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Hyaluronic acid: skin filler

Hyaluronic acid - dermal filler with compatible properties.

What is hyaluronic acid anyway?

Hyaluronan - This is the correct chemical name for hyaluronic acid - is a naturally occurring double sugar with an enormous water-binding capacity, which also has the ability to induce tissue. As dermal fillers, gels that contain one to three percent hyaluronan allow the tissue to build up in volume. Hyaluronic acid gel can be used in a liquid-viscous consistency to reduce fine skin lines such as upper lip wrinkles. More durable and stable hyaluronic acid gels are used for chin augmentation or cheek filling.

What does hyaluronic acid look like?

Most of the products are gel-like in consistency and all are clear. Long-lasting fillers are clear crumbs in liquid that are connected to one another. These hyaluronic acids look like jellyfish (jelly) that has been broken up into fragments. They feel dry, tough and crumbly. Some hyaluronic acids are more liquid, but highly viscous.

What is hyaluronic acid used for?

Hyaluronic acid is a universal skin filler (dermal filler) for extensive wrinkle treatment, facial modeling, injection of individual wrinkles or furrows and for "rehydrating skin rejuvenation". For wrinkle injection, hyaluronic acid gel is injected into the deep layers of the skin using a sharp injection cannula. Alternatively, the subcutaneous subcutaneous fatty tissue is deeply relined with an atraumatic blunt needle (cannula). In addition to their use in aesthetic medicine, hyaluronic acid preparations are also used in orthopedics (synovial fluid), surgery (wound treatment) and urology.

Hyaluronic acid gel is basically a medium-term degradable and long-lasting filler for relative tissue defects and for facial modeling. Individual folds can be injected, lifted and stabilized individually. Many small wrinkles or creases in aged skin are injected with hyaluronic acid several times over a large area or at certain points (skin booster), so that skin rejuvenation can be achieved through stabilization.

The gel cannot do magic

The filler is not a magic drug. The expectation that wrinkles can be easily eliminated by injecting hyaluronic acid as a dermal filler cannot be met. Specialized doctors can tell you what is possible with hyaluronic acid and what expectation is wrong.

How long does hyaluronic acid last?

Natural liquid hyaluronic acid is usually broken down by the body within 24 hours. Stabilized and cross-linked hyaluronic acid can only be broken down by the body on average after several weeks or many months, depending on the preparation. However, the effect of wrinkle injection is usually long-lasting, since even after the injection material has completely broken down, connective tissue rich in collagen fibers is often left behind.

The shelf life of the implanted hyaluronic acid also depends on the depth of the injection. In general, the more superficial the filler gel is injected, the longer it will last. However, this must not lead to an excessively superficial injection, since side effects such as long-lasting lumps or nodules and bulges can lead to an unsightly treatment result. Such injection errors can usually be corrected.

Hyaluronic acid injection

How can a hyaluronic acid injection work against facial wrinkles?

The effect of hyaluronic acid as a skin filler (dermal filler) is initially mechanical. By relining the sagging skin, the subcutaneous fatty tissue should be discreetly padded. Hyaluronic acid does not flow or flows very little, which is why the filler should displace the neighboring tissue with the least resistance. The osmotic activity of the hyaluronic acid gel causes moisture to be stored.

How are wrinkles treated with dermal fillers?

Wrinkles are either injected directly under in a linear manner, with the aim of lifting the wrinkles, or the surrounding tissue is injected flat with hyaluronic acid and is intended to be padded. Find out more about the topic of hyaluronic acid injections for wrinkles. In addition, a remote injection can also be used to improve the appearance of another region. Here we are talking about face modeling.

Which filler is suitable for which facial wrinkles?

Fine wrinkles, e.g. wrinkles around the eyes, should be treated with finely structured hyaluronic acid - at least as long as the skin is not very slack. Medium wrinkles, e.g. B. on crow's feet or in the mouth area can be injected with hyaluronic acid. Deep wrinkles, e.g. B. Nasolabial folds or mouth folds are located in places on the face where the face is connected to the skull by ribbon-like structures. Here, highly stabilized, coarser structured hyaluronic acid gel should be injected to support the regions with padding.

Is wrinkle treatment with hyaluronic acid painful?

If the painful areas are well anesthetized (numbed), a hyaluronic acid injection should be painless. Local anesthetic is available in the form of a solution for injection or a highly effective ointment.

How long does a hyaluronic acid injection last?

The skin filler hyaluronic acid is usually broken down after three to twelve months, depending on the product and the material selected. However, the hyaluronic acid gel is intended to trigger the formation of a new connective tissue rich in collagen fibers, so that permanent effects are also possible. Basically, you will achieve a long-term positive result of a hyaluronic acid injection through an early injection by an aesthetically experienced doctor.

From the patient's point of view, the durability of the hyaluronic acid injection is often not perceived objectively, as the treated patient often gets used to the impressive result very quickly and forgets the initial state before the hyaluronic acid treatment.

When does a hyaluronic acid injection start to work? When is the result visible?

The lifting effect of a hyaluronic acid injection treatment is immediately visible. Due to swelling, redness and possibly small hematomas, the end result is usually achieved from the 14th day after the injection. Because of the necessary optimization time, we recommend a hyaluronic acid wrinkle injection 14 days before a wedding, but 21 days before your wedding.

What are the side effects of hyaluronic acid?

Hyaluronic acid is part of the intracellular matrix of humans and mammals. Here is an overview of the side effects from hyaluronic acid injections.

Side effect from the skin filler (dermal filler)

The hyaluronic acid filler consists largely of water. This water is bound to relatively little hyaluronic acid, since the water-binding capacity is very high. The ratio between water and the binding molecules can vary, so that there is a low osmotic effect. This is one of the reasons for swelling that may develop after an injection. If relatively large deposits of the gel are injected, the body can form a capsule around the hyaluronic acid in the sense of an immune reaction. In this case, granuloma formation occurs, which should be treated further if necessary.

Side effect from the treatment

The mechanics of the injection injure small blood vessels with sharp cannulas. Prolonged bleeding from these injured blood vessels causes bruising (bruising). The displacement of neighboring structures by the filler hyaluronic acid can lead to the obstruction of small blood and lymph vessels. As a result, another reason for possible swelling after an injection is a temporary obstruction to drainage. If a blood-supplying vessel (artery) is obstructed, a localized circulatory disorder may need to be treated.

Side effect from the practitioner

Injecting too much or too little hyaluronic acid will produce a suboptimal result. An injection that is too superficial can have a negative noticeable effect as a bulge or a bluish shine through.

Can there be irregularities in the breakdown of hyaluronic acid?

As a rule, hyaluronic acid breaks down evenly; asymmetries can rarely arise due to encapsulation. Depending on the preparation and the individual, a tissue reaction is triggered by hyaluronic acid gel, which corresponds to an almost permanent volume effect.

Who can inject hyaluronic acid?

Doctors and naturopaths are allowed to inject hyaluronic acid under the skin. Dentists are not allowed to use wrinkle injections. Self-injection cannot be forbidden, but we expressly warn from our practice of mostly objectively disappointing results. If you want to inject yourself with hyaluronic acid, make sure that an undercorrection always looks better than an overcorrection.

How do I find a specialized doctor?

The training guidelines for injection treatments with hyaluronic acid gel are not included in any of the subject catalogs of the various specialist disciplines. In this respect, referring to a specialist title in this particular aesthetic field is misleading. Faceshop - medical practices have set their focus on wrinkle treatments, wrinkle injections and tissue modeling with hyaluronic acid implants. The first faceshop practice with a corresponding focus opened in Cologne in October 2010.

Clinic for fillers in the Netherlands Clinique Dr. Don

How expensive is a hyaluronic acid syringe? What does a wrinkle injection cost?

Stabilized hyaluronic acid is very valuable and relatively expensive. The prices for hyaluronic acid treatments are shown on our website. The required or recommended volume will be given to you in the specialized practice. Calculate with around 390 euros* including treatment costs and VAT for the first milliliter and approx. 270 euros each* for each additional milliliter of filler.

How many milliliters of hyaluronic acid do I need?

Depending on the depth of the wrinkles and volume deficits, slight wrinkles or fine lines are injected with 0.5 ml of hyaluronic acid. Moderate wrinkles often need 1 ml and large or pre-aged faces like those over 40 years of age need at least 2 ml, but often 5 or more milliliters of hyaluronic acid. It is better to start the wrinkle injection early with small amounts than to have to repair large defects and break lines too late.

Which injection technique is correct?

Here the practitioners are very different. There can be misunderstandings, especially with injections. Basically, the filler can be injected superficially, i.e. high, or deep into the subcutaneous fatty tissue or even as a cushion on the bone. Both sharp needles and short, thin, long or thick injection cannulas are used. A blunt and atraumatic (non-injurious) injection technique for hyaluronic acid is ideal for many areas. Hyaluronic acid can be injected flat as a net, as a depot, linearly or horizontally under wrinkles or relative tissue defects. Therefore, the necessary experience of the doctor should be taken into account.

Manufacture of hyaluronic acid gel

Modern manufacturing processes use the bacterial (streptococcal) production of biological hyaluronic acid. Streptococci produce liquid hyaluronic acid, which must be stabilized before use in aesthetic medicine. Various patented and secret processes from the manufacturers are used here.

*The price is calculated individually and according to the schedule of fees for doctors.

Botulinum can be used to narrow the face.