Filling wrinkles with hyaluronic acid

Why the popularity of hyaluronic acid in aesthetic medicine?

Hyaluronic acid is gaining popularity in aesthetic medicine, becoming one of the most frequently chosen ingredients in rejuvenating treatments. Its versatility and unique properties make it a substance that effectively moisturizes, firms and fills the skin while reducing wrinkles. Hyaluronic acid has become a staple of therapies used to restore a youthful facial appearance and improve the overall condition of the skin. 

What is hyaluronic acid?

Hyaluronic acid (HA) is a polysaccharide that occurs naturally in the human body, especially in the skin, joints and connective tissue. It is an essential component of the intercellular matrix, which means it plays an important role in maintaining the skin's hydration level. Its ability to bind water makes it extremely effective in regenerating and rejuvenating the skin.

How does hyaluronic acid work?

• Moisturizing the skin. HA has the ability to retain water in the skin, which contributes to its elasticity and firmness. It can bind up to 1,000 times more water than its own weight, making it an excellent humectant (humectants are substances that attract and retain water in the skin).‍
• Wrinkle Filling. Thanks to its flexible gel form, hyaluronic acid fills in furrows and wrinkles, resulting in a visible smoothing of the skin surface. HA perfectly adapts to the contours of the face, leading to a natural and subtle filling effect. The treatment is particularly effective for facial wrinkles, such as nasolabial furrows, wrinkles around the eyes or marionette lines. The effect is immediate, and the skin becomes smoother, younger and more radiant.
• Stimulation of collagen production. Regular use of hyaluronic acid also has a long-term effect on the condition of the skin. The acid not only fills in wrinkles, but also stimulates fibroblasts - the cells responsible for collagen production. Collagen is important for maintaining the elasticity and firmness of the skin, so its increased production helps improve the structure. Regular hyaluronic acid treatments can therefore not only smooth wrinkles, but also strengthen the skin, making it tighter and more resistant to further signs of aging.
• Scar reduction. Hyaluronic acid is increasingly used in the treatment of scars, including acne scars, stretch marks or surgical scars. Thanks to its regenerative properties, it aids repair processes in the skin. Because it works at the level of the deep layers of the skin, it stimulates the synthesis of collagen and elastin, which helps to even out the texture of the skin and reduce the visibility of scars. For acne scars, HA therapy helps smooth out bumps.

It is worth mentioning that all hyaluronic acid procedures are minimally invasive, which means that patients can return to daily activities almost immediately after the procedure. Sometimes only minor swelling occurs, which subsides in a short time.

Methods of hyaluronic acid application

Hyaluronic acid, thanks to its versatility, can be used in many different ways, tailored to the individual patient's needs and the areas of skin requiring intervention. 

Injections

Hyaluronic acid injections are the most common method of choice in aesthetic medicine. The product is injected deep into the skin in areas that need smoothing or hydration. A needle or microcannula is used as needed, reducing the risk of complications and bruising. The injections are particularly effective in reducing wrinkles, nasolabial furrows and filling skin hollows, restoring a younger, more rested look to the face.

Mesotherapy

Hyaluronic acid mesotherapy involves injecting the product in micro-injections all over the face. The method is designed to deeply moisturize the skin, improve its texture and color, and stimulate the production of collagen and elastin. The treatment results in improved firmness, as well as a shallowing of fine lines and wrinkles. Mesotherapy is less invasive than classic injections, and the effects are visible gradually, giving a natural and long-lasting result.

Fillers

Hyaluronic acid is commonly used as a filler for lips and facial contouring. Thanks to its malleable texture and water-binding ability, it is ideal for adding volume to areas such as the cheeks, jawline and lip contour. Hyaluronic acid fillers allow for a fuller, more defined mouth and a modeled face, which has a significant impact on improving aesthetics and symmetry.

Masks and care preparations

Hyaluronic acid is also used in daily skin care. Many cosmetics, such as masks, creams and cheeses, contain this ingredient to promote hydration and regeneration of the epidermis. Regular use of the products helps to improve skin quality, hydrate it and protect it from moisture loss. The effects of the treatments are subtle but long-lasting, improving the skin's overall appearance, elasticity and radiance.

Contraindications to treatments with HA

Hyaluronic acid treatments are relatively safe, but there are some contraindications that should be considered before deciding on therapy. 

• People with autoimmune diseases, including lupus erythematosus, rheumatoid arthritis or Hashimoto's disease, should avoid hyaluronic acid treatments, which can affect the immune system, which in these diseases leads to an exacerbation of symptoms and increased inflammatory reactions.
• Pregnant and breastfeeding women should not opt for hyaluronic acid treatments. Although HA is a naturally occurring substance, there is not enough research on its safety during pregnancy and nursing, so it is better to avoid the risks.
• People with a tendency to hypertrophic scars (keloids) should also steer clear of hyaluronic acid treatments. The acid can stimulate the skin's repair processes, and for people with a predisposition to this type of scarring, this can lead to unsightly scars.
• Although rare, people with allergies to the components of hyaluronic acid preparations can experience allergic reactions. In such cases, the treatment is definitely not advisable, and it is advisable to consult a specialist and perform allergy tests before deciding on the therapy.

All of the above contraindications should be discussed with the doctor before proceeding with the procedure to ensure patient safety and optimal treatment results.

How to take care of the skin after the procedure?

In order to maximize the effects of hyaluronic acid treatment, it is advisable to follow several important skin care rules. First of all, direct exposure to the sun negatively affects the results, so it is recommended to avoid intense sun exposure, especially in the first few weeks after treatment. Using a high sunscreen, with a high SPF factor, will help protect the skin from harmful UV rays and maintain the longevity of the results. It is important to moisturize the skin regularly after treatment, especially with cosmetics rich in hyaluronic acid, which aids regeneration and replenishes hydration. Another important aspect is to avoid intense physical exercise, which leads to excessive sweating and swelling, and thus undermines the effectiveness of the treatment. It is also worth remembering not to touch the face during the first days after the injections, avoiding the risk of infection and not to interfere with the effects of the therapy. 

FAQ

What factors affect the results of hyaluronic acid wrinkle smoothing treatment?

The effects of the treatment can vary depending on the individual characteristics of the patient, such as skin type, age, depth of wrinkles and overall health. In addition, the application technique and the type of product used also make a difference.

How long do the effects of the treatment last and what influences their longevity?

The longevity of the effects ranges from a few months to a year, but this length depends mainly on the patient's metabolism, application site and lifestyle. Those with a healthy lifestyle, avoiding excessive sun exposure and smoking, will enjoy longer effects.

What are the lesser-known uses of hyaluronic acid beyond smoothing wrinkles?

Hyaluronic acid is used to treat acne scars, improve skin hydration and in joint therapy, where it acts as a moisturizer and a regenerative aid.

Are there risk factors associated with the procedure that are not commonly discussed?

In addition to the usual risks, such as swelling or bruising, there may be an allergic reaction to the preparation's ingredients or an abnormal distribution of HA in the tissues, leading to asymmetry or unevenness.

How to prepare for the procedure to reduce the risk of complications?

It is advisable to avoid alcohol and anti-inflammatory and blood-thinning medications for several weeks before the procedure. It is also a good idea to consult your doctor about any dietary supplements that may affect blood clotting.

What are the differences between the different types of hyaluronic acid used in treatments?

Hyaluronic acid comes in a variety of forms and densities, which affects its application. Higher-density formulations are typically used for deeper wrinkles and facial contouring, while lighter formulations are ideal for superficial wrinkles and skin hydration.

How often should the treatment be repeated to maintain the effects?

The frequency of repetitions depends on the individual patient's needs and how quickly the body metabolizes HA. It is usually recommended to repeat the treatment every 6-12 months.

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