the Deep Plane Facelift is currently receiving a lot of media attention.
It is often presented as the most modern, most effective technique, sometimes even as the new standard for facelifts.

But in cosmetic surgery, a technique should never be chosen because it is fashionable.
It must be chosen because it corresponds to a face, an anatomy, a degree of relaxation and a specific objective.

The Deep Plane Facelift is a deep technique.
It allows for deep tissue mobilization, particularly when there is significant facial sagging, pronounced wrinkles, or advanced neck laxity.

This technique is useful in certain cases, but it requires dissecting in anatomical planes close to branches of the facial nerve and therefore carries a risk of damaging it. The facial nerve is the nerve that controls facial movements: smiling, closing the eyes, moving the eyebrows, and moving the lips.
Its preservation is therefore a major issue in any facial surgery.

The Deep Plane Facelift is therefore a more demanding technique., involving greater risks, which should be reserved for appropriate indications and performed with perfect surgical skill.

The French Lift

the French Lift it is based on a different philosophy.
It's not a Deep Plane, but it's not a mini facelift either.

This is a superficial vertical facelift whose objective is to restore the oval shape, neck and harmony of the face without transforming the features.
He does not seek to "change" the face, but to put it back into tension in a natural direction, without lateral traction.
This approach can be particularly interesting for patients who want a The result is elegant and natural, without a pulled effect, and does not require deep dissection..

Which to choose?

Of course, no facelift is completely risk-free.
Safety does not depend solely on the name of the technique.
It depends on the indication, the quality of the tissues, the patient's anatomy, and the surgeon's experience.

The real question, therefore, is not: "Which technique is the most fashionable?"«

The real question is: "Which technique is best suited to this face, offering the best balance between natural results, effectiveness, and safety?"«

In cosmetic surgery, modernity is not always about going deeper.
It is first and foremost about to perform the right action.

By 2026, the management of androgenetic alopecia will undergo a profound transformation. The focus will no longer be solely on efficacy, but also on selectivity. Increasingly informed patients will reject systemic (oral) treatments for prioritize local approaches, without impacting overall hormonal balance.
Two major developments dominate the news: Clascoterone and Dutexome.

Clascoterone (Breezula): a promising prospect at +539 %

This is the molecule that's causing a stir in the scientific and general press. Clascoterone is a topical androgen receptor antagonist.
Unlike finasteride, which reduces DHT production throughout the body, it acts locally: it prevents DHT from attaching to the hair follicle, without ever passing through the bloodstream.

The striking figure According to recent phase III data reported by Midi Libre, this molecule could generate up to 539 % more hairs compared to the placebo group.

Availability Clascoterone is not yet available in pharmacies. Marketing authorization applications are being finalized with the FDA and EMA, with availability expected in 2027.
It is a molecule of the future, but for now it remains a clinical hope.

For who ? Men and women with early to moderate androgenetic alopecia, especially those who refuse or cannot tolerate oral treatments.
Also a possible complement to a hair transplant to stabilize native hair.

The Dutexome (C.PROF 231): the solution available now

For patients wishing to act immediately without waiting for marketing authorizations for new molecules, Mesoestetic's Dutexome has established itself as the reference protocol in practice.

This formula combines Dutasteride (0.05 %), aloe vera plant exosomes, copper tripeptide, biotin and B vitamins.
This cocktail targets hair miniaturization while improving the quality of the follicular environment.

Application by microneedling

Dutexome is administered by microneedling: an electric pen equipped with microneedles makes thousands of controlled micro-perforations on the scalp.
This technique offers a dual action: mechanical regeneration (stimulation of growth factors by the natural healing process) and transdermal passage (homogeneous penetration of active ingredients via the micro-channels created).
Micro-needling combined with the C.PROF 231 solution allows a large area to be treated uniformly, with an excellent tolerance profile.

For who ? Men and women with androgenetic alopecia, patients who have stopped or refuse oral finasteride/dutasteride, preparation of the donor area before FUE transplantation, protection of native hair after transplantation.

In summary

• Clascoterone (Breezula): currently being validated (2027+), blocks receptors (anti-DHT shield)
• Dutexome (C.PROF 231): Available in-office, blocks the 5-alpha reductase enzyme + regeneration

Why these local approaches?

For patients concerned about side effects on their libido or hormonal balance, these local solutions offer a credible alternative to oral treatments.
The product works where it is applied: on the scalp.
The serum concentration remains almost zero, which allows alopecia to be treated safely, whether as a preventative measure or in conjunction with a hair transplant.

Key takeaway: the earlier treatment is started, the higher the chances of stabilization.
Clascoterone represents the near future.
Dutexome via micro-needling allows action to be taken today.

Scientific studies

Clascoterone

These studies constitute the current scientific basis (2025-2026) for the use of clascoterone in androgenetic alopecia (AGA).

1. The pivotal phase III studies (SCALP-1 and SCALP-2)

The most recent and largest studies (1,465 patients) have validated the effectiveness of the 5% solution.

• Reference: Cosmo Pharmaceuticals, «Cosmo Announces Breakthrough Phase III Topline Results from SCALP-1 and SCALP-2» (December 2025).
• Link to the scientific press release: Cosmo Pharmaceuticals – Phase III Results
• Details on ClinicalTrials.gov: NCT05914805 (SCALP-2) and NCT05910450 (SCALP-1).

2. Phase IIb Study (Dose-Ranging Study)

This study determined that the concentration at 5% twice daily was the most effective compared to placebo and lower dosages.

• Reference: Mazzarella F, et al. «A Phase 2b randomized, double-blind, vehicle-controlled, dose-ranging study of clascoterone solution in males with androgenetic alopecia. »
• PubMed link: Journal of the American Academy of Dermatology (JAAD) (Note: This initial study from 2019/2020 laid the foundations for the 5% solution).

3. Safety data and FDA approval (Winlevi)

Although for acne, these data confirm the systemic safety profile and the absence of impact on the hormonal axis (HPA axis).

• Reference: FDA, «Winlevi (clascoterone) Cream 1% Label and Approval Data» (2020).
• Link to the FDA: FDA Access Data – Winlevi

4. Comparative analysis and pharmacology

An article detailing why clascoterone does not cause sexual side effects unlike finasteride.

• Reference: Rosette C, et al. «Cortexolone 17α-Propionate (Clascoterone) is a Novel Androgen Receptor Antagonist that Inhibits Follicular Miniaturization. »
• Link : ResearchGate – Clascoterone Mechanism

Dutexome / Dutasteride

1. Studies on Dutasteride (efficacy and safety)

Dutasteride is widely documented, although its use for alopecia is often "off-label".

• Meta-analysis (2025) – Efficacy of Dutasteride: A recent systematic review confirms the superiority of dutasteride over finasteride in increasing hair density.
  • PubMed link: Effectiveness and Safety of Intralesional Dutasteride in Patients With Androgenic Alopecia (2025)
• Long-term comparative study: Analysis of the safety and efficacy of dutasteride versus finasteride in a large cohort.
  • PMC link: Long-Term Effectiveness and Safety of Dutasteride (South Korea Study)
• Topical Dutasteride and Nanocarriers (2025): Review of new targeted delivery methods to reduce systemic absorption.
  • PubMed link: Topical dutasteride for androgenic alopecia: current state and prospects

2. Studies on exosomes in hair regeneration

Exosomes are the new frontier of "cell-free" therapy.

• Systematic Review (2025): Analysis of clinical evidence concerning exosomes (mesenchymal and plant sources) in the treatment of alopecia.
  • PubMed link: Exosomes and Hair Regeneration: A Systematic Review (2025)
• Mechanism of action of Exosomes: How these nanovesicles influence the follicular cycle and the dermal papilla.
  • ResearchGate link: The role of exosomes in follicle regeneration

3. Specific documentation: c.prof 231 Dutexome

The data for this specific product comes primarily from the manufacturer (Mesoestetic Pharma Group).

• Official Tricology / Dutexome page: Presentation of the complex and mention of internal studies (Study on 60 patients, 2024).
  • Official Website Link: Tricology and c.prof 231 product range
• Technical and Medical Protocol (PDF): Details on microneedling depth (0.25mm – 0.5mm) and recommended doses.
  • Document Link: Dutexome Clinical Protocol
• Informed Consent Form: A useful document for practices, listing risks and limitations.
  • Document link: Informed Consent – Dutexome

An innovative technique that respects the female body

Dr. Christophe Desouches now offers thePreserved breast augmentation, a new generation minimally invasive surgical technique.
Designed for women wanting a natural result without general anesthesia, this approach preserves tissue, avoids visible scarring and allows for accelerated recovery.
Thanks to local anesthesia and the Preserved protocol, the suites are light, comfortable and perfectly suited to active women.

The expertise of Dr. Desouches, 20 years of experience in breast surgery

A renowned specialist, Dr. Desouches has been practicing cosmetic surgery for over 20 years. Certified in the Preservé technique, he is one of the pioneers in France to offer this innovative solution. He welcomes you to his modern, human-scale practice, with personalized follow-up and cutting-edge technological tools such as 3D simulation.

Motiva: excellence at the heart of Preservé technology

At the heart of this new approach, Motiva Ergonomix 2 implants naturally adapt to every movement of the body. Their unique SmoothSilk surface limits the risk of mold and provides a particularly soft feel. Motiva also offers advanced tracking technology and a powerful support program, designed to reassure and support women at every stage of their journey.

What if this is exactly what you've been looking for?

A modern technique, without general anesthesia, with latest generation implants, for a result that is both safe and natural…

👉 Learn more about Preserved Breast Augmentation and what makes it a different approach

However, behind these seductive promises lie illegal and dangerous practices, often carried out by influencers without medical qualifications.

Dr. Christophe Desouches, cosmetic surgeon in Marseille and member of the board of SNCPRE (National Union of Plastic, Reconstructive and Aesthetic Surgery) appears in a France 3 Provence-Alpes report and an explanatory video to raise awareness of these abuses.

What is Korean facelift?

The term "Korean facelift" often refers to a neck liposuction technique designed to redefine facial contours and reduce a double chin. Popularized on social media, this technique is often touted as simple, quick, and safe.

However, as Dr. Christophe Desouches points out, it is a much more complex act than it appears.

"The Korean facelift is abusive liposuction," he explains in thearticle from France 3. "The neck is not an innocuous area, there are enormous vessels that supply the brain and when a breach is made, there can be a hematoma that can be cataclysmic with a risk to life." This warning reminds us that the liposuction, even localized, remains a surgical procedure requiring specific medical skills and a sterile environment.

Influencers: Illegal and Itinerant Practices

These procedures are often performed by self-proclaimed “fat-dissolving experts” who operate without a medical degree.
Under pseudonyms like "XXX Beauty" or "Lemon Bottle XXX," they attract thousands of subscribers with promises of fast, low-cost results. Some claim to have trained abroad or hold fictitious diplomas that have no official recognition in France.

Their methods are particularly disturbing. Appointments are made via private messages or WhatsApp, and interventions take place in inappropriate locations, such as commercial premises or even hotel rooms.
"They're traveling," says Dr. Desouches. "They post on their Instagram accounts: 'Tomorrow, I'm in Toulouse, the day after, I'm in Marseille,' and it's done in hotel rooms, just like they do for hyaluronic acid injections."

Major risks: infections, prohibited products and complications

The dangers of these practices are numerous and serious. Dr. Desouches warns of the risks associated with using banned products, such as Lemon Bottle, a "fat burner" banned in France since 2011 due to its complications. These substances, often purchased fraudulently abroad, are injected under unsterile conditions, increasing the risk of infection.

"The most worrying risk is the sterility issue," he explains. "There can be direct infections linked to the use of these products without any sterility, but also infections with hepatitis C or HIV viruses. When cannulas are not sterilized or poorly sterilized, infections can spread from patient to patient. There can be 15, 20, or 30 infections caused by a single person."

These comments, taken from the video interview, underline the scale of the problem.
In addition, improperly performed liposuction in the neck area can lead to serious complications, such as hematomas or damage to the blood vessels supplying the brain, with potentially fatal consequences.

An explanatory video to help you understand better

To explore this issue further, viewing the France 3 Provence-Alpes video is recommended. It details the risks and provides expert testimony, including that of Dr. Desouches.

A legal and political response

Faced with this alarming situation, the SNCPRE union has decided to file a complaint for the illegal practice of medicine. This initiative is supported by parliamentarians, such as Senator Anne Souyris, who plans to refer the matter to the Paris prosecutor, and MP Arthur Delaporte, who is calling for regulation of the promotion of these practices on social media. Reports of illegal acts for cosmetic purposes have exploded, rising from 62 in 2022 to 128 in 2024, according to the French Medical Association.

How to avoid the pitfalls of Korean facelift?

To avoid falling into these dangerous practices, here are some recommendations based on expert advice:

• Check qualifications: Ensure that the procedure is performed by a surgeon qualified in Plastic, Reconstructive and Aesthetic Surgery on the website of the Council of the Order.
• Ensure that a professional plaque bearing the surgeon's name is present at the address indicated.
• Refrain from scheduling appointments through social media platforms, including WhatsApp, TikTok, and Instagram
• Beware of seemingly inappropriate locations: Liposuction and any other surgical procedure should take place in licensed clinics, never in improvised locations.
• Ask for clear explanations: A qualified professional should provide detailed information on risks, products used and post-operative follow-up.
• Reporting abuse: If you experience illegal practices, you are advised to file a complaint and contact the SNCPRE at 07 67 14 73 37 or by email at contact@sncpre.org.

Do you want to treat your double chin safely?
Discover the double chin and neck liposuction Performed by Dr. Desouches in a secure medical setting in Marseille: local anesthesia, approved clinic, personalized follow-up.

frequently asked Questions

Is Korean facelift a safe alternative to traditional surgery?

No, the Korean butt lift, when performed by unqualified individuals, is not a safe alternative. "It's liposuction, therefore a surgical procedure," reminds Dr. Desouches. Performed in inappropriate conditions, such as hotel rooms, it exposes patients to serious risks, including infections and vascular complications. neck liposuction The procedure must be performed safely by a qualified surgeon in a sterile medical environment, with appropriate follow-up.

How much does double chin liposuction cost when performed by a professional?

The cost of a double chin and neck liposuction The cost of neck liposuction varies depending on the surgeon, the technique used, and the region. With a professional like Dr. Desouches, the rates are transparent and include his fees as well as hospitalization, anesthesia, and follow-up costs. Although higher than illegal options (often offered at very attractive prices), they guarantee safety and quality.

Prioritize safety above all else

Korean facelifts and neck liposuction, when performed by unqualified influencers, pose a real health risk. The risks of infection, serious complications, and the use of prohibited products are too high to ignore. In 2025, it is essential to be informed and to seek the help of qualified professionals, like Dr. Christophe Desouches, to ensure safe and appropriate cosmetic procedures.

Looking for a natural method to enhance your breasts without artificial implants?

Breast lipofilling, offered by Dr Desouches in Marseille, presents itself as an innovative and natural solution.

Why choose lipofilling for natural breasts

the breast lipofilling offers a natural alternative to increase breast volume. Using the patient's own fat, this technique ensures a more natural and harmonious appearance, without resorting to implants.

Key benefits of breast lipofilling

This method is distinguished by lasting and natural results, with an intervention minimizing the risks of allergy or rejection. In addition, it allows other areas of the body to be reshaped using liposuction.

Common concerns before lipofilling

Patients often wonder about the amount of fat needed, the risk of resorption of the injected fat and the possible impact on the detection of breast tumors during screenings.

Understanding the process: from liposuction to reinjection

The process involves first liposuction of areas with excess fat, followed by purification of this fat, and finally, its reinjection into the breasts to increase volume or correct asymmetries.

Expected results and lifespan of the intervention

The results aim for a natural breast enhancement, with a modest increase in volume. Although the fat may partially resorb, much remains, providing lasting improvement.

Limitations and Important Considerations of Lipofilling

This technique is not suitable for women wanting a significant increase in breast volume. The amount of fat available and the possibility of resorption are the limits for which lipofilling is relevant for moderate expectations.

Make an informed decision: who is it ideal for?

Ideal for those looking for discreet and natural breast augmentation, lipofilling is particularly suitable for patients with sufficient adipose tissue for harvesting. It is less suitable for very thin women or women wanting a significant change in size.

Breast lipofilling can also be a solution to slightly correct breast ptosis, that is to say sagging of the breasts.
This technique restores volume mainly to the upper pole of the breasts, which can contribute to a slightly enhanced appearance. However, for cases of more pronounced ptosis, a specific surgical procedure, such as a breast lift, may be necessary to achieve optimal results. 

What is the price of breast lipofilling?

Breast lipofilling performed by Dr Desouches costs €4,800. 

When combined with a breast lift to correct breast ptosis, the price rises to €5,200.

These prices include all costs associated with the procedure, offering a complete solution for those looking to improve the aesthetics of their breasts.

Exosomes are emerging as a revolution in the field of cosmetic surgery, providing a varied range of possible benefits to enhance the quality of your skin.

What are Exosomes?

Exosomes are tiny membrane vesicles emanating from cells, rich in proteins, lipids and nucleic acids, acting as messengers between cells and carrying essential substances to other cells. They have a crucial role in immune response, cell growth, differentiation and tissue repair.
Recently, Exosomes have been explored in aesthetic medicine, revealing potential therapeutic properties. They are extracted from stem cells, either from the patient or from a donor, then concentrated and reinjected into the patient's skin.

The alliance of Exosomes and Microneedling

The association of microneedling with Exosomes is an aesthetic advancement that has gained ground in recent years. During this procedure, Exosomes are administered into the skin via microneedles, allowing deep penetration and direct delivery of their components to skin cells.
Microneedling also helps encourage cell regeneration, improving skin tone and texture.

Aesthetic benefits of Exosomes

Exosomes can provide a multitude of aesthetic benefits, such as reducing the appearance of wrinkles, improving skin tone and texture, tightening pores, fading acne scars, decreasing inflammation, and promoting collagen production or still elastin.

They have also been shown to be effective in reducing age spots and other signs of aging.

The safety of Exosome treatments

Exosome treatments are often considered safe thanks to their biotechnological production. However, like any medical procedure, risks such as infections, inflammations and allergic reactions may exist.
It is crucial to discuss these risks with Dr. Desouches before opting for Exosome treatment.

Regenerative aesthetics with Exosomes

Regenerative aesthetics is a promising area of regenerative medicine, with treatments aimed at restoring the body to a more youthful appearance and functionality by harnessing its intrinsic resources.
Exosomes prove effective in this regenerative approach.

THE'mammal augmentation is one of the most popular cosmetic surgery procedures across the world.
But beyond the physical results, what are the psychological impacts of breast augmentation?
What is the influence of this procedure on patients' self-esteem, self-confidence and quality of life?

Understanding breast augmentation

Breast augmentation is a surgical procedure aimed at increasing the volume of the breasts using silicone gel or physiological serum implants, or by lipofilling. It is commonly practiced to improve the silhouette and symmetry of the chest, restore volume after weight loss, pregnancy, or simply to increase breast size.

Psychological impacts of breast augmentation

The psychological benefits of breast augmentation are profound and generally positive, offering patients much more than just a physical transformation.

One of the most significant benefits concerns the increase in self-esteem. Post-surgery patients often report renewed confidence, a sense of empowerment and increased self-love. This is because they feel more in tune with their body image and more comfortable with their appearance, which is reflected in their interaction with others and their perception of themselves.

Furthermore, breast augmentation can positively influence patients' quality of life. Their increased satisfaction with their body may translate into greater confidence and more active participation in various aspects of life, whether social, professional or personal. This may include increased participation in leisure activities, a more assertive presence in the workplace, or even deeper fulfillment in personal and intimate relationships.

Performing breast augmentation for the right reasons

However, it is important to note that although breast augmentation can have a positive impact on self-esteem and self-confidence, it is not a silver bullet for all psychological or emotional problems.

The intervention should be carried out for oneself, with realistic expectations, and after careful consideration and appropriate professional advice.

Rather, it is a step towards love and self-acceptance, complementary to a more global approach to mental and emotional well-being. In this context, appropriate psychological support before and after the intervention can be beneficial to maximize the positive impact of the operation.

The role of the cosmetic surgeon

The role of Dr. Desouches is crucial in this process. In addition to performing the procedure, he must also help the patient understand the potential psychological impacts of the procedure. Open and honest communication is essential to ensure a satisfactory outcome, both physically and psychologically.

Breast augmentation has the potential to make significant changes in a woman's life, going beyond simply changing physical appearance. Positive psychological impacts, such as improved self-esteem and self-confidence, can lead to a better quality of life.

Dr Christophe Desouches was invited by the FILLMED laboratory as a lecturer for his expertise in medical profiloplasty and in particular in lip aesthetic medicine with the method of Russian lips“.

The “Russian Lips” are an innovative and growing trend in the field of plastic and aesthetic surgery. This modern approach to lip aesthetics is inspired by research on facial harmony, notably that carried out by Leonardo da Vinci but also by other anthropometric studies examining various ethnic groups and races.

In recent years, the demands in aesthetic medicinee have undergone a major evolution, emphasizing the beautification of the face. Russian Lips embody this revolution by reshaping the lips to achieve a more seductive and harmonious appearance.

The characteristics of this Russian Lips injection technique include a marked Cupid's bow, a well-defined vermilion border and the verticalization of the upper and lower lips. It is essential to find a balance between the height and the projection of the upper lip and the lower lip, while respecting the natural median depression.

Because “beauty is about balance” says Dr. Christophe Desouches.
Beauty is governed by lines of harmonies, which are mathematical, they are proportions which can be assimilated to the science of beauty. They thus make it possible to embellish people in a spectacular way.

Here is a short interview with Dr Christophe Desouches conducted during the IMCAS World Congress 2023 show.

If you would like to know more about Russian Lips or contact Dr. Desouches, please do not hesitate to contact him. contact via this website. You can also follow him on social networks with the pseudonym @dr_desouches.

When asked, the majority of men in the firm say they are bothered by the changes they see in the mirror.

Thus 4 out of 5 men decide to treat crow's feet as a priority, 3 out of 4 men treat forehead wrinkles first and 1 out of 2 plans to reduce frown lines.

It's not your age that determines when you should undergo botulinum toxin treatment, it's the psychological impact of your wrinkles on yourself!

In fact, many plastic surgeons claim to have seen an increase in cosmetic surgery or injectable treatments for patients as early as their 30s…

Each consultation at the office in Marseille begins with a discussion to establish your treatment goals and a facial analysis will be performed to determine the appropriate treatment areas for you.

The treatment requires almost no downtime. This way, you can resume your daily activities immediately after receiving your injections of botox in the face. However, it is recommended not to do intensive sport and not to lie down within two hours of the injections.

You will notice a visible smoothing of frown lines, crow's feet and forehead wrinkles within 24-48 hours, and results can last up to 4 months for moderate to severe frown lines. Botox is not a permanent treatment. If you stop treatment, moderate to severe frown lines, crow's feet and forehead wrinkles gradually reappear.

Frequently asked questions about Botox >