What is facial mesotherapy?
Facial mesotherapy is a procedure in which superficial microinjections are applied into the skin of the face to deposit, in the dermis, a combination of substances —usually non-crosslinked hyaluronic acid, vitamins, antioxidants and amino acids— prescribed by the physician for each case. The idea is simple: rather than a hydrating active sitting on the surface as a cream, it is placed within the skin, where it can act. By bringing the active into the dermis, the aim is to improve the state of the skin —hydration, glow, texture— and to gently support the natural mechanisms that maintain its quality.
It is worth saying plainly: facial mesotherapy is a maintenance and skin-quality treatment, with real but modest and temporary effects. It does not add volume like a filler, it does not erase deep wrinkles, and it does not correct sagging or drooping, which are resolved with surgery. A face with excess skin or descended tissue does not change with any microinjection; what can be done is to improve the hydration and appearance of dull or dehydrated skin as part of sustained care.
Sold in isolation as a miracle rejuvenation, it disappoints: it is one of the most oversold promises in the aesthetic industry. As one piece of a well-indicated plan, with honest expectations and maintenance sessions, it adds. The difference between the two stories is not the technique but the judgement with which it is prescribed and the honesty with which what it can and cannot deliver is explained.
Techniques used by Dr. Arístides Arellano
Facial mesotherapy is not prescribed blindly: here it is built into a facial plan where the skin is assessed first and treated afterward, with measured expectations.
- Assessing the skin before injecting. The real state of your skin —phototype, degree of dehydration, texture, type of ageing— is studied to decide whether mesotherapy is indicated or whether the problem calls for another solution. Injecting without assessing is the industry’s most common mistake.
- Superficial microinjection with depth control. Applications are distributed evenly at a superficial dermal depth; the cocktail of substances, its concentration and the technique are defined by the physician in consultation, never by a web page.
- A session-based schedule with maintenance. Treatment is planned as a spaced series of sessions with later maintenance, not as a single application with a promise of a permanent result.
- Part of a wider plan. Depending on the case, it is combined with other skin care; and when the real problem is marked sagging or drooping, mesotherapy does not solve it and a facelift may be indicated instead. The honesty of the indication is what separates a good result from an empty promise.
How is it performed?
The session is done in the office and usually lasts 20 to 30 minutes, with no operating theatre and no admission. After cleaning the skin of the face, multiple superficial microinjections are distributed evenly across the area to be treated; a numbing cream may be applied beforehand for comfort, since the sensation is one of brief pricks. The combination of substances, their concentration and the depth of application are defined by the physician at the consultation —never by a web page— because they depend on the state of your skin. It needs no rest: you return to normal activity the same day, taking care not to apply makeup immediately or expose the skin to strong sun or heat for the following hours. Mild redness, small wheals or the occasional bruise at the injection points are common and settle on their own within a day or two. Treatment is planned as spaced sessions, and any effects, when they appear, are judged over several weeks —gradually— rather than from one day to the next, and require maintenance to be sustained.
Every medical treatment —topicals, peels and energy-based devices included— carries risk and requires a prior assessment. In darker skin (Fitzpatrick IV–VI, the most common phototypes in Mexico) a poorly indicated procedure can darken the patch instead of lightening it. Results may vary according to each patient, their phototype and their individual triggers.
Who is a good candidate?
The best candidate is someone who wants to improve the quality of dull or dehydrated skin and understands that mesotherapy is maintenance, not a structural change. These profiles tend to benefit, always after an assessment:
- People with dehydrated, dull or unevenly textured skin who want to improve glow and hydration, without expecting a change in volume or in the shape of the face.
- Patients with early signs of skin ageing —fine lines from dehydration, loss of freshness— in whom the aim is to care for and maintain the skin, not to rescue already-descended tissue.
- Those who want session-based maintenance care before or between other treatments, and who accept that results are gradual, temporary and require continuity.
- People who understand that, if the problem is marked sagging or drooping, mesotherapy does not correct it and the indicated option may be a facelift. An honest diagnosis decides what each case needs.
Recommended aftercare treatments
After each session, care for the skin with simple instructions: avoid makeup, touching or exposure to strong sun and heat for the first hours, hydrate well, and resume your usual routine when the physician says so. Good daily sun protection is what sustains any skin result over time. See the full guide: Post-surgical recovery and care.
Before and after
Most patients want to see before-and-after photographs before deciding. Out of respect for each person’s privacy, Dr. Arístides Arellano shows real cases —always with documented consent— during your in-person consultation, where you can review results from patients with a starting point similar to yours. Results may vary from patient to patient.
Approximate price
A session starts at approximately $2,500 MXN, depending on the areas treated and how much product your case needs. Approximate price — the definitive cost is set at your private consultation with Dr. Arístides Arellano.
About Dr. Arístides Arellano
Dr. Arístides Arellano is a plastic surgeon holding a specialty licence: he practises under a Mexican medical licence (D.G.P. 1125959) and a specialty licence in Plastic & Reconstructive Surgery (0002008), both issued by the Directorate General of Professions (DGP), which reissued his certificate of professional standing in 2025. His career began before Mexico’s present-day specialty-board system existed: he belongs to the founding generation of plastic surgery in Puebla, the second generation of a surgical tradition started in 1971 by Dr. Francisco Arellano Ocampo. Trust is verified, not promised: both licences are public and anyone can look them up in the DGP’s National Registry of Professionals.
Related patient guide
If you are comparing clinics and facial treatments, learning to tell an honest indication from an inflated promise will help you decide with judgement: read How to choose a plastic surgeon in Puebla.
Trust is verified, not promised. All 210 scanned documents —degree, licences, diplomas, publications and certificates, from 1977 to 2025— are open in Dr. Arístides Arellano’s credential archive, alongside an explanation of the difference between a specialty licence and a board certification.
Recovery · step by step
- Same dayThe microinjection session is done in the office (20–30 min) and you return to normal activity. Mild redness and small wheals on the facial skin may occur.
- First 24 hoursNo makeup on the area and no strong sun or heat. Small bruises or tenderness are expected and settle on their own.
- Days 2–3Makeup and your usual routine are resumed as instructed. Redness and wheals have usually gone.
- Course of sessionsThe schedule is delivered over several spaced sessions across weeks, according to the plan set at the consultation.
- MaintenanceThe effect is gradual and temporary; to sustain the improvement in the skin, maintenance sessions and good daily sun protection are planned.
Frequently asked questions
Does facial mesotherapy really rejuvenate?
It improves the quality of the skin, not the structure of the face. Facial mesotherapy hydrates and adds glow gradually and temporarily, but it does not add volume like a filler nor correct sagging, which is resolved with surgery. It is a maintenance treatment, not a miracle rejuvenation.
Does facial mesotherapy hurt?
Discomfort is usually mild. These are superficial microinjections and a numbing cream can be used for comfort. Brief pricking, redness and occasionally small wheals or bruises are common and clear up on their own within a day or two.
How many sessions do I need?
It depends on your skin. Facial mesotherapy is planned as a series of spaced sessions plus later maintenance, not a single application. The exact number is defined at the consultation based on the state of the skin and the response seen.
How soon are results visible and how long do they last?
The effects are gradual and appear over several weeks, not overnight. They are also temporary: maintenance sessions and good daily sun protection are needed to sustain the improvement. Results may vary from patient to patient.
Does facial mesotherapy remove sagging or deep wrinkles?
No. If the problem is marked sagging or drooping, mesotherapy does not correct it and a facelift may be the indicated option. Mesotherapy works on the quality of the skin, not on descended tissue. The assessment decides what your case needs.
Can the injected substances be named?
No products or doses are named on this site. The combination is prescribed, adjusted and supervised in consultation by the physician who signs it. A web page is not a place to prescribe, and the selection depends on the individual state of your skin.
Every case is different. Discuss yours in a personal consultation.
Book a consultation on WhatsAppEvery figure published on this site is approximate and is not a quote. Any procedure or treatment first requires a private assessment consultation with Dr. Arístides Arellano —$800 MXN, charged separately— and it is at that consultation that the definitive cost of your case is determined.
Educational content; it does not replace a medical consultation. Results may vary from person to person.