Types and applications of hyaluronic acid fillers – Cosmetology, plastic surgery and diets

Types and applications of hyaluronic acid fillers

Contour plastic surgery is a minimally invasive injection procedure performed in cosmetology to correct problem areas of the face and body. For its implementation, special means are used – fillers based on hyaluronic acid. With their help, you can increase the volume of soft tissues, change the relief of problem areas, adjust the shape of the lips, cheekbones or chin. In addition, drugs are actively used to prevent ptosis and fill deep wrinkles.

Application area

Hyaluronic acid fillers are used exclusively for contour plastics. They differ in specific indications for use, the concentration of the main active substance (hyaluronic acid), the presence of auxiliary components, and the duration of action.

It should be noted that hyaluronic acid is used for mesotherapy, biorevitalization and a number of other procedures. In these cases, the means used have their own specific names (mesococktails, biorevitalizants, etc.). Their difference from fillers is the rapid decomposition of hyaluronic acid, its low concentration and surface penetration.

Filler Properties

Correction of the superciliary arches with hyaluronic acid

Hyaluronic acid, used for the manufacture of fillers, has a synthetic (non-animal) origin, identical to the natural substance in our body. Due to this, it does not tear away and does not provoke an allergy. It is considered a fully biocompatible and biodegradable substance, eventually breaks up into the simplest components and is excreted naturally. Conventionally, all hyaluronic acid-based fillers are divided into two groups:

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  • Monophasic. The molecules of the drug are the same in size, spread under the skin as evenly as possible. The structure is flexible and elastic, often contain additional components such as anesthetics. The main scope is the filling of wrinkles. Fillers of this kind dissolve easily with additional injections.
  • Biphasic. They have a high density, are introduced into deeper layers, more difficult to distribute. Fillers of this kind are difficult to dissolve. To achieve pronounced results, an increase in volumes with their help is carried out in two stages, during the repeated procedure, fillers are introduced in a smaller amount, taking into account the previously obtained effect.

Indications for use

Reviews of cosmetologists about fillers of this kind in 90% of cases are positive. Experts note their versatility and the possibility of application to eliminate the following problems:

  • Reduction and elimination of age, facial wrinkles and folds.
  • Prevention and reduction of ptosis, facelift.
  • Correction of the shape and volume of individual parts of the face (cheeks, cheekbones, chin).
  • Lip augmentation and rejuvenation.
  • Earlobe correction.
  • Elimination of existing asymmetries of the face or body.
  • Scar removal.
  • Enlarged breasts, buttocks, legs.
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Hyaluronic Acid Filler Procedure

Face fillers

Hyaluronic acid fillers are abundant in the modern beauty industry. Let’s get acquainted with their most popular representatives a little closer:

  • Restylane Manufactured by pharmaceutical company Galderma and Q-med. Non-animal origin HA is used for production, stitched using NASHA’s patented technology. In contour plastics, Restylane Perlane (removes deep folds), Restylane SubQ (correction of cheekbones and other areas), Restylane Lipp (lip augmentation) are used.
  • Princess. Created using SMART technology. Products are characterized by dynamic viscosity and the presence of long cell chains. For contouring, Princess Volume (concentration 23 mg / ml, lip augmentation, cheekbones, wrinkle filling) and Princess Contour (concentration 20 mg / ml, correction of problematic areas of the body, not sold in Russia) are used.
  • Juvederm. The manufacturer is the iconic American company Allergan. Distinctive features of the drugs are increased resistance, which is provided by 3D-Matrix technology. In addition, a number of products manufactured under this brand name contain lidocaine. For contouring, Juvederm Ultra 4, Juvederm Voluma, Juvederm Volbella are used.
  • Surgiderm. The production of hyaluronic acid for these fillers is based on streptococcal bacteria. For plastic surgery are used Surgiderm 24 XP, Surgiderm 30.
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Body correction fillers

Hyaluronic acid fillers are also used to correct problem areas of the body. Swedish company Q-med launches Macrolane, designed to increase and change the shape of the chest, buttocks, legs and a number of other parts of the body. Its distinctive feature is the weak bonds between the molecules of hyaluronic acid, allowing the tool to remain at the injection site until 1.5 – 2 years until complete decomposition.

The principle of action of the drug Macrolane is standard – the substance fills the voids in the soft tissues, increases the volume and gives them a new shape. The achieved effect is maintained due to the attraction of water molecules in large quantities, as well as the accelerated synthesis of fibroblasts. After decay, hyaluronic acid is excreted from the body in full.

Macrolane Breast Augmentation

Correction of a figure using Macrolane is considered to be quite effective, but there are also disadvantages. Among them:

  • Filler’s ability to migrate within the problem area.
  • The presence of side effects after the procedure (fever, the formation of edema and bruising).
  • High price.
  • The timing of the results (up to 2 years maximum).

Complications after injection

Side effects after injections are observed in 9 of 10 cases, as a rule, they are weakly expressed and disappear within 2 days. They appear in bruises, swelling, redness of the skin and an increase in its sensitivity. To minimize the unpleasant reaction, it is enough to make cold compresses and use ointments to reduce hematomas (for example, on the basis of horse chestnut).

In rare situations, patients experience more serious complications that require observation and treatment. It:

  • Infection of the puncture site and the development of inflammation (a complication is associated with a violation of the safety of injections, as well as inadequate skin care in the rehabilitation period).
  • Fibrosis or death of soft tissues (The reason is the unskilled work of a cosmetologist, the introduction of an excessive amount of composition or an injection to a great depth).
  • Vascular embolism, accompanied by the formation of scars and significant fibrosis (occurs due to the deep injection of the filler).

Rehabilitation period

After injections, skin restoration takes 2 – 3 weeks. On the first day, side effects are often observed, to eliminate which you should adhere to a simple but effective plan:

  • Taking antihistamines (prevents allergies).
  • Cold compresses – 2 – 3 once a day (reduce swelling, bruising, minimize pain).
  • Bruising ointment – 2 – 3 once a day (eliminates hematomas).

Cold compress for face

Cold compress helps relieve swelling

After reducing side effects, a set of measures aimed at preventing complications must be observed. So, the injection sites are treated with antiseptics, and before going out, the problem area is lubricated with a special sun cream. At this time, it is forbidden to sunbathe, visit the baths, engage in active physical activity.


The use of drugs with hyaluronic acid is limited by a number of contraindications. Doctors do not recommend their use in:

  • autoimmune diseases;
  • pregnancy;
  • lactation;
  • diseases of internal organs of a chronic nature (with exacerbation);
  • transferred aggressive cosmetic procedures (during the rehabilitation period after them);
  • viral and inflammatory skin lesions;
  • colds and flu, fever;
  • tendency to form keloid scars;
  • herpes;
  • pathologies of the circulatory system;
  • diabetes mellitus;
  • malignant tumors;
  • allergies to hyaluronic acid.

To prevent unwanted effects, it is recommended that you visit a cosmetologist consultation before the procedure and identify possible additional contraindications.

Hyaluronic acid fillers are used for face and body contouring. They differ from other drugs in the increased concentration and density of molecular bonds, they are able to increase the volume of soft tissues and change their shape, fill in wrinkles and folds. Achieved results are stored for 6 – 24 months. They are safe, biocompatible and eventually completely eliminated from the body.

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Cosmetology, plastic surgery and diets
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