Filling wrinkles and facial contouring with hyaluronic acid.
Hyaluronic acid is the most commonly used filler in aesthetic medicine. It naturally occurs in the body and is responsible for skin hydration, firmness, and elasticity. With age, its amount decreases, leading to a loss of tissue volume and the formation of wrinkles and furrows.
The product acts volumetrically, thanks to which, immediately after the procedure, it smooths wrinkles, reduces the depth of furrows, and restores harmonious proportions to the face. At the same time, it binds water, intensively hydrates the skin, and improves its tension and elasticity.
Hyaluronic acid not only fills tissues, but also supports natural regenerative processes by stimulating fibroblasts to rebuild the extracellular matrix. As a result, it improves skin density and quality, and after the gradual absorption of the product, wrinkles often remain shallower than before the procedure.
HOW DOES WRINKLE FILLING AND FACIAL MODELING WITH HYALURONIC ACID WORK??
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Hyaluronic acid is a polysaccharide naturally present in the skin, responsible for its hydration, firmness, and elasticity. Its filling and rejuvenating action is based on several mechanisms:
- Water binding and volume increase - Hyaluronic acid has the ability to attract and retain water in the skin. When injected into specific areas, it acts as a natural "cushion" - increasing tissue volume, making the skin smoother, firmer, and more hydrated. This mechanism allows for the reduction of wrinkles and creases.
- Support for the skin and tissues - Over time, the skin loses collagen and elasticity, leading to sagging and the formation of wrinkles. Injected hyaluronic acid acts as a "scaffold" for the tissues - lifting sunken areas of the skin and filling lost volume, improving facial contours.
- Stimulation of collagen production - The presence of hyaluronic acid in the skin stimulates fibroblasts to produce collagen and elastin - key proteins responsible for skin firmness. This not only provides immediate effects but also improves skin condition in the long term.
- Non-surgical lifting effect - Due to its ability to fill and lift tissues, hyaluronic acid allows for subtle facial sculpting, such as restoring a youthful oval shape, emphasizing cheekbones, or lifting the corners of the mouth.
What is hyaluronic acid and how does it work?
Hyaluronic acid is a polysaccharide naturally occurring in the human body, present primarily in the skin, subcutaneous tissue, and joints. It is an important component of the extracellular matrix, where it supports collagen and elastin fibers, responsible for firmness, elasticity, and proper tissue hydration. One of its most important properties is the ability to bind large amounts of water – thanks to this, the skin maintains appropriate density, elasticity, and tension.
With age, the amount of natural hyaluronic acid gradually decreases, leading to a loss of tissue volume, deterioration of the facial oval, and the formation of wrinkles and furrows.
After administering a hyaluronic acid preparation into the skin or subcutaneous tissue, several processes occur that are responsible for the effect of the treatment:
- the preparation replenishes lost tissue volume, restoring younger proportions to the face;
- fills wrinkles and furrows, making the skin smoother;
- binds water in the tissues, providing intense and long-lasting hydration;
- creates a scaffold supporting the tissues, improving the contour and oval of the face;
- supports skin regeneration and repair processes occurring in the extracellular matrix;
- participates in the regulation of inflammatory processes and the neutralization of free radicals that accelerate skin aging;
- stimulates fibroblasts to produce new collagen and elastin fibers, improving skin firmness and elasticity.
In aesthetic medicine, preparations of various densities and properties are used – from light ones intended for smoothing fine wrinkles and intense hydration, to more cross-linked fillers used for modeling facial contours and rebuilding lost volume. The choice of preparation always depends on the treatment area, skin quality, and the expected effect.
The first effects of filling and smoothing wrinkles are visible immediately after the treatment, while the improvement in skin quality develops gradually over the following weeks. Depending on the type of preparation used, the area of administration, and individual metabolism, the results usually last from 10 to 12 months.
HYALURONIC ACID’S AREAS OF ACTION
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Upper part of the face: Middle part of the face: |
Lower part of the face: Body revitalization: 17. Kontur piersi |
WHEN TO USE HYALURONIC ACID ON THE FACE?
- Frown lines between the eyebrows add a stern and aged look to the face. For deep frown lines, we recommend hyaluronic acid to fill the crease. This procedure is often done after relaxing the area with Botox, as these two treatments complement each other. Botox smoothes the wrinkle and prevents rapid degradation of the filler. Hyaluronic acid complements the wrinkle, lifts the depression, and reduces grooves.
- Deep folds running from the sides of the nose to the corners of the mouth can occur even in young individuals. They are a natural indentation of facial skin, but when too deep, they give the impression of sagging cheeks. Deepening around the age of 40 is the result of the cheeks "lowering." For filling the nasolabial folds, we recommend hyaluronic acid preparations of various densities. In addition to reducing grooves and restoring the harmony of facial features, filling treatments also contribute to skin regeneration. The amount of hyaluronic acid depends on the size and depth of the grooves, usually ranging from 1 to 2 ampoules. A beneficial effect of smoothing nasolabial folds can also be achieved by improving cheek shape through facial contouring, known as volumetrics.
- Downturned corners of the mouth are a common cause of a sad, tired expression on the face. In young individuals, the vermilion of the lips is full, well-hydrated, and elastic. With age, the lips become less full. Sunken corners of the mouth and slight skin folds running from the corners of the mouth downward give a sad appearance, making even good makeup unable to conceal it. Filling and lifting the corners of the mouth with hyaluronic acid restores a cheerful expression to the entire face.
- Smoker's lines are vertical wrinkles above the upper lip, particularly noticeable when the lips are pursed as if whistling. They most commonly appear after the age of 45 and can be filled with hyaluronic acid. Often, for individuals with "smoker's lines," slight lip augmentation and filling of the corners are recommended. This comprehensive procedure can be performed at once.
- Marionette lines, also known as sadness wrinkles, are wrinkles below the corners of the mouth, running vertically downward. A good effect is achieved by filling these creases with dense hyaluronic acid. The amount of product depends on the size and depth of the grooves.
- A flat chin makes the face less defined. Even slight depressions on the chin can give it an uneven appearance. To correct the chin to its natural look, fillers can be used. Sunken chin hollows, commonly found in men, can also be filled to achieve a firm and healthy appearance.
- Facial cheek shaping with hyaluronic acid restores the proper proportions of the face and adds volume to the cheeks.
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Crow's feet are expression lines that result from facial movements. Initially visible only when smiling, they deepen over time, becoming permanently etched in the skin. The filler used to treat crow's feet should contain low-crosslinked hyaluronic acid – a low-density product optimal for filling fine wrinkles in delicate skin. It is also important for the filler to have appropriate viscosity for correct distribution and low hygroscopic properties, meaning it has low water absorption capacity.
HYALURONIC ACID FACIAL TREATMENTS GIVE THE FOLLOWING EFFECTS:
Treatments using hyaluronic acid allow for the simultaneous smoothing of wrinkles, restoration of lost volume, and improvement of skin quality. The initial results are visible immediately after the procedure, but the final effect is evaluated after a few days, once the swelling subsides and the product binds water in the tissues.
- smoothing of static wrinkles and shallowing of deep folds, including nasolabial folds and marionette lines;
- restoration of lost volume in the cheeks, temples, and midface;
- improvement of the facial contour and oval, as well as better tissue support;
- contouring of the jaw, chin, nose, and other facial features;
- augmentation, hydration, and definition of the lip contour;
- intense skin hydration and improvement of its tension and elasticity;
- increase in skin density and firmness;
- reduction of signs of fatigue and restoring a fresher look to the face;
- improvement of facial symmetry and proportions; subtle rejuvenation effect without altering natural features.
The effects usually last from 10 to 12 months, although this time depends on the type of product, injection area, lifestyle, age of the patient, and individual metabolic rate. In the case of areas with high mobility, such as the lips, the product may be absorbed faster, whereas in volumetric areas, the result often lasts longer.
CONTRAINDICATIONS FOR HYALURONIC ACID TREATMENT
Before the procedure, a consultation with a specialist is always necessary to assess health status, skin quality, and rule out any possible contraindications. Although hyaluronic acid is a substance naturally occurring in the body, there are situations in which the procedure should be postponed or foregone.
The most important contraindications include:
- pregnancy and breastfeeding;
- active viral, bacterial, or fungal infections;
- skin inflammation at the site of the planned procedure;
- herpes in the active phase;
- fever and general weakness of the body;
- uncontrolled autoimmune diseases;
- active cancer;
- blood clotting disorders;
- use of anticoagulant medications after consultation with a doctor;
- a tendency to form hypertrophic scars and keloids;
- hypersensitivity to the ingredients of the product;
- recently performed surgical or aesthetic procedures in the area undergoing treatment.
The final decision regarding qualification for the procedure is made by the specialist after a thorough medical interview and an assessment of the patient's individual needs.
RECOMMENDATIONS AFTER HYALURONIC ACID TREATMENT
For a few days after the procedure, slight swelling, redness, or tissue tenderness may persist. Following post-procedure recommendations supports proper healing and helps achieve optimal aesthetic results.
For 24–48 hours after the procedure, it is recommended to:
- avoid touching and massaging the treated area, unless advised otherwise by a specialist;
- refrain from intense physical exertion;
- avoid saunas, hot baths, tanning beds, and intense sun exposure;
- limit alcohol consumption;
- refrain from cosmetological treatments at the site of product administration;
- avoid strong pressure, especially while sleeping;
- drink an adequate amount of water to support proper tissue hydration.
For about 2 weeks, it is advisable to refrain from facial massages, laser treatments, peels, and other procedures that may affect the distribution of the product. The final effect of the procedure is usually evaluated after 10–14 days.
PRICE OF THE HYALURONIC ACID TREATMENT
The price of a hyaluronic acid treatment depends on several factors, primarily on the type and amount of product used, the area undergoing correction, and the expected aesthetic effect. A different amount of product is needed for gentle smoothing of wrinkles, and a different amount for lip or jawline contouring or restoring lost cheek volume.
The cost of the treatment is influenced by, among other things:
- the type of product used and its degree of cross-linking;
- the area undergoing treatment;
- the scope of correction and the amount of product needed;
- individual anatomy and tissue quality;
- the administration technique and the complexity of the procedure.
During the consultation, the specialist assesses the condition of the skin, facial proportions, and the patient's expectations, and then selects the appropriate product and presents an individual treatment plan along with a detailed cost estimate.
Below is a detailed price list for treatments using hyaluronic acid.

