Full facelift with hyaluronan

Full facelift, or lifting the volume of the whole face and correcting the wrinkles doesn’t have to entail surgical procedures. With hyaluronan – hyaluronic fillers it is possible to, safely and without the recovery period, achieve a result similar to surgical procedures.

A surgical procedure of lifting the facial volume can very often lead to the loss of the natural look of a person without giving the desired and planned result. With a timely use of hyaluronic fillers the tone of the skin and face muscles stay for life, and therefore the need for surgical procedures is significantly reduced or delayed.

hyaluronic acid filler

Facial skin aging characteristics

One of the first and basic characteristics of facial skin aging is the loss of fatty pillows that represent the support of the facial skin and muscles. This change is not conditioned by the variations in body weight and it gives the face a tired and sunken appearance, and leaves behind excessive skin.

The other aging characteristic is the thinning of the skin, which can be compensated by thinner molecules of the hyaluronan acid and without adding volume.

The third characteristic of aging is the thinning of the muscles and changing the shape of the bone tissue, which is hard to compensate with any method.


In the beginning, hyaluronan acid was a substance used exclusively to fill the wrinkles, especially the so called nasolabial wrinkles, or the wrinkles that stretch from the edge of the nose to the corner of the lips. Producing various sizes of hyaluronan molecules and their volume it is possible to compensate the loss of facial volume. Filling in the wrinkles and compensating the volume gives a long lasting  and natural look after the treatment. A big fear of patients not to look like certain public figures can be very easily eliminated with a moderate application of fillers only there where the tissue has naturally lost it’s volume. To completely understand the benefit of this procedure we should be reminded that hyaluronan is a polysaccharide which can be found naturally in our skin. This fact enables that after the procedure the face looks completely natural and soft and the ability of the hyaluronan acid to strongly bind the water gives the skin extra elasticity and tissue hydration which is all part of the treatment.

Hyaluronan treatment

During the treatment various application techniques can be used. At first, hyaluronan was applied exclusively with a needle, with respect to the anatomical characteristics of the face and by following the pathways of large blood vessels. In the past couple of years, cannula, a blunt needle with an opening in it’s end that is used to squeeze out the gel, is used more often. The roundness of the tip of the cannula doesn’t allow the blood vessels to be ripped and so the hyaluronan application has become a procedure that is possible to perform during a lunch break and returning back to work without any bruises. Certain parts of the face, like the areas in front of the ears or the mandibular bone is almost impossible to work on without the cannula. Cannula enables, using only one point of entry in the face, the raising of the eyebrows, filling in the cheeks, raising of cheekbones or filling the area beneath the corners of the lips. With this approach it is possible to do a full facelift with hyaluronan. Some areas of the face are impossible to do with cannula only and it is necessary to combine it with the application of the classical needle.

Hyaluronan can not completely replace surgical rejuvenation procedures, just as the surgical facelift is very often not complete without the compensation of the tissue volume with hyaluronan. For a couple of years now hyaluronic fillers have been a wise alternative to surgical rejuvenation and they can be used as it’s significant addition or correction.

More about hyaluronan fillers read here.

Spec. Dr. Svetlana Djurisic, dermatologist
Dermatological clinic DERMATIM, Belgrade, Serbia

Additional education of Dr Svetlana Djurisic during current practice regarding application techniques of hyaluronic fillers:

2009:  certificate for advanced work with hyaluronic acid – Restylane
2010:  certificate for advanced work with hyaluronic acid – Teosyal
2011:  certificate for advanced work with hyaluronic acid – Juvederm
2011:  certificate for advanced work with hyaluronic acid – Dr Mauricio de Maio
2012:  expert mentoring masterclass Juvederm/Allergan – Dr Iñigo de Felipe
2012:  liquid facelift techniques – Dr Iñigo de Felipe
2012:  expert meeting on facial anatomy and complication management – Dr Gregor Wahl, Dr Mauricio de Maio, Dr Koenraad de Boulle, Dr Herve Raspaldo, Dr Lakhdar Belhaouari
2013:  power of V in facile rejuvenation, a new whole face approach – Dr Massimo Signorini, Dr Koenraad de Boulle, Dr Lakhdar Belhaouari, Dr Herve Raspaldo, Dr Mauricio de Maio, Dr Sebastien Pierre, Dr Wolfgang G Phillip-Dormston
2013:  Allergan/Juvéderm® – VOLBELLA®, VOLUMA®, VOLIFT® – nadoknada volumena lica – Dr Massimo Signorini, Dr Koenraad de Boulle, Dr Lakhdar Belhaouari, Dr Herve Raspaldo, Dr Mauricio de Maio, Dr Sebastien Pierre, Dr Wolfgang G Phillip-Dormston
2013:  Restylane – Prof.Dr Giovanni Salti
2013:  Allergan Expert Forum – Vycroos® Collection – Dr Mauricio de Maio
2014:  Allergan – Facial aesthetics trainer
2015:  Allergan Mentoring Programme – Vycross versatility workshop – Dr Radina Denkova
2015:  Allergan Medical Institute Leaders meeting – Introduction to the MD Codes – Dr Mauricio de Maio
2015:  AMEC 2015, scientific program – Sabine Zenker MD, Ali Pirayesh MD, Ines Verner MD, Claude Dalle MD