Hyaluronic Acid

Hyaluronic Acid & Facial Rejuvenation

The art of enhancing volume: surgical expertise in the service of a natural look

The face isn't a flat surface — it's a dynamic set of complex anatomical layers: bone structure, deep and superficial fat pads, expression muscles, and skin. Over time, bone resorption and fat loss shift the face's highlights and create tissue laxity.

As a Maxillofacial Surgeon, Dr Afshin Yousefpour doesn't treat hyaluronic acid as a simple "wrinkle filler," but as a genuine tool for three-dimensional restructuring. Thanks to a millimeter-precise understanding of facial anatomy, every injection is designed to reposition volume, restore balance, and refresh your features while preserving the authenticity of your expressions.

Why Trust Your Injections to Dr Yousefpour?

• Surgical vision & anatomical mastery: His exclusive specialization in facial surgery allows Dr Yousefpour to precisely target the right anatomical plane (deep on the bone, within the fat compartments, or as a superficial layer), ensuring a lasting result and maximum safety around the facial vessels and nerves.
• Whole-face architecture: Treating an isolated area without assessing the whole profile creates an artificial look. Dr Yousefpour favors a full-face approach, where treating one area (e.g. the cheekbone) indirectly lightens another (e.g. the nasolabial fold).
• Advanced gentle techniques: A preference for soft, blunt-tipped micro-cannulas to minimize bruising, reduce discomfort, and protect vascular structures.
• Rigorous product selection: Exclusive use of world-renowned hyaluronic acid gels — fully resorbable, biocompatible, and with rheological profiles matched to each tissue type.

Detailed Analysis of the Areas Treated

Your Step-by-Step Patient Journey

1. Personalized facial diagnosis: A dynamic clinical exam at rest and in motion, an analysis of facial proportions, a discussion of your goals, and a precise treatment plan.
2. In-office treatment protocol (30 to 45 min): Complete surgical disinfection of the area, mapping of anatomical safety points, and atraumatic injection with a micro-cannula or fine needle (the gel already contains a local anesthetic, lidocaine, for optimal comfort).
3. Result & follow-up: The volumizing effect is visible immediately. The final look stabilizes after 10 to 15 days, at which point a follow-up appointment is offered for any minor touch-ups.

Complete FAQ

Informed Consent Form

Medical Procedure: Facial Tissue Treatment with Hyaluronic Acid Injections

Practitioner: Dr Afshin Yousefpour — Specialist in Oral and Maxillofacial Surgery

This document formalizes the information given to you during your prior medical consultation. It summarizes the indications, the limits of the treatment, and the possible risks associated with the procedure.

1. Treatment Objectives & Details

Hyaluronic acid is a sterile, biodegradable medical device of non-animal origin. It is indicated to restore lost volume, redefine contours, and fill skin depressions. The result depends on individual factors (skin quality, lifestyle, muscle dynamics) and gradually fades over time.

2. Absolute & Relative Contraindications

The patient agrees to inform the practitioner of:

• Current pregnancy or breastfeeding.
• Active autoimmune diseases, sarcoidosis, or a history of chronic inflammatory reactions.
• A history of previous injections with permanent, non-resorbable products (silicone, polymers, etc.).
• Acute skin infections or local inflammatory flare-ups (herpes, active acne, folliculitis).
• Taking anti-inflammatories, aspirin, or anticoagulants in the days before the session.

3. Documented Adverse Events & Complications

Although performed with surgical rigor by a specialist in facial anatomy, the procedure carries some therapeutic uncertainty:

Common, transient immediate effects:

• Redness, localized reactive swelling, and mild tenderness to touch (24 to 72 hours).
• Bruising at the injection points, concealable with medical makeup.

Rare medium-term side effects:

• Residual asymmetry or a palpable irregularity requiring adjustment at the follow-up visit.
• Delayed inflammatory reactions, or the appearance of nodules or foreign-body resorption granulomas.
• Reactivation of cold sores in predisposed individuals.

Exceptional but severe vascular complications:

• Embolization / vascular compression: Accidental entry of gel into a facial arteriole, which can lead to ischemia and then skin necrosis if not treated promptly.
• Ophthalmic complication: Extremely rare cases documented in the global literature of retrograde migration into the eye's vascular network, potentially causing visual disturbance or blindness.

The practice's safety measures: Dr Yousefpour uses the safest injection techniques (blunt cannulas, aspiration tests, strict vascular landmarks) and keeps a full set of emergency equipment on site, including high-dose hyaluronidase to immediately dissolve the product at the first sign of a vascular warning.

4. Post-Procedure Commitments

The patient agrees to:

• Strictly follow the post-procedure hygiene and rest instructions.
• Contact Dr Yousefpour's office immediately in case of unusual severe pain, mottled skin pallor, or sudden visual disturbance.

5. Mutual Consent

Patient Guidance Sheet: Before and After Your Injections

Pre-Treatment Precautions (Before the Session)

• 7 days before: Avoid taking aspirin, anti-inflammatories (ibuprofen, ketoprofen), and high-dose omega-3, vitamin E, or ginkgo biloba supplements, to limit the risk of bruising. (Never stop a prescribed anticoagulant treatment without first consulting your own doctor.)
• 3 days before: You may start a course of homeopathic Arnica montana 9CH to help prevent swelling and bruising.
• 48 hours before: Avoid excessive alcohol consumption and intense sun exposure.
• On the day of the session: Ideally come with no makeup on the areas to be treated. If you are prone to cold sores, let the office know in advance so a preventive antiviral treatment can be arranged.

Post-Treatment Recommendations (After the Session)

• For the first 6 hours: Avoid touching, rubbing, or massaging the injected areas. Keep your head up and avoid bending forward for extended periods.
• For 24 to 48 hours: Avoid regular makeup (sterile mineral makeup is fine after a few hours). No intense sport, cardio training, or heavy weightlifting. Avoid intense heat sources: sauna, steam room, very hot baths, scalding showers, and UV exposure. Sleep on your back with your head slightly elevated on two pillows to help lymphatic drainage.
• If swelling or bruising occurs: Apply cold compresses (without pressing, and never with ice in direct contact with the skin) and a soothing cream based on arnica or vitamin K.
• Immediate warning signs: Contact Dr Yousefpour's office directly in case of unusual throbbing pain, mottled skin pallor, or visual disturbance.

Synergies & Combined Facial Approaches

Modern facial rejuvenation relies on multi-layered action. Hyaluronic acid restores deep architecture and volume, but surface appearance and skin tone benefit greatly from advanced technology combinations available in our practice.