TREATMENT WITH HYALURONIC ACID

What is hyaluronic acid?

Hyaluronic acid is a natural component of the skin, which is particularly characterized by moisture-binding and thus giving the skin resilience and youthful appearance. With increasing age, the body's own production of hyaluronic acid decreases. This is accompanied by a reduced ability to bind water. As a result, the skin becomes less elastic and wrinkles become visible. Hyaluronic acid is used in cosmetics as a soft gel. Gels of different thickness and consistency are available for different requirements. In this way, the moisture content of the skin can be increased, fine and medium skin lines filled up and also larger volume defects can be compensated. By injecting the hyaluronic acid into the wrinkles, they are raised and there is an adaptation to the surrounding skin level.

Which hyaluronic acid supplements are there?

In clinical use, a distinction is made between crosslinked and uncrosslinked hyaluronic acid preparations:

• In the crosslinked fillers, the hyaluronic acid molecules are cross-linked via so-called linkers. They are characterized by high stability with a long-lasting effect. Due to these properties, it is particularly suitable for the treatment of medium to deep wrinkles and for filling volume defects.

• The uncrosslinked hyaluronic acid is significantly thinner and is often used for the surface treatment of fine wrinkles. Hyaluronic acid is superficially injected into the skin, where it is distributed evenly throughout the tissue. This leads to a filling of the hyaluronic acid depots in the treatment area and to a clearly visible rejuvenation of the skin.

• Some hyaluronic acid fillers contain local anesthetics that help minimize pain during and after treatment.

What can be treated with hyaluronic acid?

Hyaluronic acid fillers are mainly used to treat so-called static wrinkles on the face, which, unlike mimic wrinkles, are not caused by movement of the facial muscles. In addition, a so-called volume treatment can be carried out in which volume defects that arise over time due to aging and degradation processes can be replenished.

• Fine, superficial wrinkles (eg upper lip, forehead, corner of eye)

• Medium to deep wrinkles (nasolabial and puppet wrinkles)

• Lip corrections (emphasis on the contours, volume, raising the corners of the mouth)

• Cheek

• Injection of the tear trough

• Rhinoplasty (without surgery)

• Correction of sunken scars (eg after acne)

• Liquid-lifting (fullface treatment at 5-7 points to improve the overall appearance of the skin)

How long does hyaluronic acid work?

The treatment with hyaluronic acid shows an immediate effect, which can change slightly in the following days and, depending on the choice of the product, lasts for 6-15 months. In the course of hyaluronic acid is completely degraded by the body again. How is the treatment with hyaluronic acid fillers carried out? After detailed planning and explanation, the appropriate skin area is disinfected. A local anesthesia is usually not required, if necessary, a superficial anesthesia can be done with cream. With fine wrinkles, the product is then superficially injected, injected in deeper wrinkles and in a volume build-up treatment in deeper skin layers. The treatment usually takes 15-30 minutes. Blood-thinning medicines should, if medically justifiable, have been discontinued a few days earlier to reduce the risk of bruising. Post-treatment local cooling can help minimize puffiness and redness.

What are the risks of hyaluronic acid treatment?

After treatment is completed, slight redness, burning, or swelling may be temporary. In addition, there is a risk of minor bruising, which show up as bruises. As a rule, these form back quickly and can be concealed with the usual make-up. In addition, pigmentation disorders, inflammatory or allergic reactions, abscesses, formation of nodules (granulomas), infections (eg with bacteria or viruses), hardening or shifts of the filling material can very rarely occur. To avoid such complications should be waived for two weeks after treatment on sauna, steam bath, sun or solarium irradiation. Heavy physical stress (work, exercise) and head-over-movements should be avoided for 1-2 days.

When should not be treated with hyaluronic acid?

• Allergy / intolerance to any of the ingredients

• Acute / chronic infections (eg herpes simplex)

• Autoimmune diseases

• Immunosuppression

• Tendency to develop keloids

• Taking blood thinners, nonsteroidal anti-inflammatory drugs (eg ASA, ibuprofen, diclofenac)    Congenital or acquired coagulation disorders

• Pregnancy or lactation

• Children and adolescents under 18 years