When is anti-wrinkle lipofilling performed?
Written and reviewed by Dr Bernard Hayot, ophthalmologist, RPPS 10003926226.

Why does the face lose volume over time?
The face inevitably loses volume over time. Several factors are involved.
First of all, as we age, the adipose tissue of the face tends to diminish. Subcutaneous fat normally provides structural support and helps maintain a youthful appearance, but it is gradually resorbed, leading to a loss of volume in certain areas of the face. This loss accentuates wrinkles, hollows and bony prominences.
Secondly, skin ageing is mainly due to the loss of collagen and elastin, essential proteins that maintain skin firmness and elasticity. This loss of structural support also contributes to the loss of facial volume and the appearance of wrinkles.
The facial bones can also undergo resorption with age, losing volume and density. The features, often the cheeks and the cheekbones, then sag.
Finally, blood circulation in the face gradually declines. This poor vascularisation leads to a reduction in collagen production.
All these natural processes vary from one person to another. Certain aggravating factors, such as excessive sun exposure, smoking or stress, can accelerate the signs of skin ageing.
Fortunately, there are various aesthetic medicine treatments for restoring lost facial volume, including lipofilling.
What is lipofilling in cosmetic surgery?
Lipofilling, also known as lipostructure, is the treatment of choice for overall rejuvenation of the face, especially when combined with a face and neck lift or a blepharoplasty. Above all, lipofilling is the best solution for durably filling hollow areas and wrinkles.
Lipofilling is often volumising: fat is harvested from the patient and then subtly reinjected into a hollow area, which restores facial volume. Volumising lipofilling is generally used on dark circles, hollow eyes, temples, cheeks and cheekbones. It is also effective for filling wrinkles: nasolabial folds, wrinkles around the mouth and crow’s feet.
When can aesthetic medicine recommend anti-wrinkle lipofilling? (for overall rejuvenation)
Anti-wrinkle lipofilling is usually recommended for overall facial rejuvenation. It is then performed at the same time as volumising lipofilling, a blepharoplasty or a face and neck lift.
For overall facial rejuvenation, lipofilling is recommended for several other reasons:
- Restore lost volumes
- Rejuvenate the features by restoring fullness to key areas
- Improve skin texture by stimulating collagen and elastin production
Anti-wrinkle lipofilling significantly improves skin quality and reduces the appearance of wrinkles and scars.
The decision to opt for anti-wrinkle lipofilling must of course be taken in consultation with a qualified aesthetic physician. From the outset, Dr Hayot assesses your individual situation, your needs and your expectations. He refines this technique day after day, and it now offers considerable potential for compensating for fat loss and filling wrinkles and dark circles.
This page is for information. It does not replace a consultation: every situation is judged on examination.