a new dimension in the use of hyaluronic acid has been created, making it more reproducible and more scientific. Grâce à cette codification, une nouvelle extrinsic qualities. An expérience, sa recherche, sa réflexion, son sens artistique et example of these precautions is injecting slowly and regularly ses préférences personnelles mais aussi sur les qualités du checking for signs of pain or changes to the skin colour.

The patient qualités intrinsèques et extrinsèques. Dr Gauthier graduated in Stomatology, visage. Today, the MD Codes combined with new-generation hyaluronic acids allow us to restore the facial support structure and contours. With this concept, we can achieve facial harmony with natural-looking results and mild after-effects. Michael Yarem- Esthétique avec le Pr. I was astounded by Medical School - Boston. Today, hyaluronic des premiers à comprendre la nécessité de restaurer acid and the MD Codes have been added to this approach, le support facial.

Codes rejoignent cette approche avec des traitements aux suites plus légères pour nos patients. When performing a lift, Pr. Michael Yaremchuk inserted small implants into the cheekbones, the outer edge of the eye socket Lors de ses liftings, le Pr. Michael Yaremchuk associait de petits and even the chin. Aging is a multifactorial mechanism.

A face implants au niveau de la pommette, du rebord orbitaire infé- lift is a very powerful tool that allows us to reposition the mus- rieur ou encore du menton.

Le were before. But, as the years pass, we also lose bone and deep lifting est un outil très puissant qui permettra de repositionner fat, which leads to a loss of support for our skin, causing it to les muscles et la peau en haut et en arrière là où ils étaient droop downwards and forwards.

This creates nasolabial folds, clinique bordeaux augmentation mammaire tunisie. Mais avec les années nous perdons également de expression lines and jowls. Ainsi flat. Un lifting réalisé seul pourrait traiter le relâchement replaced by autologous fat transfers, called lipofilling, which mais risquerait de donner une apparence de visage tiré et offers comparable results but with fewer after-effects.

Les implants permettaient alors de réaliser une véritable However, the fat used is more liquid than the fat and bone synergie avec le lifting en restaurant le support facial. Puis ces we lose over time, and therefore does not offer the same sup- petites prothèses ont été progressivement remplacées par les port.

I still use lipofilling in most of my lifts, but in smaller transferts de graisse autologue, encore appelés lipofilling, qui quantities. But, nowadays, before a lift, I suites plus simples.

En two years, on average. The different densities of gel allow us effet, il apporte de précieuse cellules souches et des facteurs to restore this lost support due to bone or fat wastage. The de croissance qui améliorent la qualité de la peau. Mais à pré- injections are extremely precise because they are carried out sent, je réalise avant les liftings, une restauration du support when the patient is awake and sitting up.

Comment éliminer la Cellulite ?

Celles-ci seront réalisées environ tous les 2 ans. Les différentes However, in the first sessions of hyaluronic acid injections, it is densités de gel permettent de restaurer au mieux les pertes important to avoid treating the consequences of sagging skin. Les injections sont extrêmement précises car elles sont réalisées avec un patient réveillé en position assise. Le premier temps pour rajeunir ou embellir un visage passe par une restauration du support du visage. Il faut donc traiter les causes et non les conséquences en premier.

Le visage comprend plusieurs unités anatomiques. Les MD Codes sont des sites précis au sein de chacune de ces unités. Les unités faciales seront traitées selon un mode architectural qui restaurera le support facial en allégeant le visage.

The hyaluronic acid injections disruptif sans équivalent dans notre arsenal thérapeutique. Pour les The face is made up of several anatomical units.

The MD Co- exprimer nous utilisons des muscles élévateurs et des abais- des are precise sites within these units. Avec les années les cellulite before and after workout treated according to an architectural method which restores élévateurs émotions plutôt positives fonctionnent moins the facial support by making the face lighter.

The idea is not to create volumes with ronique sur ces zones permettent de réaliser une perdre du poids gratuitement 01.net the injections, but rather to restore the facial support.

Le produit injecté restaurera le bras de The injection sites are represented by a group of letters and levier mécanique et le muscle positif comme les élévateurs numbers.

The letters represent the anatomical area and the zygomatiques fonctionnera comme il le faisait auparavant. The face conveys emotions that can be positive or negative. The product injec- ted restores the arm of the mechanical lever and the positive muscle such as the zygomatic elevators will work like it did before.

Conversely, small deposits of gel at the surface of the depressor muscles, such as the depressor angular oris DAO at the edge of the mouth, allow us to reduce the expression of negative emotions sad face.

The hyaluronic acids used in this way are not acting as filler products, but rather as products that restore the facial support and muscle dynamic. The creator of the MD Codes, Dr Mauricio De Maio, a Brazilian plastic surgeon, has developed a whole new use for hyaluronic acid, thanks to this codification.

In just a few years, the way we analyse and treat the face have changed considerably. Every face is different and all of our patients have their own rejuvenation or beautification desires.

Some want to look less tired, less saggy or less sad or stern. Others want their face to look more feminine, more masculine or lighter. Nos échanges able us to draw up a treatment plan. However, there may be significant sagging in the face or eyelids Chaque visage est diffèrent et tous nos patients ont des sou- which may require surgery or tensor threads at a later date.

Certains voudront paraître moins fatigué, moins lows us to achieve an optimised result through this synergy of relâché ou encore moins triste ou moins sévère. This comprehensive medical-surgical haiteront avoir un visage plus féminin, plus masculin ou plus approach also allows us to hold off surgery for a time.

This allégé. Cependant il peut exister un relâchement important more spaced out and in smaller quantities, in order to maintain du visage ou des paupières qui nécessitera une chirurgie ou the results in the best possible way. This overall and gradual des fils tenseurs dans un deuxième temps. Cette approche glo- Olivier Claude bale médico-chirurgicale permet de plus, de retarder un peu Chirurgien Esthétique et Plasticien — Paris. Les interventions chirurgicales seront en Chirurgie Plastique, Reconstructrice et Esthétique.

Diplômé du D. Chirurgie Plastique et Esthétique. Qualified in Plastic, Reconstructive Après la chirurgie, des injections seront également réalisées and Aesthetic Surgery.

Graduated from the French College of Plastic maintenir au mieux les résultats. Cette approche globale et Reconstructive and Aesthetic Surgery. Interview du Docteur Nimrod Friedman. Today, aesthetic medicine is no longer a privilege reserved for women. More and more men of all ages and from all lifestyles are discovering this universe and the benefits of medical advances in aesthetics.

From the young metrosexual to the businessman in his forties, men are becoming more and more concerned about their physical appearance and the image they reflect. Interview with Doctor Nimrod Friedman. L es effets du vieillissement sont assez similaires The effects of aging are quite similar in women and men.

Ne- chez les femmes et chez les hommes. Néan- vertheless, male expectations will differ, resulting in appro- moins, les attentes des hommes diffèrent, priate aesthetic care. Les hommes souhaitent des traitements rapides, indolores et efficaces dès When male patients come to your le premier jour et qui durent!

Quand vos patients masculins viennent Dr. Nimrod Friedman: When they come in, most of them just à votre clinique, quel type de traitement want to improve their appearance. Usually they do not know recherchent-ils? To advise them in the Dr. Nimrod Friedman : Ils souhaitent simplement amélio- best way possible, it is essential to understand the basic diffe- rer leur apparence.

La plupart du temps, ils ne savent pas de rences in men versus women. During my lectures, I always put quel type de traitement ils ont besoin. Pour les conseiller de la emphasis on the importance of shapes: women usually have a meilleure façon possible, il est essentiel de comprendre les dif- more rounded appearance rather than men who have square férences fondamentales entre les hommes et les femmes.

Au features, sharp corners and straight angles. Many doctors are still nieux et naturels. It is important to respect some basic rules droits et plus longs. En général, ils sont plus bas que ceux des in order to avoid mistakes. Il est important de respecter certaines règles de base We do not want a male face to be completely smoothed out. Par exemple, créer un regard de type Otherwise, it will not look natural. Sinon, cela ne sera pas naturel. Lorsque nous traitons un homme, il ne faut pas féminiser les traits masculins en voulant avoir un visage de bébé.

Le bout du nez devrait être plus bas que celui de la femme. Egalement, les pom- Our main objective is to define the contours for a more mas- mettes devront être plus rondes chez les femmes que chez les culine look instead of completely removing all the lines and hommes.

It is extremely important. Concernant les lèvres, les hommes ont des bouches plus larges When we are treating the temple area, we do not want it to be avec des lèvres légèrement plus minces, particulièrement la too hollow nor convex. If we want to treat the nose, it should lèvre supérieure.

Si nous devons corriger les lèvres, nous ne be straight and it is fine if it is slightly longer or wider. The tip of the nose should be lower than that of femme. Il doit être très fort and try to keep them chiseled-looking to avoid facial femini- et carré pour donner au visage une forme plus angulaire.

Une sation. The cheekbones should also be rounder in females in angle bien défini. Chez les femmes, nous essayons lips, we do not want them to look as plump as the female ones. However, in men, du volume aux joues.

Nous ne pouvons pas le faire chez les it is a normal facial feature and sometimes it is even good to hommes. It is a masculine presentation. Dans ce cas, element of the male face. It has to be very strong and square nous devons utiliser un traitement esthétique alternatif afin to give the face a more angular shape.

Our goal here is to have a well-defined angle. Combien de patients hommes avez-vous To conclude, the understanding of the concept of round versus maintenant dans votre clinique? In Voyez-vous une augmentation de la demande women, we often try to fight skin sagging by adding volume des patients hommes? We cannot do this in men. If we are trying to N. Cependant, la majorité sont encore des femmes. Dans ma clinique, les How many male patients do you have now hommes commencent souvent par une chirurgie alors que in your clinic?

However, the majority are still women. Ils se sentent plus confiants. However, the approach is different. Quand quelque In my clinic men often start with surgery whereas women are chose les dérange, ils veulent une solution rapide et efficace looking for non-invasive treatments at first.

Once they have qui résoudra tous leurs problèmes pendant de nombreuses been through a surgery, they are more likely to have other années. They feel more chirurgie. It is an interesting phenomenon. Men do not have the patience to have injections on a regular basis. When so- Utilisez-vous une technique particulière mething bothers them, they want a quick and effective solution quand vous injectez sur un homme?

This is why Quels sont vos conseils et astuces? Cependant, je préfère when you inject a man? Je crois que nous sommes My general rule is that I do not believe in fixed injection points. Un diagnostic soigneux du pré-traitement du visage fine, if you inject there. I believe that we all are different one et de la vision artistique du médecin est crucial.

In my opinion, vais chemin. Dr Friedman est reconnu pour son approche unique et naturelle du rajeunissement des femmes et des hommes. Nimrod Friedman est consultant et KOL pour plusieurs sociétés internationales. Il intervient dans de nombreux congrès et workshops à travers le monde. His private clinic is based in Tel Aviv, Israel and his main activities are Aesthetic Breast Surgery, Facial Rejuvenation and Body Contouring using different surgical techniques, as well as minimally invasive and non-invasive techniques.

Friedman is well appraised for the natural results achieved in both male and female patients. Nimrod Friedman Graduated medical school with honours and distinction and received several awards for outstanding academic achievements. Nimrod Friedman is a consultant and KOL for several international companies and a frequent lecturer at meetings and workshops around the world. Nimrod drfriedman. The nasolabial folds go from the area next to the wing of the nose down to the corner of the lip.

These folds appear as we age, following fat ptosis. Our job is to give the face a boost ils participent à donner un air triste au visage. But the approach On recherche à redonner un nouvel éclat must be comprehensive and should not address the nasolabial au visage en ayant recours à des injections folds alone.

In practice, we start the treatment Actuellement, on propose, après une analyse du visage, un plan by injecting hyaluronic acid with a needle deep into the traitement partant du haut prendre du poids plus vite naturellement visage mais également des joues, skin, right to the bone, into the area between the zygoma- complété par celui des sillons nasogéniens pour redonner un tic arch and the malar bone i.

We use a aspect rajeuni global au visage. En pratique, on va commencer volumising product for this. On utilise pour cela un produit volumateur. It is only then, also in the same session, that we can begin to address the nasolabial folds, to complement the effects of Dans la même séance si nécessaire, on complètera par des the two previous procedures.

Quel que soit la technique utilisée, on retiendra un optimum results. Dr Prunièras performs only aesthetic medicine and medical laser treatments.

Cellulite toxins journal

Ageing has long been considered a phenomenon that must be fought at all costs. The beauty industry has greatly contributed to transforming the signs of ageing into marks of shame against which we must actively fight. Today, longevity, beauty and wellbeing are indissociable. Because they know that there are solutions, age vécu comme une fatalité mais de manière positive et orienté is no longer seen as a fatality but rather a positive thing and vers plus de bien-être.

On accueille les modifications physiques we focus more on wellbeing. We welcome the physical changes avec plus de sérénité, comme une célébration du temps qui more calmly, like a celebration of the passing time. The most passe. Elle touche toutes les générations mais yourself, whatever your age. Le pro-ageing façon Millenials Pro-ageing for Millennials En matière de beauté, les Millenials ans impulsent leur It terms of beauty, Millennials age command their own vision et leurs codes, propres à une génération surexposée sur vision and their own codes, which belong to a generation that les réseaux sociaux.

Finis les stéréotypes et la beauté unique! Women A partir de 40 ans, les signes de vieillissement deviennent plus are socially and professionally active, and they have a real need visibles. They envisage getting older in a elles de se maintenir jeunes et de résister aux signes du temps. This is expressed through their desire for preven- est primordial, mais leur démarche reste très active : cela se tion and their need to correct the first signs of ageing, for which traduit chez elles par un vrai désir de prévention et un besoin they seek the help of an aesthetic doctor.

The phenomenon of youthful seniors and ageing well Aged between 60 and 75 is a new generation of seniors who are turning the way we view old age upside down. A real societal phenomenon, the Youthful Senior generation advocates perso- nal fulfilment. They want to age healthily but also beautifully. For them, positive pro-ageing does not mean transforming yourself to make yourself look younger; above all, it means feeling good in your own skin and doing whatever you can to age gracefully.

A leader in the revitalisation market for over 40 years thanks to NCTF HA New Cellular Treatment FactorFILLMED have always placed prevention and improving the skin quality at the heart of their comprehensive aesthetic approach, seeing aesthetic medicine as a pro-ageing solution that can contribute to healthy ageing as well as wellbeing.

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The first warning sign is abdominal gentle, non-invasive treatment that uses fluorescent light energy to obesity. A waist circumference greater than 80cm for a woman induce collagen production, help reduce pore size, fine lines and or 94cm for a man is a definite risk factor for accelerated aging. This improves complexion and overall skin quality.

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It has a higher safety profile than a nm or nm laser with no dye kits or other consumables like a PDL. Learn how you can upgrade your technology, while lowering your cost of ownership. Contact Us at: sales advalight.

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Unlike the majority of laser treatments, namely from screens and infrared rays all day long. Thus, the filters, anti-aging technology, and a repair complex. It limits the skin is renewed with minimum downtime and activities can be appearance of brown spots caused by sun exposure and preserves resumed immediately after pony rides outer banks session!

Its smooth tex- l Face and body skin rejuvenation ture is invisible upon application and absorbed quickly, as well as l Wrinkles and sagging skin being water-resistant. Available in pharmacies and drugstores. Ren- We have only started to take an interest in cosmetic sur- forcée en cela par une épilation sou- gery and medicine for the intimate area fairly recently, vent totale du pubis, le sexe se dévoile and it is once again the field of aesthetic medicine that is coming dans son intimité et la médecine et la up with solutions: medical penoplasty with hyaluronic acid in- chirurgie esthétique sont là pour vous jections for men, treating vaginal dryness with special fillers for accompagner… women.

The aim is to create an attractive vulva and inner and outer labia — most often in young women — and treat any gaping in the vulvovaginal opening after multiple or traumatic births. Some women who lack sensitivity during sex may require vaginal tightening if their vaginal opening gapes. Les cal suffering in a variety of ways — gaping, skin tears, loss of femmes décrivent cette souffrance psychologique avec de sensitivity — and often feel uncomfortable taking their clothes nombreux mots : béance, sexe écartelé, absence de sensation off, even in private.

Elle est souvent précédée de nouvelles séances de the baby passes through. A vaginoplasty, often performed with rééducation périnéale avec électro stimulation pour accroître a perineoplasty to recreate the vulvar fork and repair any scars les contractions musculaires. La vaginoplastie consiste le plus from an episiotomy or tear, can treat all of these anomalies and souvent en un resserrement de la paroi vaginale postérieure give the patient her confidence back.

A vaginoplasty most prévenir le risque de déchirure périnéale. La vaginoplastie often involves tightening the walls of the vagina by bringing peut être associée à un lipofilling vulvaire et intra vaginale pour the muscles closer together and repairing them if they have apporter facteur de croissance, cellules souches aux muscles been cut at the vaginal entrance episiotomy to prevent the et à la muqueuse mais également un resserrement optimal en risk of a perineal tear.

Ces anomalies sont manently open even though the patient has never had child- parfois visibles même en dessous des vêtements, formant une ren, too-large or too-thick labia minora, or inner lips that hang voussure sous le maillot de bain et parfois empêchant certaines down and protrude from the outer lips.

A contrario certaines femmes person from doing certain sports such as horse riding or cy- se plaignent parfois de clitoris enfoui ce qui est un traitement cling.

A protruding clitoris is also seen as unsightly, as women extrêmement simple de réduction du capuchon clitoridien often think it looks like a micro-penis. Les monts pubis ou mont de Vénus trop hidden, which is easily corrected by way of a straightforward proéminents sont très inesthétiques et peuvent être facilement clitoral hood reduction.

This offers immediate functional im- traités par une lipoaspiration localisée en dehors des séquelles provement and enhanced sensitivity. Toutes ces anomalies entraînent localised liposuction, unless it is an after-effect of obesity, in une gêne psychologique importante chez les jeunes femmes which case the stretched skin may need removing.

All of these en devenir. La consul- in young women. A consultation enables them anomalies anatomiques réelles, les conséquences fonction- to examine and assess the extent of the anatomical abnormali- nelles éventuelles et les plaintes psychologiques. La perception du sexe de la tient and explains whether or not their genitals are abnormal.

Parfois les petites lèvres sont removing all of the pubic hair does highlight any minor de- totalement extériorisées des grandes lèvres. On parle alors fects, such as asymmetric inner lips. Sometimes the inner lips de ptose il faut alors les réamarrer à la partie supérieure de la protrude from the outer lips. This is a kind of ptosis so we fente vulvaire et les réduire de façon raisonnable. Le but est must refix them to the upper part of the vulvar cleft and re- de redonner confiance à la patiente sans pratiquer de gestes duce them slightly.

La nymphoplastie est donc dédiée aux labia minora. Labiaplasty is Il existe plusieurs gestes de nymphoplastie en fonction des for the labia minora. There are many types of labiaplasty and anomalies à traiter, de réduction et de remodelage de façon the choice depends on the issue to be treated and whether the à ce que la vulve puisse se fermer plus facilement. Catherine Bergeret-Galley Chirurgien plastique et esthétique, spécialisée dans la chirurgie intime féminine.

Aesthetic surgeon, specialised in female intimate surgery. In the past, the labia minora were called the nymphaea, after the nymphs in ancient mythology who guided the flow of spring water. Described for the first time inbefore the era of anaesthetics, a nymphoplasty or labiaplasty was only carried out in pathological cases until just a few years ago. It is never observed in young girls, but develops during puberty. Colombia removed their pubic hair.

The vulva, connaitre les raisons principales de la suppression des poils which used to be hidden by hair, is gradually being unveiled. Cette labia to be hidden by the outer labia and not protrude from vulve, autrefois cachée par les poils, va aussi se dévoiler peu the vulvar cleft.

Women à peu. This technique allows us to cut away the hyperpigmented edge Les douleurs post opératoires sont minimes et aucune patiente of the inner labia. The wound is bloodless and, using the same technique, we can resect the secondary folds on either side of the clitoral hood. How many women were unaware of this surgery and swear Les autres techniques chirurgicales de nymphoplastie de they would have had it done sooner had they known it existed?

So, what if imperfection were a good thing? Membre du GRIRG groupe de recherche et innovation déboucher sur la rigidité et le stress car parfaits, il faut le res- en restauration génitale. Sur la solitude aussi, car parfaits, nous serions entourées chirurgie reconstructrice et plastique pelvi péritonéale. Surgery and Medicine for the Pelvis-Peritoneum region. Soin protecteur teinté anti- 3. Concilier bronzage rayonnant et peau uniforme. Protective anti-wrinkle and firming A radiant tan and an even complexion.

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Nous ment, with treatments for the body, face, eyes and lips. Dans notre which is for body and face and lasts 90 minutes. Our massage prescription, notre masseuse avait utilisé un gel nettoyant, therapist used a cleanser, a metabolism-activating toner, a un tonique activateur métabolique, un sérum réhydratant bioidentical rehydrating serum, a cell-renewal emulsion and bio-identique, une émulsion renouvellement cellulaire et une a molecular regenerating emulsion, a sequential micro-peel régénération moléculaire, un micro-peeling séquentiel pour and, to round it all off, a bioidentical reconstituting mask and finir par un masque reconstituant bio-identique et un masque renewing gel mask.

Our skin has rarely been treated to so many gel rénovateur. Nous effectuons avant tout démarrage un bilan pour proposer des solutions personnalisées notamment pour la nutrition. Le tout accompagné de 3 séances de coaching sportif et de 3 repas santé personnalisé. First of all, we carry out an assessment to offer personalised solutions, namely with regard to nutrition.

We also offer appointments with an osteopath, a dietician and an anti-aging specialist. A quelques encablures de la ventative Medicine in the Genolier Clinic. Les check-ups médi- and identify any risk factors. Including a prévention réussie. Un programme prevention programme is then recommended, with or without individualisé de prévention est ensuite proposé, avec ou sans a medical prescription.

This anti-aging approach was drawn up by Professor Jacques Cette approche anti-âge a été élaborée par le professeur Proust, who researches the biology of aging at the Geronto- Jacques Proust.

He is the founder and director of the Nescens Centre for Johns Hopkins, il est le fondateur et directeur du Centre de Preventative Medicine. He also formulated the cosmeceutical médecine préventive Nescens.

Il a également formulé les pro- products for the Nescens range. A total de Valère et Hôpital de la Providence. Finally, if you would like to have some cosmetic surgery done, Enfin pour finir, si la chirurgie esthétique fait partie de vos all of the most common procedures — such as a breast reduc- attentes, sachez que des interventions comme par exemple tions, face or body lifts, liposuction, rhinoplasty, etc. La Clinique Nescens Paris Spontini.

After many years of research and experiments, Allergan and Brazilian cosmetic surgeon Dr Mauricio de Maio are presenting doctors from all over the world with a choice way of performing hyaluronic acid injections according to a rational method made up of codes and equations.

Des chiffres, des lettres, des équations pour embellir? It is a protocol that takes into account the face as a whole. Ce protocole est complété par des équations regroupant certaines lettres accompagnées de leur chiffre. Ces différentes équations sont censées répondre aux demandes émotion- nelles les plus courantes des patients.

The protocol is completed with equations that group together Dans ce système, une équation vient donc répondre à chacune certain letters accompanied by a number. These different des huit demandes. Il était donc fondamental de les inclure. Within this system, a different equation is applied to address Après avoir effectué cette reconnaissance chez le jeune patient, each of these eight requests.

They have be- come a constantly-evolving work and research basis for Dr de Pour tout le monde pareil? Maio, who is continuously refining his approach. Surtout pas!

It was therefore vital to nécessaire de prendre en compte les différences structurelles include them. Here, every muscle is analysed and treated so as de la connaissance des MD CodesTM, le médecin retenu par le to increase or reduce their action within the facial expressions patient pour faire ces injections est seul garant du résultat. En that are being treated. The experiments and research carried effet, appliquée à la lettre, cette méthodologie peut aboutir à out to produce this system have shown that muscle modulation une banalisation de la personnalité, une forme de clonage, tant is possible thanks to the depth of the implantation in relation to redoutée par les patients.

Appliqués judicieusement, après the muscle: either above to reduce their contraction, or below réflexion et dans des mains expertes, les MD CodesTM contri- to increase their contraction. This is what we call mechanical bueront à un embellissement et un rafraichissement naturel modulation. Cette locution, qui englobe by using hyaluronic acid injections to reinforce the weak area. A whole programme of protocols! Is everyone treated in the same way? Let us not forget that every face has its own unique charm, and your chosen doctor owes it to you to recognise and res- pect that.

This phrase, which today covers almost all professions, is applied to anyone who produces top-quality and useful work. Now, more than ever, doctors who specialise in aesthetics have to be worthy of this name. We owe him a lot for this. Thanks to this codification, a new dimension in the use of hyaluronic acid has been created, making it more reproducible and more scientific. Grâce à cette codification, une nouvelle extrinsic qualities.

An expérience, sa recherche, sa réflexion, son sens artistique et example of these precautions is injecting slowly and regularly ses préférences personnelles mais aussi sur les qualités du checking for signs of pain or changes to the skin colour. The patient qualités intrinsèques et extrinsèques.

Dr Gauthier graduated in Stomatology, visage. Today, the MD Codes combined with new-generation hyaluronic acids allow us to restore the facial support structure and contours. With this concept, we can achieve facial harmony with natural-looking results and mild after-effects. Michael Yarem- Esthétique avec le Pr. I was astounded by Medical School - Boston.

Today, hyaluronic des premiers à comprendre la nécessité de restaurer acid and the MD Codes have been added to this approach, le support facial. Codes rejoignent cette approche avec des traitements aux suites plus légères pour nos patients.

When performing a lift, Pr. Michael Yaremchuk inserted small implants into the cheekbones, the outer edge of the eye socket Lors de ses liftings, le Pr. Michael Yaremchuk associait de petits and even the chin. Aging is a multifactorial mechanism.

A face implants au niveau de la pommette, du rebord orbitaire infé- lift is a very powerful tool that allows us to reposition the mus- rieur ou encore du menton. Le were before. But, as the years pass, we also lose bone and deep lifting est un outil très puissant qui permettra de repositionner fat, which leads to a loss of support for our skin, causing it to les muscles et la peau en haut et en arrière là où ils étaient droop downwards and forwards.

This creates nasolabial folds, auparavant. Mais avec les années nous perdons également de expression lines and jowls. Ainsi flat. Un lifting réalisé seul pourrait traiter le relâchement replaced by autologous fat transfers, called lipofilling, which mais risquerait de donner une apparence de visage tiré et offers comparable results but with fewer after-effects. Les implants permettaient alors de réaliser une véritable However, the fat used is more liquid than the fat and bone synergie avec le lifting en restaurant le support facial.

Puis ces we lose over time, and therefore does not offer the same sup- petites prothèses ont été progressivement remplacées par les port. I still use lipofilling in most of my lifts, but in smaller transferts de graisse autologue, encore appelés lipofilling, qui quantities. But, nowadays, before a lift, I suites plus simples. En two years, on average. The different densities of gel allow us effet, il apporte de précieuse cellules souches et des facteurs to restore this lost support due to bone or fat wastage.

The de croissance qui améliorent la qualité de la peau. Mais à pré- injections are extremely precise because they are carried out sent, je réalise avant les liftings, une restauration du support when the patient is awake and sitting up. Celles-ci seront réalisées environ tous les 2 ans.

Les différentes However, in the first sessions of hyaluronic acid injections, it is densités de gel permettent de restaurer au mieux les pertes important to avoid treating the consequences of sagging skin. Les injections sont extrêmement précises car elles sont réalisées avec un patient réveillé en position assise.

Le premier temps pour rajeunir ou embellir un visage passe par une restauration du support du visage. Il faut donc traiter les causes et non les conséquences en premier. Le visage comprend plusieurs unités anatomiques. Les MD Codes sont des sites précis au sein de chacune de ces unités. Les unités faciales seront traitées selon un mode architectural qui restaurera le support facial en allégeant le visage.

The hyaluronic acid injections disruptif sans équivalent dans notre arsenal thérapeutique. Pour les The face is made up of several anatomical units. The MD Co- exprimer nous utilisons des muscles élévateurs et des abais- des are precise sites within these units. Avec les années les muscles treated according to an architectural method which restores élévateurs émotions plutôt positives fonctionnent moins the facial support by making the face lighter. The idea is not to create volumes with ronique sur ces zones permettent de réaliser une modulation the injections, but rather to restore the facial support.

Le produit injecté restaurera le bras de The injection sites are represented by a group of letters and levier mécanique et le muscle positif comme les élévateurs numbers. The letters represent the anatomical area and the zygomatiques fonctionnera comme il le faisait auparavant. The face conveys emotions that can be positive or negative. The product injec- ted restores the arm of the mechanical lever and the positive muscle such as the zygomatic elevators will work like it did before.

Conversely, small deposits of gel at the surface of the depressor muscles, such as the depressor angular oris DAO at the edge of the mouth, allow us to reduce the expression of negative emotions sad face.

The hyaluronic acids used in this way are not acting as filler products, but rather as products that restore the facial support and muscle dynamic. The creator of the MD Codes, Dr Mauricio De Maio, a Brazilian plastic surgeon, has developed a whole new use for hyaluronic acid, thanks to this codification. In just a few years, the way we analyse and treat the face have changed considerably.

Every face is different and all of our patients have their own rejuvenation or beautification desires. Some want to look less tired, less saggy or less sad or stern. Others want their face to look more feminine, more masculine or lighter. Nos échanges able us to draw up a treatment plan. However, there may be significant sagging in the face or eyelids Chaque visage est diffèrent et tous nos patients ont des sou- which may require surgery or tensor threads at a later date.

Certains voudront paraître moins fatigué, moins lows us to achieve an optimised result through this synergy of relâché ou encore moins triste ou moins sévère.

This comprehensive medical-surgical haiteront avoir un visage plus féminin, plus masculin ou plus approach also allows us to hold off surgery for a time. This allégé. Cependant il peut exister un relâchement important more spaced out and in smaller quantities, in order to maintain du visage ou des paupières qui nécessitera une chirurgie ou the results in the best possible way.

This overall and gradual des fils tenseurs dans un deuxième temps. Cette approche glo- Olivier Claude bale médico-chirurgicale permet de plus, de retarder un peu Chirurgien Esthétique et Plasticien — Paris. Les interventions chirurgicales seront en Chirurgie Plastique, Reconstructrice et Esthétique. Diplômé du D. Chirurgie Plastique et Esthétique. Qualified in Plastic, Reconstructive Après la chirurgie, des injections seront également réalisées and Aesthetic Surgery.

Graduated from the French College of Plastic maintenir au mieux les résultats. Cette approche globale et Reconstructive and Aesthetic Surgery. Interview du Docteur Nimrod Friedman. Today, aesthetic medicine is no longer a privilege reserved for women. More and more men of all ages and from all lifestyles are discovering this universe and the benefits of medical advances in aesthetics. From the young metrosexual to the businessman in his forties, men are becoming more and more concerned about their physical appearance and the image they reflect.

Interview with Doctor Nimrod Friedman. L es effets du vieillissement sont assez similaires The effects of aging are quite similar in women and men. Ne- chez les femmes et chez les hommes. Néan- vertheless, male expectations will differ, resulting in appro- moins, les attentes des hommes diffèrent, priate aesthetic care. Les hommes souhaitent des traitements rapides, indolores et efficaces dès When male patients come to your le premier jour et qui durent! Quand vos patients masculins viennent Dr.

Nimrod Friedman: When they come in, most of them just à votre clinique, quel type de traitement want to improve their appearance. Usually they do not know recherchent-ils? To advise them in the Dr. Nimrod Friedman : Ils souhaitent simplement amélio- best way possible, it is essential to understand the basic diffe- rer leur apparence.

La plupart du temps, ils ne savent pas de rences in men versus women. During my lectures, I always put quel type de traitement ils ont besoin. Pour les conseiller de la emphasis on the importance of shapes: women usually have a meilleure façon possible, il est essentiel de comprendre les dif- more rounded appearance rather than men who have square férences fondamentales entre les hommes et les femmes. Au features, sharp corners and straight angles. Many doctors are still nieux et naturels.

It is important to respect some basic rules droits et plus longs. En général, ils sont plus bas que ceux des in order to avoid mistakes. Il est important de respecter certaines règles de base We do not want a male face to be completely smoothed out. Par exemple, créer un regard de type Otherwise, it will not look natural. Sinon, cela ne sera pas naturel. Lorsque nous traitons un homme, il ne faut pas féminiser les traits masculins en voulant avoir un visage de bébé.

Le bout du nez devrait être plus bas que celui de la femme. Egalement, les pom- Our main objective is to define the contours for a more mas- mettes devront être plus rondes chez les femmes que chez les culine look instead of completely removing all the lines and hommes. It is extremely important. Concernant les lèvres, les hommes ont des bouches plus larges When we are treating the temple area, we do not want it to be avec des lèvres légèrement plus minces, particulièrement la too hollow nor convex.

If we want to treat the nose, it should lèvre supérieure. Si nous devons corriger les lèvres, nous ne be straight and it is fine if it is slightly longer or wider. The tip of the nose should be lower than that of femme. Il doit être très fort and try to keep them chiseled-looking to avoid facial femini- et carré pour donner au visage une forme plus angulaire.

Une sation. The cheekbones should also be rounder in females in angle bien défini. Chez les femmes, nous essayons lips, we do not want them to look as plump as the female ones. However, in men, du volume aux joues. Nous ne pouvons pas le faire chez les it is a normal facial feature and sometimes it is even good to hommes. It is a masculine presentation. Dans ce cas, element of the male face. It has to be very strong and square nous devons utiliser un traitement esthétique alternatif afin to give the face a more angular shape.

Our goal here is to have a well-defined angle. Combien de patients hommes avez-vous To conclude, the understanding of the concept of round versus maintenant dans votre clinique?

In Voyez-vous une augmentation de la demande women, we often try to fight skin sagging by adding volume des patients hommes? We cannot do this in men. If we are trying to N. Cependant, la majorité sont encore des femmes. Dans ma clinique, les How many male patients do you have now hommes commencent souvent par une chirurgie alors que in your clinic? However, the majority are still women. Ils se sentent plus confiants.

However, the approach is different. Quand quelque In my clinic men often start with surgery whereas women are chose les dérange, ils veulent une solution rapide et efficace looking for non-invasive treatments at first. Once they have qui résoudra tous leurs problèmes pendant de nombreuses been through a surgery, they are more likely to have other années. They feel more chirurgie.

It is an interesting phenomenon. Men do not have the patience to have injections on a regular basis. When so- Utilisez-vous une technique particulière mething bothers them, they want a quick and effective solution quand vous injectez sur un homme?

This is why Quels sont vos conseils et astuces?