Experts in Plastic Surgery
Dr. Raspaldo quoted in a recent releaseabout “The Experts of Cosmetic Surgery”

For the first time, around 50 of the best cosmetic surgeons open the doors of their luxury universe. In Parisor the other french regions, in Switzerland, in Belgium and in Morocco. They are all good, many are very good, some are world-class experts. 

This is an unprecedented document addressingthe most complexe medical aspects but also the well-known health scandals. In these portraits, surgeons take the opportunity to reveal the mysteries of theirfascinating job but also to confess their professional doubts.

Halfway between applied science and the ”devil’s potion”, this publishing takes you behind the curtains of this peculiar medicine and reveals a list of techniques, a product table, an enlightening glossary and several essential advices. It’s a practical andanalytical guide that answers all your questions and offers a contemporary reflection on this double-edgedsword, the widely spread phenomenon of plastic surgery. Useful for both patients and public health …

 By Josseline Abonneau and Marie-Guy Baron, published by Alphaée

Heart of face romanian magazine Esthetiq
ARTICLE PUBLISHED IN THE ROMANIAN MAGAZINE”ESTHETIQ”

 Article by Dr. Hervé Raspaldo published in the romanian magazine”Esthetiq”, presenting the Heart of face® concept created by Dr. Raspaldo and concerning the three-dimensional facial rejuvenation with Botulinum Toxin and Hyaluronic Acid.

Article du Dr Hervé Raspaldo dans le magazine Beauty Woman

By Dr. Hervé Raspaldo, article published in the ”Anti-Âge magazine” #1

The signs of aging will show up as dynamic wrinkles and linesin the upper face, and as volume loss changes in the middle and lower partof the face. Fillers (such as hyaluronic acid) and botulinum toxin have led to the development of minimally invasive procedures and a three-dimensional approach to facial rejuvenation: it’s a faster, less painful and less expensive alternative to the face lift; this approach can also be a perfect complement tosurgery,if the later is needed. Today the aesthetic face care is global and no longer focuses on removing wrinkles alone. The global purposeis to reshape the volumes and recreate a well balancedface, according tothe following criteria: soft and round face contours, convex cheekbones and well-drawn mandibular contour.

Using innovative products, we cangive the face its ideal shape, a heart-shaped contour, with the heart base inthe upper face area, while the tip points downwards (this shape is usually reversed with age).

As a facial esthetics specialist, Ihave developedaprocedurecalled Faceculpture®, based on a natural approach to facial rejuvenation and acting on 3 levels,the face dynamics (expression lines, mimicry), the heart-shaped volumes (HeArt of face®), and the skin texture: the botulinum toxin injections are meantto erase hyperdynamic wrinkles, restore harmonious volumes and fill wrinkles and lines, but also to hydrate the tissues.

 There are 2 types of injectables:

The Botulinum toxin

It relaxes the muscles, restores the esthetic balance of the face and stops the progression of the expression lines. For the upper face area, it is injected into the hyperdynamic muscles (which are responsible for the horizontal wrinkles on the forehead), the glabella, the nose, the crow’s feet (at the outer corner of the eyes), and the lower eyelid. It can also help repositioning the saggingeyebrows and improve their shape. As for the lower part of the face, botulinum toxin helps repositioning the tip of the nose, or treating dilated nostrils, fine lines, mouth lines, a gummy or an asymmetric smile,other asymmetries of the face, prominent masseters, the orangepeel aspect on the chin or the dewlap.

Dermal fillers

They restore volumes. There are several types of derma fillers: some of them are temporarily effective andresorbable, like the hyaluronic acid, the collagen, the calcium hydroxyapatite and the polylactic acid. Others are non resorbable and permanent, like the polymethacrylate, and the silicone.

The hyaluronic acid(HA) is currently the most frequentlyused filler, because it has a highfilling quality,natural resorption and it’s perfectly safe. Injections compensate for the age-related volume loss. There are different ranges of hyaluronic acids with different viscosity levels, adapted to different treatment areas and they can be used simultaneously for one patient:

 – The low viscosity products are particularly adapted to the so-called ”topping” technique, usedfor the treatment of fine lines,dark circles or hollow eyes.

– The medium viscosity products can reduceface wrinkles (perioral wrinkles, lip contour, nasolabial folds, mouth lines, forehead wrinkles).

– The high-viscosity products restore volumes in the cheekbones, cheeks, temples, nose and chin.

The Botulinum toxin and the different hyaluronic acids each have a specific and complementary effect. Therefore, they are often used together, which leads to better results than those obtained with each product separately. This is especially true for cheekbones, the glabella or the corners of the mouth. The results last longer, the HA is resorbed slower due to aprior injection of botulinum toxin, and the facial natural expression is preserved, because the procedure uses lower doses of toxin, supplemented by HA in residual wrinkles.

This global therapeutical approach also takes into consideration the epidermis (superficial peel, mesotherapy) and the dermis (pulsed light and photodynamic therapy, radiotherapy or radiofrequency, carboxytherapy).

It is recommended to start with botulinum toxin injections, in orderto relax the muscles and restore their natural balance. The face looks more openand relaxed. The cross-linked hyaluronic acid restores the three dimensional facial volumes (heart-shaped, HeArt of face®) and provides a more harmonious face contour. Amonth later, the hyaluronic acid injectionswillhelp filling the residual lines.

Site éditeur :
www.aagedition.com
www.euromedicom.com

This article was published in the ”Quotidien du médecin”, 10th November 2011.

This couldn’t be more organic.

”Votre Beauté” reveals its readers the”Rhino-Bio” concept, a technique developed by Dr. Hervé Raspaldo, plastic surgeon, specializing inthe face and necksurgery. According to the review, the concept combines the “respect for the physiology of the human body, but also for the nature and the environment”.

According to this approach, the nose must be adapted to each person’s morphology, skin texture, personality and expectations. This is made possible by a morphing software, that helps avoiding stereotypes and preserving the“human diversity”. As for the technique itself, it is minimally invasive (endonasal) and uses only “natural materials such as the patient’s cartilage harvested behind the ear or on the nasal septum”.

 The sutures are made with biodegradable and absorbable threads and “instead of the painful nose packings, we use absorbable padswhich prevent bleeding but still allow you to breathe,” says Dr. Raspaldo. Thanks to the cryotherapy performed during and after the procedure, “there is almost no bruising or edema”.

I want a natural-looking nose

Article from ”L’officiel chirurgie esthétique”

Respect the harmony, the unique personality of a face and the natural anatomy, commit to embellishingthe nose withless invasive products and techniques, this isDr. Raspaldo’snew concept of rhinoplasty. By Paule Cornille.

1.WHO IS THIS FOR?
For women who prefer anatural-looking nose, as well assimple and soft techniques that take physiology into consideration.

 2. BEFORE THE PROCEDURE
Just as any other rhinoplasty, this procedure requires two consultations, as well as a complete blood test. Then, you will have to wait for at least 15 days, a mandatory waiting period because you might want to think your decision over. After a complete analysis of the nose and the tissues, the surgeon takes photos with front views, profile and three-quarter views. He will then use the morphing technique to simulate the different reshaping possibilities, that you will be able toseeon a screen.

3. THE SURGERYPROTOCOL
The procedure is performed under general anesthesia only if the nasal septumis concerned, otherwise a neuroleptenalgesia will be enough. “It is almost always an outpatient procedure,” says Dr. Herve Raspaldo. To reshape the nose, mask hollow areas or deformities, heuses cartilage harvested from the patient herself (himself) rather than synthetic products (silicone, goretex, coral) – he will not inject synthetic products either. Instead of using the classic occlusive splints made out of plaster, he prefers thermoformable models, whichare well ventilated, more solid and easier to reshape. And to keep them in place, he chose a biocompatible surgical varnish rather than using plasters,which are often allergenic. Also, when it comes to fixing the cartilage or the mucous membrane in the nose, heuses a biological glue, preventing any inflammatory reaction.

4. POST–OPERATIVECARE
The recovery time is shorter than with conventional rhinoplasty. In 80% of cases, edema and bruising disappear after eight days. Their resorption can be accelerated by cryotherapy sessions – a gas at 70° C is sprayed all over the face for a few days. The splints are removed after six days. The old nasal packings that cause so much discomfort are now replaced by painless,resorbable pads. They prevent bleeding, but allow patients to breathe almost normally and can be removed after 12 to 24 hours. Thanks to the less invasive instruments and technique, this rhinoplasty is almost painless.

5. AFTER THE PROCEDURE
The patient will be advised to sleep on the side or on the back for a while and torefrain from sports or any physical activity for at least a week.

6. SCARS
They will be invisible,because all sutures – made with absorbable threads – are located inside the nose.

 7. RESULTS
The final result is usually visible after one week, but it continues to refine for several months.

8. RISKS
They are kept to a minimum: the cartilage, muscles and mucous membranes will be protected and respected.In addition, thanks to the prior morphing, there is no risk of having a dramatical change in your face or not having the expected result. However, small imperfections can appear, but they can be corrected after 3months to one year.

DOCTOR HERVÉ RASPALDO’S OPINION
“I have been practicing aesthetic rhinoplasty since 1986 and my long experience allowed me to develop this”new way of conceiving the nose”. The “Rhino-bio” is inspired by the general organic trend, starting with bio-ethics. This approach involves guiding the patient towards the nose shape that will best suit him or her, refusing a surgery that is considered unsuited, providing the best analyzeand understanding by usinga morphing software that shows the expected results. It also involvestaking biodiversity into account – reshaping different noses adapted to the patient’s personality but also his or her racial origins.

This is also about biotechnology and biocompatibility: we only use natural materials that are not likely to be traumatic or harmful in ashort or long term. Rather than introducing foreign components, westrive to keep as much original cartilage as possible,by refining orreshaping it as needed. In a word, it’s an innovative process, totally adapted to the latest evolutions in our society.”

THE BIGGEST CHALLENGE FOR AESTHETIC AROUND THE WORLD IS to creat a universal language of beauty.

The pace of technical development is stable enough to provide materials and devices to create new templates for modern aesthetic and face sculpting, which is particulary useful for the new artistic advanced approach of facial beautification.
As an international key opinion leader, I feel safe and effective using the new generation of hyaluronic acids around the eyes, in the lips end the nose.
There are lot of good products available on the market. My experience is mainly based on the use of Juvéderm® VOLBELLA® and VOLIFT®, developed after the success of VOLUMA® (using the same VYCROSS® technology). The results one can achieve are effective, natural, safe, and have a minimal downtime. All this only serves to increase patient satisfaction.
The level of sugical skills-such as rhinoplasty, facelift, and blepharoplasty-enable the modern practioner to operate new protocols in a completely new way ; fulfilling the expectations of patients on a global scale.
In fact, this is the most crucial part for the industry’s development : the expectations of our patients have changed completely. The modern language of beauty is more unified.
I have had the chance and priviliege to be in touch with and to learn from a number of different cultures, and find that the influence of Asia-Pacific is continually growing.
Despite this, patients from China, Japan, India, Australia, America, Europe, the Middle East and South Afica seem to look for the same template with regard to design (from surgical perspective). However, notwithstanding their inherited deffirences in bone and tissue structure, the result is always very natural.
Hervé Raspaldo
Facial Plastic Surgeon, France

DR HERVE RASPALDO

The impeccably turned-out Dr Raspaldo is a surgeon who is also one of the world’s top injectors (he is a master at employing filler around the delicate eye area).

He’s famed for his Faceculpture – a liquid facelift that uses expertly placed botulinum toxin and fillers to eradicate a weary face in less than an hour.

The effects last up to 18 months. And for his surgical Velvet Lift he uses endoscopic instruments to pull up deep soft tissue, which reduces scars. Post film festival, actresses flock to him for an organic rhinoplasty – dissolvable dressing and natural, biodegradable grafts reduce the risk of injection and speed up healing. And… cut !

ust like your body, your face can be sexy too. There are numerous techniques available that reshape the nose, enhance the cheekbones, and plump up the lips. A global approach for the whole face that combines injections of hyaluronic acid, botulinum toxin and surgery, making you feel beautiful and boosting your self-confidence.

For the nose: surgical or medical rhinoplasty
Everybody knows about surgical rhinoplasty, but did you know that medical rhinoplasty also exists? This procedure uses filling products, and is suitable for patients w Medical rhinoplasty, unlike surgical rhinoplasty, enable us to improve the shape of the nose without resorting to plastic surgery. Although it cannot compare with reparative surgery for changing the shape of the nose, it can be used for small imperfections and altering the dynamic anatomy of the nose. It can rectify any anomalies resulting from repeated operations on the nose, when further operations would prove difficult, as well as some minor deformations. Patients undergo this type of procedure to rectify skin indentations on the bridge or tip of the nose, slight asymmetry at the tip, a slight bump that alters the curve of the nose, a flat bridge, etc…
On the technical side, it involves injecting hyaluronic acid to straighten the line of the nose by subtly filling and thus erasing any hollows, or to open up the nasolabial angle while rounding the tip of the nose. The pressure from inside helps to raise the tip of the nose by lifting up the cartilage on the side of the nostrils, which will consequently “roll” upwards.
To gently shape the thin cartilage that makes up the framework of the nose, the surgeon slims down the tip and erases any bump. The procedure causes little swelling and no pain.

For the cheekbones: malar implants and fillers
The cheekbones can lose volume and this highlights the nasolabial fold, causing bags under the eyes. There are two ways of making the cheekbones look good again : implants and fillers.
Cheekbone implants are called malar implants, and are slid into place through the mouth. Patients must undergo a full dental examination beforehand in order to avoid all risk of infection.
Beautiful cheekbones can also be achieved using carefully-placed injections of hyaluronic acid to gently increase the volume of the cheekbones. This technique is suitable for correcting the thinning of soft tissue, but less so for treating weak bone structure.

For the lips: plumpling and shaping with fillers
Here too, the use of fillers injected into the lips is recommended. The lips may be naturally thin or have thinned out over time. Hyaluronic acid is a quick and efficient technique used to plum up the lips in a shapely and natural way.
Hervé Raspaldo
Specialist in Surgery of the Face and Neck in Cannes since 1992. Fomer Hospital Intern and Former Registrar of the University (1984) and Hospital practitioner. Member of the American Academy of Plastic and Reconstructive Surgery – Office of the European Academy of Facial Plastic Surgery