Injection of hyaluronic acid on the oval of the face

The oval of the face is shaped differently from one person to the next, with variations linked equally to morphology and gender. It tends to be squarer in men and more V-shaped at the tip of the chin in women. In other words, it expresses an individual's identity, and changes are quickly perceived.

As the skin ages, it loses tone due to a lack of collagen fibers: the oval of the face takes on an inverted V shape.

On a young face, the top of the V is located at cheekbone level and tapers towards the chin. As the face ages, sagging widens the lower part of the chin, while the upper part deepens and loses volume.

For a long time, it was thought that the loss of collagen fibers was the only factor responsible, but the evolution of knowledge about injections ofhyaluronic acid injections has revealed the intervention of another factor: facial volumetry.

Sufficiently shapely skin puts volumes under tension, while a loss of volume will lead to skin slackening and a risk of volume sagging. This is what happens with age, when the dermis loses its contour (hyaluronic acid melting) and the fat cushion of the hypodermis loses its thickness (fat melting).

Restoring volume with hyaluronic acid injections on the face provides a lifting effect, without surgery or scalpel.

Dr Christelle Santini offers hyaluronic acid injections to restore volume to the oval of the face, with a natural, harmonious result:

• or to embellish the face when these volumes have always been absent. It is thus possible to work on relief, the glow effect or to assert contours to gain character. It's also possible to work only on the lower limit, on the mandible, using jaw contouring.
• or to rejuvenate a face with a medical facelift, using simple volumetry on volumes that have melted away.

By treating sagging facial contours in this way, Dr Santini restores a fresh, rested, more toned face.

The art of successful contouring of the oval of the face lies in choosing the right entry points to ensure harmonious contours, and a hyaluronic acid with sufficient volumizing power to enhance relief without creating a puffy effect.

An initial examination enables Dr. Santini to check that the facial volumetry corresponds to your expectations, your facial contours and the condition of your skin.
There should be no excess skin, and the skin should be sufficiently elastic to harmoniously reshape the new contours.

Aesthetic volume analysis also allows us to determine whether this medical facelift should be supplemented by filling injections, such as bitterness fold filling (furrows between the mouth and chin), light chin filling or nasolabial fold filling.

Dr. Santini will take medical photos to pinpoint areas of ptosis and give you detailed recommendations. She does not recommend this type of injection for pregnant or breast-feeding women. She determines the possible risks in the event of autoimmune disease, skin lesions or ongoing anti-coagulant treatment (risk of bruising or hematomas).

As this facial volumetry procedure is performed without a general anaesthetic, it is not necessary to fast before the injections. However, it is advisable to avoid sun exposure and alcohol consumption on the day itself or the evening before. You must come with clean, makeup-free skin.

This hyaluronic acid injection session on the oval of the face takes place at Dr Christelle Santini's surgery, rue de la Pompe (75116 Paris).
No hospitalization or anesthesia is required.

Local anesthesia is administered in two ways:

• a local anesthetic systematically contained in the hyaluronic acid syringes selected by Dr Santini;
• a contact anesthetic such as EMLA ointment, prescribed at the first consultation and to be applied one hour beforehand.

Injections are sometimes made with a fine needle, but more often with a foam cannula, to guarantee a harmonious coating over large volumes.

Once again, Dr Santini locates the lift points on your face in the malar (cheekbone) and masseter (jaw) areas, where she injects hyaluronic acid to enhance the underlying volumes. The injections are deep, to ensure a harmonious result and avoid creating a puffy or artificial effect.

Dr. Santini attaches great importance to the type of hyaluronic acid to be injected, depending on your particular needs and expectations in terms of rejuvenation or beautification. It must combine suppleness with a cohesive effect. This depends in particular on your loss of dermal hyaluronic acid and/or hypodermal fat.

The session lasts about 20 minutes, with a spectacular effect that enhances ptosed volumes.

Patients can resume their activities immediately after the injections. There is no need to worry about redness (resorption in a few hours), bruising (resorption in a few days), oedema or slight insensitivity (resorption in 15 days maximum).

The result is immediate, but only stabilized after 10 to 15 days, with the possibility of retouching if necessary.

The effect is twofold:

• thetrophic effect of hyaluronic acid enhances the skin's radiance, making it possible to work on the glow effect as opposed to shadowy areas;
• thevolumizing effect provides a medical facelift effect, rejuvenating the face by several years in a natural, harmonious way.

Dr Santini recommends a maintenance session every year to maintain this youthful capital.

• No work stoppage required.
• Painless technique.
• Medical facelift effect, without surgery or anesthesia.
• Natural look that enhances facial radiance (glow effect).

What to do before a hyaluronic acid injection on the oval of the face?

• 1 aesthetic medicine consultation with estimate and photography.
• Discontinuation of anticoagulants recommended.
• Customized treatment that can be combined with other non-invasive procedures.

How is a non-surgical volumetric facelift of the oval of the face performed in Paris?

• Session lasts about 20 minutes
• Modelling if required at the end of the session.
• Several deep injections, using an atraumatic cannula.

What are the after-effects of a hyaluronic acid injection on the oval of the face?

• Visible results immediately.
• Few side effects, no eviction required.
• Results of the non-surgical facelift stabilized at 15 days.
• Double effect on skin radiance and facial rejuvenation without surgery.