Volume treatment for the face with hyaluronic acid injections

An ideally youthful and healthy face has a regular oval shape. Over time, facial tissues sag and fat diminishes (fat ptosis). The cheekbones lose volume, the cheeks droop (jowls), the chin sags (chin folds or double chin), and the temples become hollow. The upper part of the face becomes hollowed out while the lower part becomes fuller, giving a heavier appearance. Wrinkles such as tear troughs, nasolabial folds, and marionette lines become more pronounced.

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Volume lifting injections for the face in Paris and Neuilly | Dr B. Sarfati

Non-surgical facelift with hyaluronic acid

The medical facelift using hyaluronic acid injections is an excellent treatment option for redefining the facial oval without surgery. The practitioner makes precise injections of hyaluronic acid-based volumizers to fill hollows and restore a harmonious contour.
The contours of the face regain a firm and smooth appearance thanks to the volumizing and hydrating power of hyaluronic acid. The quality of this immediate and natural result greatly depends on the practitioner’s expertise, both in the choice of the solution injected and in the delicate sculpting massage of the treated area.

This combination of factors achieves a facelift effect without surgery.

Hyaluronic acid is biocompatible, non-allergenic, and 100% resorbable, making it extremely well-tolerated with very few contraindications. As a highly secure filler, it is the reference treatment for facial remodeling. Dr. Sarfati exclusively uses high-end hyaluronic acids provided by top laboratories (Allergan, Galderma, etc.).

Areas of the face treated

Cheekbones

In aesthetic medicine, enhancing the cheekbones is a key aspect of remodeling the facial oval. This is done exclusively through hyaluronic acid injections. The amount injected is perfectly controlled by the surgeon to achieve a natural result. The aim is to fill the volume without creating a puffy face.

The treatment takes place in the office and lasts from 10 to 30 minutes. Sometimes a superficial anesthetic is applied, in addition to the anesthetic contained in the high-end hyaluronic acid used.

The result is immediate and lasts between 9 to 18 months. However, it may be advisable to repeat the injections every 8 months to maintain the benefits of the initial session.

Occasionally, small bruises (ecchymoses) or slight secondary swelling may appear at the injection points. These rare side effects resolve within a few hours.

Lips

Hyaluronic acid injections can restore mouth volume in just a few minutes. Lip augmentation must be subtle to maintain their natural look and avoid a “duck” appearance. With his expertise and the use of specific high-end hyaluronic acids, Dr. Sarfati performs delicate injections during a simple office consultation.

The procedure lasts from 10 to 30 minutes, and the result is immediately visible. Given the dense innervation of the lips, a topical anesthetic is applied before the injections. The hyaluronic acid injected also contains an anesthetic for added comfort.

The result is immediate and long-lasting. Due to the high innervation of the lips, a reactive edema (swelling) may form. It will disappear within a few days (with ice application). After this period, the optimal final result will be revealed.

​​Temples

With aging, the muscles and fat in the temples diminish, creating a shadowy hollow that ages the face. Filling this area with hyaluronic acid injections requires expertise. The complex anatomy of the area means only an experienced cosmetic surgeon can perform safe and precise injections. The volumizing material must be evenly distributed while preserving the veins, nerves, and muscles in this exposed area. Additionally, the skin here is very thin, so distribution must be perfectly executed to avoid an unnatural lumpy effect.

The procedure is quick, taking about ten minutes, and is performed in the office. Depending on the patient’s sensitivity, the doctor may use a surface anesthetic applied shortly before or simply rely on the anesthetic in the hyaluronic acid injected.

The result is immediate. The hollow is filled, and the temples regain a natural volume. The face appears fuller, and the oval is redefined. The rejuvenation is evident. As hyaluronic acid is bioresorbable, injections must be repeated every 12 to 18 months.

Occasionally, small bruises (ecchymoses) or slight secondary swelling may appear at the injection points. These rare side effects resolve within a few hours.

Chin

As we age, the skin and other facial tissues lose their tone and elasticity. The face sags, and folds may appear in the chin area or from the corners of the mouth to the edges of the chin, known as marionette lines. These folds give the face a bitter expression.

Hyaluronic acid injections in the chin can restore volume for a fresher face. Marionette lines are smoothed out by injections around the mouth corners and along the fold to tighten the skin in the area. The surgeon will recreate harmonious and natural volumes, making the face appear rejuvenated.

The procedure is quick, taking about ten minutes, and is performed in the office. Depending on the patient’s sensitivity, the doctor may use a surface anesthetic applied shortly before or simply rely on the anesthetic in the hyaluronic acid injected.

The result is immediately visible and optimal after a few days. As hyaluronic acid is bioresorbable, injections must be repeated every 12 to 18 months. Sometimes, additional injections may be done after 8 months to maintain the optimal result.

Occasionally, small bruises (ecchymoses) or slight secondary swelling may appear at the injection points. These rare side effects resolve within a few hours.

Cheeks

A youthful and healthy face often has “rounded” cheeks, referred to as a full face with a defined oval. In contrast, hollow cheeks give the face a tired, aged appearance. Aging is often responsible for the loss of fatty tissue (Bichat’s fat pad) that shapes the cheek’s roundness, creating an unsightly jugal depression.

Hyaluronic acid is the reference treatment for filling hollow cheeks. The injections restore the volume of Bichat’s fat pad (also known as buccal fat pad), making the cheeks round again. A well-measured dosage and precise technique visibly rejuvenate the face.

The procedure is quick, taking just a few minutes, and is performed in the office. The surgeon may use a surface anesthetic applied shortly before or simply rely on the anesthetic in the hyaluronic acid injected, to enhance patient comfort.

Immediately after the injections, the result is already visible and will be even more spectacular after a few days. Generally, the patient can resume social activities immediately after the session. The benefits last for 12 to 18 months, after which the hyaluronic acid naturally resorbs. It may be necessary to repeat the injection after this period to prolong the benefit.

Occasionally, small bruises (ecchymoses) or slight secondary swelling may appear at the injection points. These rare side effects resolve within a few days.

Consultation for non-surgical facelift with hyaluronic acid injections

The hyaluronic acid treatment to redefine facial contours is performed in-office, typically over one or more consultations. Following an initial assessment and treatment plan discussion with the patient, Dr. Sarfati performs precise injections in the targeted areas. The treatment leverages hyaluronic acid’s qualities as a skin tightener, volumizer, and hydrator. Hollows are filled, wrinkles smoothed, and contours tightened, resulting in a very natural appearance. The face regains a youthful “V” shape.

By injecting hyaluronic acid into the upper parts of the face, the surgeon restores volume, causing the skin to tighten and reduce wrinkles, as well as lifting the lower face by tissue tension. Subsequently, the surgeon addresses remaining wrinkles and reshapes the jawline. Dr. Sarfati customizes each protocol to suit the specific needs and requests of every patient. The practitioner’s expertise is crucial to avoid overuse of the product and achieve a natural outcome.

The treatment is nearly painless. An anesthetic agent may be included directly with the hyaluronic acid injection or applied topically if needed. Injections are performed using ultra-fine needles or micro-cannulas for precision and to minimize tissue trauma, thereby reducing side effects.

Non-surgical facelifts are a gentle and painless rejuvenation technique. They do not disrupt social or professional life. After hyaluronic acid filling, there are few bruises and no swelling. In extremely rare cases, patients may experience mild discomfort immediately after the session, which typically resolves within hours to days.

As a precautionary measure, hyaluronic acid injections are avoided for pregnant or breastfeeding women.

The practitioner screens for contraindications, including significant evolving allergies, certain autoimmune or acute inflammatory conditions, hepatitis C, and previous injections of non-degradable products, before any treatment.

Results of facial volume treatment with hyaluronic acid injections

Non-surgical facelifts provide natural and immediately visible results. The face appears rested and refreshed, showing noticeable rejuvenation while maintaining a subtle enhancement. Features are tightened, lines gracefully defined, and facial contours restored.

Typically, the benefits of the procedure last up to 24 months. During this period, additional sessions can further enhance the rejuvenating effects, as hyaluronic acid injections have a cumulative impact.

Occasionally, minor redness may appear at injection sites, easily concealable with light makeup. In rare cases, a small bruise may occur, which also resolves within a few days.

dr Benjamin Sarfati

DOCTOR BENJAMIN SARFATI

Specialist in breast surgery and intimate surgery

Practitioner Specialist at Cancer Control Centers, Gustave Roussy.
Member of the Henri Hartmann Breast Institute.
Founder of the Women's Surgery Center.
Founder of the international congress "Paris Breast Rendez-Vous."
Member of the scientific committee of patient associations (Europa Donna, BRCA France).