Face reshaping with hyaluronic acid

Soft tissue injectable fillers

What are injectable fillers?

Introduced in the early 1970s, bovine collagen was the first injectable filler to be used for facial remodeling, and so far many other products for soft tissue augmentation have emerged. Over the past ten years there has been tremendous progress, not only in the variety of authorized substances, but also in the number of patients requesting these treatments. According to the American Society of Aesthetic Surgery, non-surgical aesthetic procedures saw a 754% increase since 1997, the same trend being observed in Europe. Hyaluronic acid is the most commonly used agent on a global scale, but it should be stressed that not all injectables are similar, there is no ideal filler and no filler will please all patients without exception. Generally, injectable fillers can be divided into four categories: autologous fat, collagen, hyaluronic acid and synthetic fillers; they can be injected at different depths, either into the dermis or deeply in the subdermal layer. Although the results we get are comparable, each of them has different origin, particularities and adverse effects. Since it is undoubtedly the most commonly used, we will still refer mainly to fillers containing hyaluronic acid.

Are fillers safe?

Hyaluronic acid, as well as collagen, is a naturally occurring substance in mammals, with a role in maintaining elasticity, tonus and skin hydration. Besides its role in aesthetics, it has been used for more than 20 years as a motion promoter in arthritic joints, wound healing, ophthalmic surgery, etc.

With age, the collagen and elastin skin levels tend to decrease as a result of the decreased fibroblast synthesis. Over time, the skin becomes drier, thinner and loses its self-recovery quality, resulting in unwanted facial wrinkles.
Hyaluronic acid is a natural mucopolysaccharide found in connective, epithelial and nervous tissue. It is a basic component of the extracellular matrix, forming a kind of flexible skeleton of tissues. It has a great ability to absorb water, moisturizing and / or lubricating the structures it is found into (joints, skin, etc.). In addition, it stimulates regeneration and cellular synthesis.

In aesthetic medicine, hyaluronic acid is the preferred substance in wrinkle correction due to the low risk of adverse effects. Different formulas of hyaluronic acid can be synthetized in labs, such as small molecules unrelated to each other in creams, or complex molecules with special bonds and the consistency of an elastic gel of different viscosities in injectable products. The more viscous the substance, the more stable it is in the tissue (the effect lasts longer). It is used for recontouring the face (cheeks, temples, lips, tear troughs), for filling the creases and wrinkles of various sizes and depths and for superficial and deep skin hydration.
Only experienced plastic surgeons or dermatologists should inject soft tissue fillers. During your consultation in our clinic, we will answer all the questions you may have about this treatment.


Lip augmentation

The most common method for temporarily augmenting the lips is the injection of hyaluronic acid. Anesthetic cream is applied on your lips for 30 minutes before the procedure. Some patients may choose an injectable local anesthetic, but modern products are usually mixed with anesthetic so the procedure is painless. Hyaluronic acid injection takes about 15 minutes and consists of introducing the substance, in small amounts, with a very fine needle, inside the upper and / or lower lip. Injection can be performed at the edge of the lip, producing an increase in its contour, or in depth, in the muscle, accentuating the volume and projection of the lip. Lines that start from the upper lip to the nose, called “cupid crests”, can also be defined by the injection of hyaluronic acid.
The most frequent side effects are edema that resolves in 24-72 hours and small hematomas or bruises that disappear within 48-72 hours. Afterwards, you can appreciate the shape of the lip and determine whether or not more volume correction is needed. Generally, the result lasts about 6 months, depending on the product used and the metabolism of each individual.

Ideal candidates for this procedure are people who are not happy with the shape or size of their lips or people who want to fight the signs of aging, the small wrinkles seen around the lips. It’s very important to remember that hyaluronic acid lip augmentation does not change their shape, which is influenced by a variety of factors, mainly by the bone structure of the face and the shape of the teeth.

Pre and post-injection considerations

Before:
• Do not take non-steroidal anti-inflammatory drugs, especially aspirin, a few days before
• Tell your doctor if you had hyaluronic acid or other fillers in the area
• Mention any side effects / allergies

After:
• Hydrate (two to three liters of water)
• Do not expose yourself to dust, sweating, trauma, heat for a few days after


Cheekbone augmentation

Hyaluronic acid face contouring is a complex injectable technique, performed with viscous and elastic hyaluronic acid placed in some key points: cheekbones, mandible and temple. Lifting the cheeks makes the entire facial structure reposition, the skin stretches and the youthful proportions tend to be restored. The face oval can be rearranged by filling the mandible line and the volume of the cheek. The procedure is relatively painless, most products contain anesthetic. Over time, the treated area remains in the correct position, no longer sinking with gravity, and we need smaller quantities of filler at each subsequent session.

Pre and post-injection considerations

Before:
• Do not take non-steroidal anti-inflammatory drugs, especially aspirin, a few days before
• Tell your doctor if you had hyaluronic acid or other fillers in the area
• Mention any side effects / allergies

After:
• Hydrate (two to three liters of water)
• Do not expose yourself to dust, sweating, trauma, heat for a few days after


Tear trough filling

Dark circles are a widespread aesthetic problem with great social impact. Whether it’s color or depth, under-eye shadows are associated with fatigue, sickness or aging. Physiologically, with age, the bone structure of the orbit widens, muscle inserts descend, the area accumulates fat and the skin of the lower eyelid becomes lax and wrinkled. The bony part becomes visible and a dent is formed between the bone and the fleshy part of the cheek. Hyaluronic acid with fine and elastic texture is indicated here. Injected in small quantities, positioned by the expert at the ideal depth, it softens the area, blurs the color and improves the hydration of the eyelid.

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