Hyaluronic acid

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Procedures with the use of fillers based on hyaluronic acid mainly aim to fill wrinkles and folds, restore tissue volume, expand and shape lips, correct facial features, as well as to improve skin moisture and firmness. These preparations are safe and they provide very good cosmetic results.

A locally anaesthetic cream is administered on the site of anticipated injections. The result of administering fillers based on hyaluronic acid is visible right after the procedure. The full effect can be observed after 2-3 days due to oedema, which may maintain after the procedure. Administering the filler does not require excluding the patient from daily routine.

Results of the procedure can last for about 6-12 months. After this period of time it is safe to perform subsequent administration of a filler.

WHAT IS HYALURONIC ACID?

Hyaluronic acid is a natural substance occurring in all human tissues, and especially in human skin. Due to its unique feature, which lies in the ability to bind large amounts of water, its main task is to control hydration of tissues. The skin characterized by proper concentration of this acid is properly hydrated and firm. This substance is also responsible for controlling inflammatory reaction, it participates in wound healing and protects cells against the activity of free radicals.

The amount of natural hyaluronic acid in the skin decreases with years. Visible results of the acid’s insufficiency include dry and sagging skin, occurrence of wrinkles and changes in facial volume. What is more, it impairs immune responses and wound healing processes.

Modern aesthetic medicine has various filling preparations at its disposal, administration of which may supplement lack of natural hyaluronic acid. This aims to fill wrinkles and folds, restore tissue volume, improve skin hydration and firmness. Hyaluronic acid fillers are characterized by their safety and very good cosmetic results of the procedure. Apart from the above, this acid is characterized by high biological compatibility, and that is why allergic reactions after procedures related with the use of this acid occur extremely rarely.

Recent reports mention an additional, very interesting feature of fillers based on hyaluronic acid. Studies revealed that collagen synthesis increases, while its degradation is decreased in the skin that underwent procedures with such fillers. This means that after the period of time when a filler is maintained in the skin it still looks much better than before the procedure. This result is known as biostimulation.

WHAT ARE INDICATIONS TO UNDERGO THE PROCEDURE?

  • filling wrinkles and folds (f. ex. wrinkles between brows, on the forehead, around eyes, nasolabial folds, as well as labiomandibular folds)
  • volumetry, namely restoring lost facial volume and improving its outline
  • face modelling (f. ex. nose shape correction, ear lobe correction)
  • lip expanding and modelling
  • reducing acne scars
  • face, neck, neckline and hand skin rejuvenating
  • improving the shape of particular body areas (f. ex. breast, buttocks, thighs, calves, chest)

WHAT ARE PREPARATIONS FOR THE PROCEDURE?

During the visit preceding the procedure based on administering fillers, the doctor conducts a detailed interview in order to establish indications and record possible contraindications for the procedure. Taking into consideration patient’s requirements and his own experience the physician selects the proper type of preparation, area and manner of administration. The use of hyaluronic acid does not require conducting a previous allergic test. A locally anaesthetic cream is placed on the anticipated injection site about 30 to 60 minutes prior to the procedure

WHAT IS THE COURSE OF THE PROCEDURE?

The filler has the form of a plastic gel and is introduced into tissue with sharp needles or cannulae. The use of cannula reduces the risk of injuring vessels or nerves and all complications related with the above, and what is more, it makes the whole procedure less painful. Despite the above in some cases it is essential to use a needle (f. ex to fill single wrinkles). After injection hyaluronic acid begins to bind water and increases its volume. This results in smoothing wrinkles or enlarging the area undergoing the procedure. In our Clinic we use solely the recognized and safe preparations having all the proper certificates.

WHEN CAN A COMPLETE EFFECT BE OBSERVED?

The result of using hyaluronic acid fillers is visible right away. The full effect can be observed after 2-3 days due to oedema, which may maintain after the procedure. Administering the filler does not require excluding the patient from daily routine.

FOR HOW LONG WILL THE RESULTS OF THE PROCEDURE LAST?

Human organism gradually degrades hyaluronic acid. Performing a subsequent procedure is recommended after 6 to 12 months following the last procedure. The period when the preparation is maintained in tissues depends on age, mimic, lifestyle of a patient (f. ex. smoking shortens the activity of the acid), exposure to ultraviolet radiation, type of the administered product and injection site. Vanishing of the filler in human tissues is an advantageous phenomenon and reveals its safety, as the result of its usage is reversible.

WHAT ARE THE CONTRAINIDCATIONS FOR THE PROCEDURE?

Direct contraindications:

  • pregnancy and lactation
  • acute febrile diseases
  • auto-immune diseases, especially in the active phase
  • skin infections: bacterial, fungal or viral
  • hypersensitivity reactions after previous use of fillers revealed during interview
  • using fillers based on polyactic acid (Sculptra) during the last 5 years

Indirect contraindications:

  • allergy to numerous allergens revealed during interview
  • tendency towards creation of hypertrophic scars and keloids
  • administering drugs that may reduce blood coagulation

WHAT ADVERSE EVENTS CAN BE OBSERVED AFTER ADMINISTERING FILLERS?

  • erythema and transient skin and subcutaneous tissue oedema
  • pain, sensitivity and irritation of the area undergoing the procedure
  • ecchymoses
  • herpes
  • irregular layout of the material, asymmetry
  • bacterial infection
  • creation of granulomas
  • oedemas caused by pressing lymphatic vessels
  • vascular embolism
  • acne
  • allergic reactions.
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