Dreaming of a subtle yet effective rejuvenation, a refreshed gaze, or plumper lips, but the fear of botched injections and unnatural results is holding you back? We asked Dr. Alexandre Koutsomanis, Dr. Riccardo Luigi Marsili, and Dr. Arnaud Lambert to share the latest trends and best techniques in aesthetic medicine and plastic surgery to help you make an informed decision.
Refreshing the Eyes with Finesse
No need for surgery to regain a radiant and rested look. Dr Arnaud Lambert, an aesthetic doctor at Centre Aesthé, knows the secrets to smoothing out eyelids and brightening up tired eyes. While plastic surgery offers blepharoplasty—a procedure that removes excess skin or fat from the upper eyelids—it's a different story in aesthetic medicine. "More and more patients are looking for light, quick, and non-invasive alternatives," he tells us. And good news: the range of non-invasive solutions has never been broader to address both minor and major eye concerns.
To treat the hollowing that sneaks in under the eye and the loss of fat around it, "the most common treatment in aesthetic medicine is to fill this area with specific hyaluronic acid injections. The result is immediate and remains very natural. To maintain it, it's recommended to repeat the procedure every 12 to 18 months, depending on individual needs," he explains. Price: from €400 per session, and you walk out looking like yourself—just better. For those looking for a longer-lasting solution, surgery offers lipofilling (fat injection), but that requires an operating room.
Another frequent issue: drooping brows or pronounced expression lines around the eyes, aka crow’s feet. The solution? "Botulinum toxin is perfect for softening and preventing wrinkles while also preventing brow droop," says the doctor. Botox® works like a magic wand, delivering an ultra-natural result, provided you follow a few post-injection rules: no massaging the area for the first few hours, and no sports for 48 hours (from €350 per session). A little tip: this technique can be perfectly combined with hyaluronic acid injections to tackle multiple concerns in one session and optimize results.
For bluish dark circles (caused by thin skin revealing tiny blood vessels), lower eyelid laxity, or under-eye folds, Dr Lambert recommends radiofrequency microneedling (from €200) and laser treatments (from €350, depending on intensity). "With age, collagen production naturally decreases, leading to a loss of skin density and firmness. These techniques help stimulate this precious protein to firm and smooth the eye contour," he adds. Radiofrequency microneedling injects tiny heat pulses under the skin, encouraging collagen regeneration—"a great preventive option to delay signs of aging." The laser, on the other hand, works more intensively to "correct" already visible sagging.
For fine lines, dehydration, and thin skin, Dr Lambert also recommends mesotherapy injections (€150 per session) or polynucleotide injections (€250 per session). These micro-injections act like an energy boost for the skin, intensely hydrating it while stimulating regeneration: "It’s the ideal solution to plump up thin skin and give the eye contour a naturally fuller look," he concludes. For optimal results, these treatments are done in a series of sessions, spaced 15 days to 3 weeks apart.
Dr Arnaud Lambert at Centre Aesthé, 29 rue François Miron, Paris 4th.
© Dr Arnaud Lambert
Rejuvenating the Face with Aesthetic Medicine
Looking for a discreet yet powerful refresh? We asked Dr Alexandre Koutsomanis, a plastic and aesthetic surgery specialist, for his top tricks to smooth and awaken the face. And good news: the trend is all about natural results. For a subtle yet visible lifting effect, without going under the knife, he reveals his go-to techniques: "There are two categories of treatments: those that actually lift and those that create a lifting illusion."
Two techniques actually lift: tensor threads and focused ultrasounds. The first involves inserting barbed threads under the skin to tighten it: "We gently pull the skin back, and a small fibrous reaction forms around the thread, maintaining the result for about a year." The procedure is performed in-office under local anesthesia. Price: €800 per pair of threads, with at least two pairs needed for optimal results. Another hot trend: focused ultrasounds. "We send intense ultrasounds into the skin, which tightens and contracts it for a true lifting effect." This machine-based procedure offers visible results from the first session. Price: from €1,000, depending on the treated area.
For a lifting illusion, hyaluronic acid injections are a highly popular option: "By filling facial hollows, they create the illusion of a lift, even though the face isn’t actually lifted," he explains. These injections restore volume and sculpt features while maintaining a natural look (from €1,600). Lastly, some more intense peelings (like TCA, TCA Phenol, or Retinol peels) work by exfoliating the dermis, reducing micro-wrinkles and providing an instant glow. Though non-invasive, these treatments give the appearance of a firmer and smoother face without performing an actual lift.
Dr Alexandre Koutsomanis – Aesthetic Surgeon, 89 rue de la Pompe, Paris 16th.
Appointments via Doctolib or by phone: 06 33 82 61 49.
Consultations at the office on Thursdays from 10 AM to 6 PM.
© Dr Alexandre Koutsomanis
Plumper Lips Without Overdoing It
If you dream of fuller, sensual lips without overdoing it, Dr Riccardo Luigi Marsili is the go-to expert in Paris. A specialist in plastic reconstructive and aesthetic surgery, he splits his time between his Parisian and Italian clinics with one clear mission: enhancing lip volume while keeping a completely natural look. No frozen faces or over-inflated results—just subtle enhancement.
Every need has its treatment. Younger women looking for fuller, more sensual lips will love Dr Marsili’s injection techniques. This treatment is also perfect for a youthful boost, as lips naturally thin and turn inward with age (we see you, barcode wrinkles). For an ultra-natural look, the gloss effect technique plumps and hydrates gently, without adding excessive volume. Key factors? "The right product and technique." He uses a hyaluronic acid specifically designed to adapt to the dynamic nature of the lips, adjusting each injection to the individual’s morphology. The result? A subtle, natural effect, never overdone.
For patients with contraindications (such as autoimmune diseases), Dr Marsili offers a more natural alternative: micro-fat injections. This technique harvests fat from the patient, then injects micro-adipocytes (tiny fat cells) into the lips for an extremely natural result. This method, performed under local anesthesia, requires a sterile operating room but delivers long-lasting and organic results.
Dr Riccardo Marsili, 29 rue Boissière, Paris 16th.
Appointments at 06 69 31 76 70. Quotes available upon request at info@riccardomarsili.fr.
© Dr Riccardo Marsili
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