Hyaluronic acid injections
Hyaluronic acid is a natural component of the skin that can be injected to restore volume and fill wrinkles and furrows
Hyaluronic acid or fat ?
Hyaluronic acid and autologous fat injections are two techniques that treat the same condition (face, hands, body), with the exception of breast augmentation as the breasts should not be injected with hyaluronic acid. Both procedures have their advantages.
Hyaluronic acid provides an instant effect without anesthesia directly at the doctor’s office. But its effect is reversible and the correction of large volume loss can be costly.
Re-injecting the patient's own fat is 100% natural and can be performed under local or general anesthesia in the operating room. The result is permanent.
Ask your plastic surgeon which option is best suited to you.
What is hyaluronic acid ?
Hyaluronic acid is a natural component of the dermis which provides hydration to the skin. Its proportion decreases with age (a 50% decrease by 50 years of age), the skin becomes dehydrated and loses tone.
Marketed in an injectable form (Restylane ®, Juvederm ®, XHA3 Filorga ®, .....), hyaluronic acid dermal filler is the safest, most natural and biodegradable (dissolvable) option. As it has been used for several years in aesthetics, its safety has been proven.
Hyaluronic acid is deeply injected according to the condition. The deeper the injection the more viscous and thick it is, and the longer the result. Wrinkles will be treated with hyaluronic acid to the depth of the wrinkle. Deep injections will restore facial volume.
Treatment of wrinkles and furrows
While botulinum toxin injections are mainly used for deep wrinkles caused by muscle contractions (frown lines, forehead, crow's feet ...), the hyaluronic acid injections are primarily used to treat permanent wrinkles and furrows.
The most common conditions :
- frown lines where treatment with Botox has been insufficient ;
- nasolabial folds ;
- vertical wrinkles of the cheeks ;
- bitterness folds ("marionette lines / puppet lines").
Restoration of facial volume
To restore the volume, hyaluronic acid injections (treatment done at the doctor’s office, with reversible results) are an alternative to fat injections (with anesthesia, permanent result).
The hyaluronic acid injections can be used to restore volume for the following features :
- Lips aesthetics (contouring or restoring volume) ;
- Increased volume in cheekbones ;
- Correct hollows and tear troughs ;
- Improve earlobes ;
- Increase chin volume ;
- Filling hollow cheeks ;
- Filling hollow temples.
Hyaluronic acid helps reduce imperfections on the nose but is not as effective as surgical Rhinoplasty.
Injections of fillers may delay the need for a surgical facelift when the skin is not too loose. Some injection sites at the cheekbones can have a lifting effect. Other injections at the bottom of the face can smooth out the jowls and bring back a symmetrical oval face.
But if the skin is very loose, a surgical lifting is advised. Injections could then be performed as a complement.
Hyaluronic acid corrects some effects of aging by filling the visible depressions. Blemishes can be removed with a chemical peel.
Augmentation des seins et des fesses
Une forme très dense dite fortement réticulée (Macrolane), est destinée à augmenter le volume des seins ou des fesses.
Breast and buttocks augmentation
A very dense and highly reticulated form (Macrolane), is designed to increase the volume of breasts or buttocks.
Dr. Laveaux does NOT inject Macrolane into the breasts due to the inconvenience for the radiological monitoring of the breasts. There are other safer and permanent methods that should be used : breast implants or fat injections. However, pertaining to the buttocks, Macrolane injections is a viable option along with surgical augmentation (fat injections or implants).
G-spot augmentation and vaginoplasty
The G-spot area ranges from 1 to 2 cm2 and is located at the anterior vaginal wall.
In women who have difficulty having a vaginal orgasm, or women who want to increase their pleasure, this area can be increased with hyaluronic acidand performed under local anesthesia.
Injections in the entire vaginal wall cause a decrease in vaginal calibral (thickening) thus heightening of sensations during sex for both partners.
For patients who do not wish to undergo surgery, injections of highly reticulated hyaluronic acid can increase the girth of the penis. The injections must be repeated every 12 months to maintain the volume of the penis.
The injections can be performed also at the gland, either in addition to penis enlargement (by fat injections or hyaluronic acid), or separately. Hyaluronic acid injections in the gland are essentially to increase pleasure during sex. However, an increase in volume of the gland can also be obtained.
Principle of the procedure
The sessions take place in Dr Laveaux’s consulting office.
Before the session :
- Remove makeup ;
- Avoid taking aspirin or other blood thinners for 10 days before the injections.
The procedure :
- Depending on the treated areas, local anesthesia may be proposed either by the application of an ointment or injections with a fine needle. The injections are painless ;
- Hyaluronic acid is then either injected with a fine needle, or soft cannula.
- Length of procedure varies according to the treated areas (10 to 60 min.)
After the injections :
- Immediate return to normal activities ;
- Apply ice and massage the treated areas to reduce swelling ;
- Avoid taking aspirin or other blood thinners for 10 days following the injections ;
The results are very satisfactory and natural.
The results are immediate, but because of hydration induced by the presence of hyaluronic acid and edema, they develop during the first few days.
The effect is reversible. The lasting effect of the results varies according to the density of the injected product. The average is between 6 and 18 months. To maintain the desired effect, injections need to be renewed.
Risk of complications
Somemild side effects are possible, including small bruises or redness at the injection site that disappear within a few days.
Granulomas(small palpable Lumps under the skin) are rare with hyaluronic acid. They are spontaneously re-absorbed.
Top-up treatments are sometimes necessary to achieve the desired result. They are done after 2 weeks.
Author: Dr. Christophe Laveaux
Specialist in aesthetic surgery - Antibes
Reproductions, even partial, of the texts are allowed on the express condition cite the author (Dr. Christophe Laveaux) with a direct link to the article mentioned.