Facial skin surgery

Facial skin surgery: medical rigour combined with high aesthetic precision.

“Every incision on the face demands a millimetre-precise understanding of anatomy and an exacting aesthetic eye. Removing a lesion is a medical necessity; preserving the beauty and naturalness of your features is a surgical art.” — Dr Afshin Yousefpour

The protocol, step by step.

1. Step 1

   Consultation and precise diagnosis

   In-depth clinical assessment, analysis of skin laxity and local anatomy, discussion of the safety margins required and aesthetic planning of the incision.

2. Step 2

   A precise and comfortable procedure

   Performed under gentle local anaesthesia in strict surgical sterile conditions. The procedure is painless, meticulous and tension-free.

3. Step 3

   Medical safety and analysis

   Every specimen removed is sent for histological examination (pathology) to confirm the diagnosis and check the excision margins.

4. Step 4

   Scar follow-up

   Careful removal of the stitches, personalised advice on skin recovery: massage, healing creams, UV protection and combined treatments if needed.

Why entrust your face to Dr Yousefpour?

The face is not a flat surface: it is a complex arrangement of muscle layers, contours, shadows, expressions and natural tension lines (Langer’s lines). A simple, poorly positioned skin excision can alter expression, create visible pulling or leave a permanent mark.

• Three-dimensional command of facial anatomy: in-depth training and experience with the deep structures of the face (muscles, nerves, vessels, fat), in the service of the safety of every procedure.

• Tailored aesthetic integration: the direction of the incisions and the choice of reconstructive flaps or grafts are planned from the first assessment to hide future scars in expression lines or natural areas of shadow.

• Advanced plastic closure techniques: high-precision subcutaneous sutures, specific micro-sutures and atraumatic suturing techniques to minimise visible marks and promote optimal healing.

Benign and unsightly lesions treated at the practice

Complete care, from clinical diagnosis to systematic pathological examination.

• Large or irritated moles (naevi).

• Sebaceous and epidermoid cysts, and lipomas.

• Seborrhoeic keratoses and warts.

• Papillomas, skin tags (acrochordons) and xanthelasma of the eyelids.

Precancerous lesions and skin cancers

• Actinic keratoses.

• Basal cell carcinomas, the most common cancerous lesions of the face.

• Squamous cell carcinomas.

• Suspected melanoma: diagnostic excision with safety margins.

Will I be left with a visible scar on my face?

Any surgical procedure that goes through the dermis leaves a scar. The aim of a surgeon specialising in the face, however, is to make it almost imperceptible. By placing the incision precisely in natural expression lines (lines of least tension) and using atraumatic plastic suturing techniques, the scar usually fades to a fine, discreet line that blends harmoniously into the contours of your skin.

Is the procedure painful?

The procedure is performed under targeted local anaesthesia. You feel only a slight pinch for a few seconds during the injection. After that, the area is completely numb for the whole procedure. Recovery is usually very well tolerated, with simple painkillers if needed.

Why is it essential to send the lesion to the laboratory?

Even when a skin lesion looks benign to the naked eye or under the dermatoscope, pathological examination confirms the exact nature of the tissue and checks the surgical safety margins. It is a fundamental guarantee for your health.

How soon can I return to work and social life?

In the vast majority of cases, you can resume normal activities the same day or the next. Depending on where the lesion was, a discreet dressing or Steri-Strips are applied. On the face, stitches are usually removed between the 5th and 8th day.

What are the essential recommendations after the procedure?

Three golden rules determine the quality of the final result:

• Keep the wound clean and dry according to the post-operative instructions.

• Protect the area from the sun: daily SPF 50+ sunscreen for 6 to 12 months to prevent pigmentation.

• Massage the scar once the stitches are out, as instructed by the surgeon, to soften the treated area.

Medical information: our philosophy of care

This information aims to explain clearly, honestly and transparently the nature of the treatment, its expected benefits, how the scar heals and the potential risks and complications.

As a specialist in facial anatomy and aesthetic surgery, Dr Yousefpour always combines two inseparable priorities:

• The medical and curative imperative: removing the lesion completely with appropriate safety margins.

• The aesthetic standard of the result: designing every step along the anatomical lines of force to preserve volume, symmetry, expressiveness and a discreet scar.

Nature of the procedure

• Technique: surgical excision with a cold scalpel or microsurgical instruments, under local anaesthesia.

• Reconstruction: depending on the size and location of the lesion, direct tension-free closure, a local advancement or rotation flap, or more rarely a skin graft to avoid any distortion of the natural openings (eyes, nose, mouth).

• Analysis: the lesion removed is sent for histopathological examination to an accredited laboratory.

How the scar evolves and your role as a patient

• Scar healing is an individual biological process that takes 12 to 18 months.

• In the first weeks, the scar may look pink or slightly firm before fading and whitening.

• Following post-operative care — no smoking, no pulling on the area, skin massage and SPF 50+ sun protection — is essential to get the most out of the surgery.

Possible risks and complications

Every invasive procedure carries surgical risks, although they are rare and usually reversible when an experienced team treats them early:

• Haematoma or bleeding: small localised bleeds that may need compression or, exceptionally, drainage.

• Local infection: very rare thanks to strict sterile technique, prevented or treated with antiseptics or antibiotics.

• Healing problems: hypertrophic, keloid or dystrophic scarring, depending on each person’s own tissue response.

• Temporary changes in sensation: passing numbness caused by cutting tiny superficial nerve fibres in the skin, which regenerate on their own in most cases.

• Risk of recurrence, particularly for some inflammatory, cystic or complex tumour lesions.

Information and informed consent

The consent document accompanies Dr Afshin Yousefpour’s explanations about the nature of the lesion and the reasons for removing it, the surgical strategy chosen and the principles of aesthetic reconstruction, the usual recovery, the time the scar takes to mature, the risks and the post-operative instructions.

You can ask any questions, receive clear and understandable answers and take enough time to reflect before agreeing to the procedure.