injections of Hyaluronic acid dermal fillers injcctions and botox . Liquid facelift by Dr. Philippe Chout plastic surgeon in Paris.



Hyaluronic acid injections combined with Botox is called liquid facelift

As our skin ages, the dermis gradually loses its major natural constituents: collagen, elastin and hyaluronic acid. Collagen acts as the major support protein for our skin; elastin allows our skin to stay firm though elastic and resist wrinkles; hyaluronic acid helps to trap water and add volume and shape to our skin giving it its plumpness. It is used mainly to fill wrinkles and fine lines of the face: wrinkles crow's feet located at the outer corners of the eyes, wrinkles of the lion (or wrinkles of the glabella), located between the eyebrows, but also wrinkles forehead, cheeks (nasolabial folds), chin (bitterness wrinkles) and around the mouth. Hyaluronic acid is also used, thanks to its volumizing effect, to treat the lips.

hyaluronic acid botox injections liquid facelift
This is a 1 ml serynge of hyaluronic acid, that will be used after numbing the area with a local anaesthetic cream. Several serynges may be required.

Video of a lips augmentation with hyaluronic acid under local anaesthesia

The only advisable dermal filler is hyaluronic acid

Dermal fillers are substances that are injected just below the surface of the skin to fill in lines, wrinkles, and scars. Unlike facelifts that stretch the skin, fillers add volume for a more natural youthful appearance. Fillers can also increase the fullness of the lips (see section on lip enhancement) and lessen the downward slant of the corner of lips. The most common areas treated are the smile lines around the nose and mouth, fine lines above the mouth, frown lines between the eyes, and acne scars. This is a walk-in procedure done in 30 minutes under a local anesthetic with a numbing cream (Emla 5%). The pain is mild to moderate. The result is immediate and will last 6 months. Bruising or swelling is a very rare event and patients can appear socially or go beack to work the same day. Hyaluronic injections when combined with botox injections plus other treatment like mesotherapy and skin resurfacing it is called LIQUID FACELIFT.

The injection of hyaluronic acid allows the non-surgical treatment of facial wrinkles and fights the first effects of aging.

Fast and simple, this technique of filling wrinkles with series of painless injections has been popular with many patients all over the world for almost 20 years. Completely biodegradable in the body, in six months, hyaluronic acid can be subject to one to two sessions of injections per year to maintain its visual effects. We must distinguish hyaluronic acid which acts by giving volume, Botox (botulinum toxin) which does not give volume but works by resting the muscles. Their areas of use are different. Botox is used for forehead and crow's feet. They are billed separately.

Injection areas of hyaluronic acid

It is used mainly to fill wrinkles and fine lines of the face: wrinkles crow's feet located at the outer corners of the eyes, wrinkles of the lion (or wrinkles of the glabella), located between the eyebrows, but also wrinkles forehead, cheeks (nasolabial folds), chin (bitterness wrinkles) and around the mouth. Hyaluronic acid is also used, thanks to its volumizing effect, to treat the hem of the lips by redrawing the contour of these and thickening them to make them a little more "luscious".
Its interest in filling the deep furrows of the face is widely used to delay the indications of a cervico-facial lift: deep filling of the nasolabial folds (the furrows starting from the nose to the mouth) and folds of bitterness starting from the mouth towards the chin. Finally, hyaluronic acid allows in some cases (especially after significant weight loss or certain drug treatments) to fill the hollows and depressions of the face (volume supply to the cheekbones and cheeks, dark circles, chin, temples), but also to fill Sequelae of acne, chicken pox and other trauma to the skin of the face.

Description of a session of hyaluronic acid
Injection sessions are held in the office since they require strict asepsis. All areas to be treated on the face are cleaned with an antiseptic. The filling of wrinkles by injections of hyaluronic acid can begin. In order to obtain a homogeneous and maximal result, the surgeon injects hyaluronic acid in fine regular bays and then massages. Injections are performed using micro-needles most often provided with the product and provided with a local anesthetic. The injections can therefore be painless.
An injection session lasts between 10 and 20 minutes depending on the number of areas to be treated. Hyaluronic acid then resorbs naturally in the body about 6 to 12 months after its injection. Taking aspirin and anti-inflammatory drugs are contraindicated a few days before and after the injection sessions because it favors hematomas and bruises; the surgeon examines the shape of the patient's face and sees with her the The pre- and post-injection recommendations are as follows: cessation of tobacco, aspirin, nonsteroidal anti-inflammatory drugs. Patients are always asked to stop using these types of products or drugs one week before the injection of hyaluronic acid. All these precautions allow the cosmetic surgeon to exercise his practice in the best possible conditions and to minimize the risk of bleeding and swelling after injection of hyaluronic acid. Arnican cream can be applied for 3 days.

Normal and usual side effects
In general, it should be remembered that local reactions may occur. These are not complications. They are often related to the injection itself: appearance of edema, redness of the skin, itching, erythema, sensitivity, localized pallor, irregularities, small bruises ... These reactions are normal and classic. It is therefore perfectly useless to be alarmed, these temporary reactions will disappear spontaneously after only a few days.

Complications: abnormal and unusual side effects:
They are very rare. Allergic reactions are extremely rare (hyaluronic acid is not a typically allergenic product) but may exist. - For those who are predisposed to cold sores, it is possible to observe a trigger. It resolves in 10 days.- An acute or chronic inflammatory reaction and Although rarely noted because of the absorbable power of hyaluronic acid and its good tolerance by the body, granulomas can appear on the treated areas. Granulomas are small indurated nodules, more or less sensitive, sometimes visible and unsightly, corresponding to a localized inflammatory reaction and can evolve by relapses.

What is a Liquid Facelift?

A "liquid facelift" is a non-surgical technique that uses injectable treatments to rejuvenate the face.

Liquid facelift includes injectable fillers to restore lost volume, and Botox to relax selective facial muscles. The end result is a subtle lifting of certain areas of the face and neck such as the brow, eyes, cheeks, jowls, and perioral region, as well as filling in deep folds of the face and giving a more relaxed and refreshed look.

If you want to look younger without surgery, a liquid facelift can provide noticeable results with minimal cost and recovery time. As we age, individuals commonly develop hollows around the eyes, sunken cheeks, and folds and creases around the mouth. The natural contours of the face can change drastically. The aging process can result in a facial appearance that causes an older, more tired, less-engageing look. The liquid facelift is gaining a great deal of attention as a non-surgical alternative to the traditional facelift. This procedure offers patients the benefit of minimal recovery time and immediate results. It is a popular choice for people desiring a younger look quickly, or those who are unable to take time away from work and family obligations.

The goals of a non-surgical, liquid facelift can include the following:

• Erase the forehead lines
• Erasse the crows feet lines
• Fill the temple in
• Fill the tear through
• Improve the orbital ridges ( dark circles around the eyes)
• Plump the malar area
• Reduce the naso-labial folds
• Create the Nefertiti jawlines
• Lifting subtly specific or all facial features
• Reducing the appearance of wrinkles, fine lines, or creases
• Improving the neck lines and platysma bands
• Restoring facial contours to a more youthful, gently curved appearance
• Creating a more relaxed, refreshed, and friendly look

The use of fillers and Botox to restore a youthful appearance can make patients appear years younger. It is tailored to each patient's needs.

What is the Cost of a Liquid Facelift?
Depending on a number of factors, the price of a liquid facelift typically ranges from 1,800 euros to 4,800 euros, to be compared to the starting price for a proper facelift above 10, 000 euros. Factors that affect the cost of a liquid facelift include the:

• Extent of age related damages
• Desired results
• Types of injections used (Juvederm, Restylane, Botox and others)
• Quantity of injections

Ultimately, a consultation with a trusted plastic surgeon is the only way to determine the precise cost of your liquid facelift. A patient who opts for minor facial smoothing may require fewer injections, and a smaller treatment plan, than a patient who is going for a more significant change.

What are the Pros of a Liquid Facelift?
Much like any cosmetic procedure, a liquid facelift carries both pros and cons. Benefits of this non-surgical approach to creating a more youthful appearance can include:

• Liquid facelifts are non-surgical and non-invasive
• Injections and Botox can be completed in just minutes with minimal pain under local anaesthesia
• Recovery time is minimal, and patients can typically return to normal activities immediately
• Patients can see an immediate improvement, with minimal swelling and bruising.
• Lower cost than surgical facelift procedures

For patients who want to look better immediately, this procedure offers quick results for weddings, reunions, and other events. Additionally, a liquid facelift can typically be completed with minimal interruption to work and other normal activities. The main side effects are potiential bruising and swelling, which typically resolve in a few days up to a week or so. By contrast, surgical facelift procedures have a typical recovery time of 2-3 weeks.

What are the Cons of a Liquid Facelift?
While the liquid facelift is non-invasive, it's important for patients to note that the results are not permanent and will require additional treatments over time to maintain the results.
• An estimated 6-12 months lifecycle between touch-ups
• Not intended to remove excessive skin sagging
• Does not truly "lift" the skin and often cannot correct jowls or sagging skin on the face or neck
While the liquid facelift is a powerful tool for smoothing the face and eliminating creases and wrinkles, the results are less dramatic than a surgical facelift. And unlike a surgical facelift patients who undergo a liquid facelift do not have excessive skin removed.
At the end of the day, a liquid face lift ultimately comes down to a powerful force of injectable fillers that can minimize or erase sagging, fine lines and wrinkles. They also contain muscle immobilizing products such as Botox that are powerful and will restore youth and beauty to a person’s face.



Fat transfer also known as lipofilling:

The autologous fat transfer (Coleman technique) is asurgical procedure is unique because it removes fat from one area of your body and transfers it to the area of concern. The main advantage of lipotransfer is that it eliminates the risk of an allergic reaction. Lipotransfer is a two-step procedure. First, liposuction is performed using local anesthesia to collect the “donor” fat commonly from the thighs, the abdomen or hips. Fat is then injected into the face, just below the second layer of the skin (dermis) or into the muscle. Bruising, swelling, and redness are common afterward and usually last a few days. Initially a part of the fat will disappear between 10 and 20%. What will stay after 3 months will stay permanently or will at least be very long lasting (3 to 15 years).

Fat doesn't migrate and stay where the microdroplets are placed. The cost for a fat transfer start at £2,000. This excellent permanent or at least long lasting filling method is operator dependant. It requires a very special skill to be permanent. It is a real surgical procedure though and requires at least a local anaesthetics, and a stay for a few hours in the hospital. Bruising and swelling is mild to moderate. Patients are able to resume work after 3 to 4 days. For more information see our Liposuction & Fat transfer information form.

The Choice between hyaluronic acid and fat transfer

The ideal dermal filler should be easy to administer, provide reproducible cosmetic results, remain in the dermis for a significant period of time, and have a superior safety profile. Injection of fillers usually requires the use of either a topical numbing cream or a local injection of numbing medication. Then, using a small needle, the dermal filler is injected into each wrinkle or scar that requires treatment. Some mild burning and stinging is normal and quickly resolves. The results can last from three months to five years, depending on the filler being used. The cost is important in the final choice. Injectable fillers do not last as long as fat. The repeated cost should be compared to the one-off cost of fat transfer.

 information about liquid facelift

Contact Doctor Philippe Chout to book a consultation
email address dr Philippe Chout website phone number dr Philippe Chout