Fillers with hyaluronic acid: the 6 trendy techniques

They restore lost volume, give proportion and symmetry, reduce fine lines, soften creases, improve facial contours and achieve a rejuvenation that requires neither surgery nor downtime. These are the advantages offered by dermal fillers, which are currently experiencing a moment of glory in medical beauty clinics. The most popular are based on hyaluronic acid, a natural substance present in the epidermis and valuable for preserving hydration. There are different types on the market and their softness and malleability are linked to a process, the cross-link, which allows to bind the molecules that make up this substance in order to make it more or less consistent. “Depending on the area to be treated, it is important to choose the most suitable version to achieve a harmonious result, which improves without transforming and as natural as possible”, explains Vittorio Crobeddu, Isplad dermatologist and aesthetic doctor. «The injection technique also counts a lot. Using the cannula instead of the traditional needle, for example, has many advantages such as less discomfort and fewer side effects such as bruising and swelling. Even if it is often seen with fear, with this instrument a greater lifting effect is obtained and a decidedly uniform distribution is achieved, avoiding the formation of unwanted accumulations ». Let’s see with the expert which are the most popular techniques.

The heart-shaped face

1. To redefine the oval. The trend wants the heart-shaped face, with a slender look, less square and weighed down on the sides. Technique and characteristics of the injectable. «The main field of action is the cheekbone, where hyaluronic acid with a dense consistency is deposited, capable of creating a resistant structure that mimics that of the bone. If necessary, infiltrations are also made at the level of the chin to create a greater projection. Instead, to thicken the temple, where there is a dense network of blood vessels, it is best to use a material of medium density. In these cases the filler is indicated for its ease of handling Biohyaluxavailable in different versions designed to adapt to the area being worked on ”, explains Vittorio Crobeddu. Result. It lasts from 6 to 8 months, and complete resorption takes place in about a year. Costs. from € 350 to € 500 per treated area.

Bright look

2. To erase the shadows under the eyes. The demand is increasing to make the look less sunken and to “erase” dark circles. Technique and characteristics of the injectable. «It intervenes in the lacrimal sulcus, or tear trough, the depression that is created between the eye and cheek. This point is filled using neither thick nor soft injectables, with a gelatinous consistency like Restylane Highlights, the only one authorized by the FDA (Food and Drug Administration) for use in this area because it is specially formulated to stay in place without creating streaks or swelling. It does not correct the pigmented skin around the eyes and does not even improve bags: in this case it should be avoided because it creates edema, draws water and accentuates swelling ”, explains Crobeddu. Result. It lasts from 6 to 8 months. Costs. From € 350 to € 500.

Cheekbones drawn

3. To reshape the cheeks. The focus is increasingly on giving more volume around and above the cheekbones to achieve a full look and thus appear younger. Technique and characteristics of the injectable. «In these cases the filler must be of medium density. It starts from the corner of the mouth by projecting a cannula in the direction of the zygomatic bone, and proceeds by releasing very small doses to fill the hollow face and soften the features », explains the aesthetic doctor. Result. It lasts about 12 months. Costs. From € 600 to € 800.

The profile just retouched

4. To improve the nose shape. The hyaluronic acid filler is increasingly used to smooth the profile, obtain a sensitive lift of the tip and, if it is very small, to accentuate the overall shape and give definition. Technique and characteristics of the injectable. “A medium density hyaluronic acid filler is used to scale and smooth out small bumps and dimples of the length. Beware of those who offer it dense: it creates vascular compression. In any case, it is not for everyone: it does not change the structure, it does not intervene on the protruding bone or on the large tip. Result. It lasts 8-12 months. Costs. From € 350 to € 500.

Lips enhanced

5. To improve the mouth. Less volume and more shape is the emerging demand, which is satisfied with injections that highlight the natural design, restoring greater definition to the contours. Technique and characteristics of the injectable. «The consistency of the injectable is of medium density and must not be too cross-linked, because it creates unnatural volumes. The material is injected on the surface and never goes too deep, ”says the dermatologist. Result. The procedure must be repeated every 3 months. Costs. Around € 350.

Redesigned jaw

6. Focus on the lower jaw. Demands have increased to improve chin projection and jaw angularity. To obtain the new must, we intervene in an almost invisible way to give the sensation of a face with well-drawn and rejuvenated contours. Technique and characteristics of the injectable. «The right product is Allergan Juvederm Volux with consistency and cross-linked hyaluronic acid which is inoculated in small doses following the line of the mandibular bone », says the dermatologist. . Result. It lasts 8-12 months. Costs. € 600.

Before making up your mind

The professional’s ability to use the dermal fillers available correctly remains a key element in obtaining satisfactory results. “Without a clear understanding of the facial anatomy and the methods of inoculation, the untrained doctor can do damage because they are not” just “pinpricks and the risk of affecting the micro-circulation of the blood, damaging a nerve and potentially causing irreparable damage is concrete.. Dermal fillers should only be given by the dermatologist and plastic surgeon, and never by a general practitioner », underlines Vittorio Crobeddu. After obtaining information on who performs the treatment, then It is always advisable to schedule a consultation during which you ask the doctor a series of questions before deciding whether to proceedfor example: “What experience do you have with dermal fillers?”, “What are the potential side effects?”, “Is the facility equipped to deal with any problems that may arise?”, “I would like to view before and after photos of the interventions he has carried out “.